展望评估的夏季情绪状态在严重抑郁症中,与季节性模式重复:证据证明SAD的构造有效性
Kelly J Rohan1, Julia M Terman1, Praise Iyiewuare1
1Department of Psychological Science, University of Vermont, John Dewey Hall, 2 Colchester Avenue, Burlington, VT 05405-0134, USA.
Journal of affective disorders
|December 31, 2023
概括
大多数被诊断患有季节性情绪障碍 (SAD) 的个人在夏季经历缓解,支持其有效性. 然而,残留症状在治疗后仍然存在,这表明SAD疗法有改善的余地.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 情绪障碍 研究 研究 情绪障碍
背景情况:
- 人口研究往往无法检测季节性模式,质疑冬季季节性情绪障碍 (SAD) 的有效性.
- 如果SAD是一个有效的构造,那么被诊断为SAD的个人应该在夏季出现抑郁症状的自发缓解.
- 确诊的SAD患者夏季情绪状况的前性数据有限.
研究的目的:
- 为了前性地评估被诊断患有重大抑郁症的成年人的夏季情绪状况,复发性与季节性模式 (SAD).
- 通过检查夏季自发缓解率来评估SAD的构造有效性.
- 将夏季缓解率与接受群体认知行为疗法或光疗的人群的治疗后结果进行比较.
主要方法:
- 对在前一个冬天被诊断患有SAD的成年人进行了前性的夏季随访.
- 参与者在夏季完成了汉密尔顿评分表对抑郁症-季节性情绪障碍版本 (SIGH-SAD),贝克抑郁症清单第二版和纵向间隔随访评估 (LIFE) 的结构化面试指南.
- 在7月和8月期间,从153名 (93.5%) 参与者中收集了143名参与者的数据.
主要成果:
- 大多数参与者在夏季实现了缓解,平均抑郁症得分处于正常范围内.
- 在LIFE中,79.0%的人经历了夏季完全缓解,13.3%的部分缓解,7.7%的人仍然处于严重抑郁状态.
- 与治疗后相比,认知行为疗法和照明疗法组的抑郁症得分在夏季显著下降,这表明治疗反应不完全.
结论:
- 绝大多数患有SAD的个体经历了完全的夏季缓解,这支持SAD的构造有效性.
- 少数参与者在夏季经历了部分缓解或持续在夏季的一次发作中.
- 无论是认知行为疗法还是光疗法,与自然夏季缓解相比,在治疗终点时都会导致残留症状.
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