摘要

【摘要】
目的 探讨光照-音乐联合干预对共病焦虑的季节性情感障碍（Seasonal Affective Disorder，SAD）患者疗效及焦虑症状的影响。

方法 选择112例SAD患者，随机数表法分为光照组（n=56，光照疗法干预）和联合组（n=56，光照疗法结合音乐疗法干预）。比较两组疗效、汉密尔顿抑郁量表（Hamilton Depression Scale，HAMD）及汉密尔顿焦虑量表（Hamilton Anxiety Rating Scale，HAMA）评分、以及不良反应情况。

结果 联合组脱落2例，光照组脱落3例。联合组总有效率高于光照组（P＜0.05）。两组干预2、4周时HAMD、HAMA评分均降低，且联合组低于光照组（P＜0.05）。两组不良反应总发生率比较无差异（P＞0.05）。

结论 光照-音乐联合干预可有效改善共病焦虑的SAD患者焦虑、抑郁症状，提升疗效，且安全性良好。

关键词：【关键词】 光照疗法；音乐疗法；季节性情感障碍；焦虑症状；抑郁症状

ABSTRACT

【Abstract】
Objective To explore the efficacy and impact on anxiety symptoms of combined light therapy and music therapy in patients with comorbid anxiety and Seasonal Affective Disorder (SAD).

Methods 112 SAD patients were selected and randomly divided into a light group (n=56, light therapy intervention) and a combination group (n=56, light therapy combined with music therapy intervention) using a random number table method.Compare the efficacy, Hamilton Depression Scale (HAMD) and Hamilton Anxiety Rating Scale (HAMA) scores, and adverse reactions between two groups.

Results Two cases fell out in the joint group and three cases fell out in the light group. The total effective rate of the combined group was higher than that of the light group (P<0.05). At 2 and 4 weeks of intervention, both HAMD and HAMA scores decreased, and the combined group was lower than the light group (P<0.05). There was no significant difference in the overall incidence of adverse reactions between the two groups (P>0.05).

Conclusion   The combined intervention of light therapy and music therapy can effectively improve the anxiety and depression symptoms of SAD patients with comorbid anxiety, enhance the therapeutic effect, and has good safety.

Key words: 【Key word】Light therapy; Music therapy; Seasonal affective disorder; Anxiety symptoms; Depressive symptoms