| With the gradual formation of the aging society in China,the health problems of the elderly have been paid more and more attention.As a complex emotional experience often manifested as depression,discomfort,sadness and anxiety,depression,if not handled effectively,can seriously threaten physical and mental health,and increase the care and emotional stress of the whole family system.Relevant studies have shown that cognitive behavioral therapy and physical exercise play a significant role in the prevention and relief of depression,which can effectively relieve depression,delay the decline of physical and cognitive functions,improve the quality of life of the elderly and facilitate active aging.In this study,the elderly in Y community of L city were selected to carry out activities in the form of group work,using the simplified Geriatric Depression Scale（GDS-15）as the measurement tool,baseline measurement showed that two people had a positive possibility of depression（case W "12 points";Case S "8 points";Score >5 is positive）,and the other three are negative for depression（case ZL "4points";Case ZG "1 mark";Case C "2 marks"）.Research design Through cognitive behavior combined with physical exercise to prevent and relieve the depression of the elderly in the community,a total of 12 periods of group activities for 3 months,once a week,60 minutes each time.Under the guidance of activity theory and cognitive behavior theory,the intervention activities centering on emotional management such as physical exercise,cognitive training and interpersonal communication were carried out.The evaluation of intervention effect is divided into two parts: one is the scale;The second is semi-structured interview.Analysis of the data revealed that posttests showed a downward trend in overall scores compared to baseline data（case W "12-11";Case ZL "4-2";Case S "8-6";Case C "2-1";Case ZG "1-2"）;Follow-up data show two trends: recovery and flatness（case W "11-11";Case ZL "2-1";Case S "six to eight";Case C "1-4";Case ZG "2-5"）.The interview data showed that the negative emotions of the five group members were dealt with,their cognitive concepts were changed,their participation in activities and their confidence were improved,and their depression was relieved to a certain extent.The results showed that :（1）the effectiveness of the integrated intervention of cognitive behavior combined with exercise was verified,which could relieve depression to a certain extent in the project stage（t=1.826,p=0.142,Cohen’s d=0.8163）.（2）There are doubts about the timeliness of intervention,and the duration of intervention and project design need to be further verified;（3）The overall project tried to help the elderly to establish a long-term effective mechanism to prevent and relieve depression,but the project follow-up data showed that the goal of intervention was not achieved;（4）Reflection on intervention: even after considering the mutual influence of emotions and adopting relevant design,the intervention still has the possibility of making the subjects aware of their own potential depression factors,which needs to be paid attention to.If the two groups are to be placed in the same project,relevant measures should be taken to avoid emotional infection. |
