基于自助正念的认知治疗对抑郁症患者的正念,症状变化和自杀念头的影响:一项随机对照研究
Yuanyuan Mo1, Zhiying Lei2, Mei Chen3
1Department of Psychiatry, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Frontiers in psychology
|December 18, 2023
概括
自助式基于正念的认知疗法 (MBCT-SH) 有效地改善了正念,减少了抑郁症症状,并减少了患者的自杀念头. 这种方法对于抑郁症管理来说是可行的,也是具有成本效益的.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 卫生经济学 卫生经济学
背景情况:
- 抑郁症是一个重要的全球健康问题,与高症状负担和治疗成本有关.
- 基于正念的认知疗法 (MBCT) 是预防抑郁复发的已知干预方法.
- 正在探索基于证据的疗法的自助形式,以提高可访问性和降低成本.
研究的目的:
- 与抑郁症患者的对照组相比,评估基于自我帮助的正念认知治疗 (MBCT-SH) 的疗效.
- 评估MBCT-SH对正念,抑郁症症状严重程度和自杀念头的影响.
- 分析与MBCT-SH.相关的治疗成本和再接收率.
主要方法:
- 一项随机对照试验,涉及97名患有抑郁症的患者,被分配给MBCT-SH或对照组.
- 评估包括五方面正念问卷 (FFMQ),汉密尔顿抑郁症评分表 (HAMD-24) 和自杀态度问卷 (SAQ) 在多个时间点.
- 随访包括对治疗费用和再接收率的六个月评估.
主要成果:
- 到第4周,MBCT-SH组的正念显著增加,并在整个研究期间保持更高.
- 从第8周开始,在MBCT-SH组中观察到抑郁症状 (HAMD-24) 和自杀念头 (SAQ) 的显著改善.
- 在6个月后,MBCT-SH导致人均治疗成本较低,再接收率相似.
结论:
- 基于自我帮助的正念认知疗法 (MBCT-SH) 是抑郁症患者的可行且有效的干预措施.
- MBCT-SH在增强正念,减少抑郁症状和缓解自杀念头方面显示出显著的好处.
- 这些发现表明,MBCT-SH是一种潜在的经济有效的抑郁症治疗选择.
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