Morita therapy has been bom for more than 100 years.Inpatient Morita therapy is highly oper-able and easy to master.It can improve many refractory neuroses through four-stage treatment.But more neuroses are treated in outpatient clinics,and Morita therapy cannot be used in hospitalized patients.Therefore,the formula-tion of expert opinions on outpatient operations is particularly important.This paper is based on domestic and for-eign references,and after many discussions by domestic Morita therapy experts,and then drew up the first version of the expert opinions on operation of outpatient Morita therapy.Meanwhile the operation rule of Morita therapy in three stages of outpatient treatment was formulated:in the etiological analysis stage,under the theoretical guidance of Morita therapy,analyze the pathogenic factors,to improve treatment compliance and reduce resistance;during the operating stage,guide patients to engage in constructive and meaningful actions,realizing the achievement of letting nature take its course principle;in the cultivating character and enriching life stage,pay attention to positive infor-mation,expanding the scope and content of actions,improving the ability to adapt to complex life,and preventing recurrence caused by insufficient abilities.It will lay a foundation for the promotion of Morita therapy in domestic outpatient clinics,so that more patients with neurosis and other psychological diseases could receive characteristic Morita therapy treatment in outpatient clinics.

Objective:To explore the efficacy of aerobic exercise on the improvement of cognitive function in patients with depression in remission stage.Methods:The discharged patients with depression in remission stage were randomly divided into exercise group ( n=63) and non-exercise group ( n=62). The exercise group received aerobic exercise training on the basis of drug maintenance therapy, and the non-exercise group received drug maintenance therapy only. Neuropsychological tests were used to evaluate participant′s cognitive functions at baseline, 8 weeks and 16 weeks by using digital span-antegrade (Digit Span-Sequential Order, DS-SO), digital span-inversion (Digit Span-Reversed Order, DS-RO), visual regeneration (Visual Reproduction, VR) of the Chinese version of the Wechsler memory scale, connection test (Trail Making Test, TMT, continuous performance test (Continuous Performance Task, CPT) and word fluency test (Verbal Fluency Test, VFT). Difference comparisons between the two groups were conducted. Simple effect analysis was used to compare the differences. Results:There was no significant difference in the scores of cognitive function between the two groups at baseline. After 8 weeks of aerobic training, the cognitive function of the exercise group was partially improved compared with the non-exercise group, and there were significant differences in TMT-A score ((51.4±19.1) s vs.(56.9±21.9) s, t=4.53, P<0.01), VFT score (20.4±5.6 vs.18.7±5.4, t=1.73, P=0.09) and TMT-B score ((80.3±37.3) s vs.(96.6±38.4) s, t=-2.41, P=0.01). After 16 weeks of aerobic training, the cognitive function of the exercise group was significantly better than that of the non-exercise group. TMT-A ((44.2±16.4) s vs.(53.4±19.0) s, t=-2.90, P<0.01), CPT (98.8±10.7 vs.91.4±11.8, t=3.67, P<0.01), VFT score (23.1±5.4 vs.19.4±5.2, t=3.90, P<0.01), and TMT-B ((77.9±30.7) s vs. (92.9±35.6) s, t=-2.52, P=0.01) were significantly better than those of the non-exercise group. Compared with the baseline, simple effect analysis showed that there were significant differences in the scores of TMT-A, CPT and TMT-B at the week-8 ( F=22.46, 17.47, 32.92, all P<0.01), and in the scores of TMT-A, CPT, DS-RO, VR, VFT and TMT-B at week-16 in the exercise group ( F=23.31, 18.46, 4.37, 5.58, 12.24, 28.83,all P<0.01). The scores and the changes of TMAT-A, CPT, VFT, TMT-B, DS-SO and DS-RO in the exercise group were significantly different from those in the non-exercise group. Conclusion:16-week aerobic exercise can effectively improve the cognitive function of patients with depression in remission stage.

Objective:To explore the efficacy of aerobic exercise on the improvement of cognitive function in patients with depression in remission stage.Methods:The discharged patients with depression in remission stage were randomly divided into exercise group ( n=63) and non-exercise group ( n=62). The exercise group received aerobic exercise training on the basis of drug maintenance therapy, and the non-exercise group received drug maintenance therapy only. Neuropsychological tests were used to evaluate participant′s cognitive functions at baseline, 8 weeks and 16 weeks by using digital span-antegrade (Digit Span-Sequential Order, DS-SO), digital span-inversion (Digit Span-Reversed Order, DS-RO), visual regeneration (Visual Reproduction, VR) of the Chinese version of the Wechsler memory scale, connection test (Trail Making Test, TMT, continuous performance test (Continuous Performance Task, CPT) and word fluency test (Verbal Fluency Test, VFT). Difference comparisons between the two groups were conducted. Simple effect analysis was used to compare the differences. Results:There was no significant difference in the scores of cognitive function between the two groups at baseline. After 8 weeks of aerobic training, the cognitive function of the exercise group was partially improved compared with the non-exercise group, and there were significant differences in TMT-A score ((51.4±19.1) s vs.(56.9±21.9) s, t=4.53, P<0.01), VFT score (20.4±5.6 vs.18.7±5.4, t=1.73, P=0.09) and TMT-B score ((80.3±37.3) s vs.(96.6±38.4) s, t=-2.41, P=0.01). After 16 weeks of aerobic training, the cognitive function of the exercise group was significantly better than that of the non-exercise group. TMT-A ((44.2±16.4) s vs.(53.4±19.0) s, t=-2.90, P<0.01), CPT (98.8±10.7 vs.91.4±11.8, t=3.67, P<0.01), VFT score (23.1±5.4 vs.19.4±5.2, t=3.90, P<0.01), and TMT-B ((77.9±30.7) s vs. (92.9±35.6) s, t=-2.52, P=0.01) were significantly better than those of the non-exercise group. Compared with the baseline, simple effect analysis showed that there were significant differences in the scores of TMT-A, CPT and TMT-B at the week-8 ( F=22.46, 17.47, 32.92, all P<0.01), and in the scores of TMT-A, CPT, DS-RO, VR, VFT and TMT-B at week-16 in the exercise group ( F=23.31, 18.46, 4.37, 5.58, 12.24, 28.83,all P<0.01). The scores and the changes of TMAT-A, CPT, VFT, TMT-B, DS-SO and DS-RO in the exercise group were significantly different from those in the non-exercise group. Conclusion:16-week aerobic exercise can effectively improve the cognitive function of patients with depression in remission stage.