The Research Of Relationship Between Physique And Depression Based On The Theory Of CTM Physique

Objective:This paper analyzed the physiques of depressed patients with various severities and the physiques of severely depressed patients, so as to provide theoretical basis for intervening depression with such type physiques at early stage.Methods:The depression group was formed by 96 patients that asked for treatments from psychiatrist outpatients of Nantong Hospital of Traditional Chinese Medicine from April 2015 to January 2016. The control group was formed by 106 healthy people of Nantong city at the same period. By questionnaire on-site survey, general information was collected and their physique types were determined. Logistic regression analysis was performed to investigate risk factors of depression.Results:Age:the depression group had higher age than control group (50.5±18.5 vs 43.2±15.6, P= 0.003). Education background:In the depression group,62.5% patients were low educated; 27.1% were secondary level educated, and the rest 10.4%were higher educated. In the control group,26.4% were low educated; 42.5% were secondary level educated; the rest 31.1% were higher educated. Education background comparison of the two groups was statistically significant (P< 0.001). Financial situation:In the depression group,46.9% were in straitened circumstances; 39.6% can achieve general income level; the rest 13.5% were wealthy. In the control group,29.2% were in straitened circumstances; 41.5% can achieve general income level; the rest 29.2% were wealthy. Financial situation comparison of the two groups was statistically significant (P= 0.007). Distribution of physique types:the frequency of physique types in the depression group was listed from high to low order:physique of qi depression (39.6%), physique of qi deficiency (19.8%), physique of yang deficiency (18.8%), physique of yin-yang harmony (5.2%), physique of damp-heat (4.2%), physique of blood stasis (4.2%), physique of phlegm-dampness (3.1%), allergic physique (3.1%), physique of yin deficiency (2.1%). The frequency of physique types in the control group was listed from high to low order:physique of yin-yang harmony (53.8%), physique of yang deficiency (10.4%), physique of phlegm-dampness (8.5%), physique of damp-heat (5.7%), physique of blood stasis (4.7%), physique of qi depression (4.7%), physique of qi deficiency (3.8%), physique of yin deficiency (3.8%). depression group had higher physique of qi depression (P< 0.001) but lower physique of yin-yang harmony (P< 0.001). Multivariable logistic regression analysis showed that age (OR= 1.044,95%CI 1.022-1.067, P< 0.001), low educated (OR= 3.133,95%CI 1.565-6.270, P= 0.001), physique of qi depression (OR= 3.411,95%CI 1.808-6.437, P< 0.001) and physique of qi deficiency (OR= 1.061,95%CI 1.229-6.791, P= 0.015) were associated with depression. Physique of yin-yang harmony could protect patient from moderate and severe depression (OR= 0.252,95%CI 0.074-0.861, P= 0.028).Conclusion:Higher age, lower education, straitened circumstances and Physique of qi depression are risk factors for depression. Furthermore, physique of qi depression and qi deficiency were more prone to depression.