1.Clinical study on thought imprint psychotherapy in lower resistant state on depression
International Journal of Traditional Chinese Medicine 2011;33(2):131-133
objective To observe the clinical efficacy and safety of thought imprint psychotherapy in lower resistant state (TIP) on depression. Methods 60 patients with depression were randomly divided into TIP group and citalporam group. The observation period was 12 weeks. The Hamilton Rating Scale for Depression (HAMD)、 Minnesota Multiphasic Personality Inventory (MMPI) and treatment emergent symptoms scales (TESS) were used to evaluate the efficacy and adverse effects. Results The effective rate was 78.6% and 74.1% in the TIP group and citalporam group respectively. Conclusions TIP is an effective and safe means for the treatment of depression.
2.Clinical study on chemotherapy combined radioactive seed intersti-tial brachytherapy for locally advanced non-small cell lung cancer
Xiulan LIU ; Yingna BAO ; Yu LIN
Chinese Journal of Clinical Oncology 2013;(16):992-996
Objective: To evaluate the clinical effect and adverse reactions of radioactive seed interstitial brachytherapy com-bined with etoposide (EP) regimen concurrent chemoradiotherapy treatment for locally advanced non-small cell lung cancer. Methods:All 24 cases of locally advanced non-small cell lung cancer received three-dimensional conformal intensity modulated radiation therapy by using 6 MV X-ray to obtain 95%60-66 Gy/30-33 F planning target volume. All cases received radiation therapy five times a week. EP regimen chemotherapy concurrent with radiotherapy was given to 24 patients. The therapy included VP-16, 60 mg/m2 intravenous in-fusion for 1 d to 5 d, and DDP 50 mg/m2 intravenous infusion on the 1st, 8th, and 28th therapy day. Chemotherapy with EP regimen was given for four cycles, in which two cycles were given during radiotherapy and the remaining cycles were completed after radiotherapy. The patients were reexamined three months after concurrent chemoradiotherapy was completed. Patients with residual tumor, con-firmed via positron emission tomography/computed tomography, underwent 125I radioactive seed implantation interstitial brachytherapy to complement the dose of tumor. Results: The response rate was 83.3% (20/24); the local control rates of 3, 6, 9, 12, 18, and 24 months were 87.5% (21/24), 83.3% (20/24), 75.0% (18/24), 70.8% (17/24), 58.3% (14/24), and 50.0% (12/24). The median survival was 20.2 months. The one-year survival rate was 62.5%, and the two-year survival rate was 37.5%. The following main toxicities were observed:the incidence of radiation-induced lung injury was 25%;the incidence of radiation esophagitis was 33.3%;the incidence of grades Ⅰ to Ⅱ gastrointestinal reactions was 82.3%; the incidence of reducing neutropenia was 87.5%, in which the incidence of gradesⅠtoⅡwas 75.0%, gradeⅢwas 12.5%, and gradeⅣwas 0%. Conclusion:EP regimen concurrent radiotherapy and chemo-therapy combined with radioactive seed interstitial brachytherapy for locally advanced non-small cell lung cancer is effective and has few serious adverse reactions, thus making this approach worthy of promotion.
3.Systematic psychotherapy of TCM cause-tracing technique in the static state of Qigong
Xueyu Lü ; Weidong WANG ; Yingna LIN ; Fang WANG ; Lan HONG
International Journal of Traditional Chinese Medicine 2011;33(1):28-30
Objective To introduce personality-reshaping technique in the static state of Qigong to enrich modern clinic psychotherapy. Methods Based on previous therapeutic experience, we introduce personality-reshaping technique in the static state of Qigong. Results Personality-reshaping technique in the static state of Qigong can change personality of patients through series of techniques. Conclusion Personality-reshaping technique in the static state of Qigong has great clinical values.
4.Shallow discussion the resistance problems in Chinese psychotherapy
Yana WANG ; Yingna LIN ; Fang WANG ; Lan HONG ; Weidong WANG
International Journal of Traditional Chinese Medicine 2014;36(3):193-196
Objective To discuss the resistance problems in Chinese psychotherapy.Methods The western psychology research literature was combined with the application of thought imprint psychotherapy under lower resistance(TIP) in Chinese psychotherapy clinical experience.Results The problems of resistance encountered in the process of psychological treatment were influenced by Chinese traditional culture,which were different from western psychology on causes,classification,performance and handling.Conclusion Respecting Chinese traditional culture,seizing the psychological characteristics of Chinese people and exerting the advantages of TCM psychology were keys of knowing the resistance problems in Chinese psychotherapy.
5.Correlation Study of Depression, Anxiety and Sleep Disturbance
Lan HONG ; Yon MA ; Yingna LIN ; Fang WANG ; Changen TONG ; Xia ZHAO ; Weidong WANG
International Journal of Traditional Chinese Medicine 2009;31(2):154-156
Objective To investigate the correlation between depression, anxiety and sleep disturbance. Methods 93 patients with the main complaint of insomnia were selected and performed a retrospective study. Results Four factors including anxiety factors, manifest anxiety, subjective depression and dominant depression of the insomnia patients were significantly higher than normal people, while the Ego Strength scores are significantly lower than the normal people. Conclusion When confronting patients with sleep disturbance, doctors must pay attention to identifying any psychological disorders including depression and anxiety in the patients, and psychological support should also be strengthened to such patients.
6.Psychological Factors Analysis of Postpartum Body Pain
Menghan LV ; Weidong WANG ; Fang WANG ; Yingna LIN ; Rongrui ZHANG ; Yang ZHAO
International Journal of Traditional Chinese Medicine 2009;31(1):55-56
"Postpartum Body pain"refers to such symptoms as body pain,numbness,heaviness,arthralgia and even paralysis in a woman during the postpartum period.Besides the above symptoms,the patient may also have other symptoms like sleep disorder,emotional hindrance,somatization symptoms such as fatigue,sleepy,and chest distress,etc.This disease may be considered as somatization symptoms due to postpartum depression,but actually it is a psychogenic disorder.Clinical observation showed there were no clinical changes of objective signs such as red,swelling and fever;Laboratory examinations showed there was no ahnormal manifestation.This article primarily discussed"postpagtum body pain"from medicopsychological angle,hoping to help people get a right recognition of this disease.
7.Systematic psychotherapy of TCM cause-tracing technique in the static state of Qigong
Lan HONG ; Xueyu Lü ; Menghan Lü ; Yingna LIN ; Fang WANG ; Weidong WANG
International Journal of Traditional Chinese Medicine 2010;32(4):337-338
Objective To introduce cause-tracing technique in the static state of Qigong to enrich modem clinic psychotherapy. Methods Based on previous therapeutic experience, we reduced resistance from patients through interview.Then the cause of diseases was detected by analyzing implicit memory. Results Cause-tracing technique in the static state of Qigong could get important relevant information by excavating implicit memory. It was a cause-tracing method characterized by low-resistance and high-speed. Conclusion Cause-tracing technique in the static state of Qigong had great clinical value.
8.Manifestation study on depression in comprehensive hospitals
Lan HONG ; Huijun WEI ; Yan MA ; Yingna LIN ; Fang WANG ; Weidong WANG
International Journal of Traditional Chinese Medicine 2010;32(3):259-261
Objective To study and analyze clinical manifestation of depression in comprehensive hospitals in China.Methods Retrospective study was performed.3322 objects included in this research were measured by Minnesota Multiphasic Personality Inventory(MMPI).Results In Chinese comprehensive hospitals,the most common accompanying symptoms of depression were anxiety,fatigue,suicide inclination,apprehension,somatic discomfort,impotence or asexuality,hypochondriasis,somato-complaints,insomnia,self-accusmion and self-reproach,sense of dependence and so on.Depression was positively correlated with suicide risks,self-accusation,delusion of self-accusation,somatic discomfort,somato-complaints,impotence and asexuality,insomnia,headache,fatigue,apprehension,and family problems.Depression had negative correlations with self-strength,social status and economic status.The results had statistical significance.Conclusion Decreased self-strength,increased sense of dependence,low social status and economic status and family problems were the most common pathogenesis basis for depression.Depression can be manifested as various somatic disorders,especially insomnia.
9.The characteristics of rapid eye movement sleep of depressed patients and its correlation with severity degree of depression
Xueyu LV ; Yanjiao LIU ; Weidong WANG ; Meng JING ; Yingna LIN ; Fang WANG
Chinese Journal of Behavioral Medicine and Brain Science 2011;20(5):418-420
Objective To explore the characteristics of polysomnography (PSG) of depressed patients and the correlation between rapid eye movement (REM) and severity degree of depression. Methods Polysomnography was used to assess patients'sleep condition and Montgomery-Asberg depression scale (MADRS) was used to assess the severity degree of depression. 90 patients and 30 healthy controls were included. Results Compared to healthy controls,sleep progress of depressed patients changed as follow:prolonged sleep latency((25.2 ±15.25) minutes) ,lowered sleep efficiency(0.853 ±0.11) ;the architecture of sleep also changed:percentage of stage 1 increased( (27.7 ± 16.38) % ),percentage of REM sleep increased( (22. 8 ± 6. 1 ) % ) , percentage of stage 2 decreased ((40.2±11.3)%), percentage of slow wave sleep decreased ((11.8 ±9. 32)%); REM sleep significantly changed; decreased REM latency((79. 27 ±30. 44) minutes) , increased REM activity((129. 0 ±53. 12) u) .increased intensity of REM((36.7 ±14.0)u/min), increased REM density((159.2 ±57.2)u/min) were observed in depressed patients. There was no obvious correlation between the variance of REM and severity degree of depression. Conclusion There are a series of changes in sleep progress, architecture and REM sleep of depression and the change of REM sleep can be specified to diagnose depression. However,there is no causality between REM variance and severity of depression.
10.The sleep-improving effect of thought imprint psychotherapy under lower resistant state on depression associated with insomnia
Xueyu Lü ; Yingna LIN ; Lan HONG ; Fang WANG ; Yang ZHAO ; Weidong WANG
International Journal of Traditional Chinese Medicine 2012;34(1):8-10
ObjectiveTo study the effect of thought imprint psychotherapy in lower resistant state (a TCM psychotherapy ) treating insomnia accompanied by depression.MethodsIntervened patients by sleep regulating technique of lower resistant state for 6 months.PSQI and PSG were tested prior and post treatment.ResultsThe data from PSQI and PSG indicated the improvement of their sleep quality:PSQI:sleep quality (2.500±0.589) vs (1.416±0.928),initiating sleep time(2.375±0.875) vs (1.416±0.880),sleep time (2.125±0.947) vs (1.500±0.884),sleep efficiency (1.625±1.135) vs (0.958±0.954),sleep disorder (1.875±0.536)vs (1.416±0.775),daytime function (2.416±0.880) vs (1.833± 1.203); PSG:sleep efficiency (0.82±0.11)% vs (0.88±0.10)%,number of wake (3.92±3.24) vs (2.38±1.21),stage 1 percentage (27.4±11.9)%vs (23.5±7.8)%,stage 3 percentage (10.2±6.8) % vs (15.6±5.9)%,REM sleep percentage (23.89±6.84) % vs (16.16 ± 6.36) %,P<0.05 or 0.01.ConclusionSleep regulating technique in lower resistant state can improve patients' sleep quality.