在线基于正念认知疗法的变化媒介:对正念情绪平衡随机试验的二次分析
Sona Dimidjian1, Robert Gallop2, Joseph Levy1
1University of Colorado Boulder, Crown Institute, Department of Psychology and Neuroscience.
Journal of consulting and clinical psychology
|July 17, 2023
概括
意识的情绪平衡计划通过提高正念,分散和减少反,有效地减少抑郁症复发. 这些变化调解了该计划的好处,证实了其机制.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 临床心理学 临床心理学
- 数字治疗学数字治疗学
背景情况:
- 基于正念的认知疗法 (MBCT) 在临床上对抑郁症有效.
- 数字交付的MBCT,如正念的心情平衡 (MMB) 计划,提供可扩展的心理健康解决方案.
- 推动MMB有效性的具体机制需要阐明.
研究的目的:
- 调查MMB计划对MBCT关键目标的影响:正念,偏心和反.
- 确定这些目标的变化是否会导致抑郁复发.
- 为了比较MMB加上通常的抑郁症护理 (UDC) 与单独的UDC.
主要方法:
- 一个随机对照试验,比较MMB + UDC与单独UDC.
- 评估了自我报告的正念,偏离和反的措施.
- 调解分析被用来检查目标变化和抑郁复发之间的关系.
主要成果:
- 与单独使用UDC相比,MMB计划显著增加了正念和分散,并减少了反.
- 变化在正念,偏离,和反显著介导后来的抑郁复发.
- 该MMB计划对所有假定机制都产生了显著影响.
结论:
- MMB计划的机制与MBCT的理论模型相一致,用于预防抑郁复发.
- 数字交付MBCT可以有效地修改与抑郁症相关的心理过程.
- 这些发现支持使用数字干预来管理抑郁症复发.
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