对巴基斯坦穆斯林抑郁症患者进行文化适应的行为激活疗法的随机对照试验
Saima Dawood1, Ghazala Mir2, Robert M West3
1Centre for Clinical Psychology, University of the Punjab, Lahore Punjab 54590, Pakistan.
World journal of psychiatry
|September 13, 2023
概括
在巴基斯坦,针对穆斯林的文化适应行为激活疗法 (BA-M) 证明比对抑郁症的认知行为疗法 (CBT) 更有效. BA-M 显示了更大的症状减轻和改善生活质量,特别是在资源较低的环境中.
科学领域:
- 心理健康研究 心理健康研究
- 心理干预 心理干预
- 跨文化精神病学 跨文化精神病学
背景情况:
- 行为激活疗法 (BA) 是一种具有成本效益的抑郁症治疗方法,与CBT相似.
- 文化适应的穆斯林学士学位 (BA-M) 对穆斯林人口来说是可以接受和可行的.
- 这项研究是第一个评估BA-M疗效的随机对照试验.
研究的目的:
- 为了比较巴基斯坦穆斯林抑郁症患者的BA-M与CBT的有效性.
- 评估BA-M作为一个可行的治疗选择在低资源环境.
主要方法:
- 一个并行组随机对照试验,涉及巴基斯坦108名患者.
- 患者被随机分配1:1到BA-M或CBT.
- 结果使用PHQ-9,BADS-SF,症状检查清单修订和WHOQOL-BREF进行测量,使用盲目评估者.
主要成果:
- 与CBT (P=0.006) 相比,BA-M在PHQ-9得分上显示出明显更大的改善.
- 在BA-M组的患者在治疗中保持时间更长 (平均0.75次,P=0.013).
- BA-M显著改善了生活质量的身体,心理和社会领域.
结论:
- BA-M是一种有效的治疗方法,可以减少巴基斯坦患者的抑郁症状.
- BA-M是一种有前途的抑郁症治疗方法,特别是在资源较少的环境中.
- 文化适应的干预措施可以提高不同人群的治疗效率.
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