重复经颅磁刺激联合辩证行为疗法对抑郁障碍患者焦虑抑郁症状、睡眠质量及心理扭力的影响OA

Objective To investigate the influence of repetitive transcranial magnetic stimulation(rTMS)combined with dialectical behavior therapy(DBT)on anxiety and depression symptoms,sleep quality,and psychological strain in patients with depressive disorder.Methods A total of 60 patients with depressive disorder treated in our hospital from January 2024 to December 2025 were selected and divided into the observation group(30 cases)and the control group(30 cases)according to the random number table method.Both groups received conventional antidepressant medication.On this basis,the control group received DBT intervention treatment,while the observation group received additional rTMS treatment on the basis of the control group.Both groups were treated continuously for 6 weeks.The scores of Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),Pittsburgh Sleep Quality Index(PSQI),and Psychological Strain Scale(PSS-40)were compared between the two groups.Results After 6 weeks of treatment,the HAMD,HAMA,PSQI,and PSS-40 scores in both groups decreased compared with those before treatment,and the scores in the observation group were lower than those in the control group(P＜0.05).Conclusions rTMS combined with DBT in the treatment of patients with depressive disorder can significantly alleviate their depressive and anxiety symptoms,improve their sleep quality,and reduce their psychological strain level.