在中国,对患有抑郁症的门诊患者进行基于正念的在线群体认知疗法的有效性
Jinjun Liu1, Wei Duan2, Zeping Xiao2
1Department of Medical Psychology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Journal of affective disorders
|January 28, 2024
概括
在线小组基于正念的认知疗法 (MBCT) 有效地减少了中国门诊患者的抑郁和焦虑. 患者对在线格式的坚持率很高,支持其在精神卫生保健中的使用.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字健康数字健康
- 认知行为疗法是认知行为疗法.
背景情况:
- 在线心理治疗是一个不断增长的趋势,满足了对可访问的心理健康服务的需求.
- 基于正念的认知疗法 (MBCT) 是一种成熟的抑郁症治疗方法.
- 将MBCT调整为在线小组格式解决了对灵活和可扩展干预措施的需求.
研究的目的:
- 评估在线小组MBCT计划对被诊断患有抑郁症的中国门诊患者的有效性.
- 评估患者对在线MBCT格式的坚持和参与.
主要方法:
- 采用了前后受控研究设计.
- 招募了88名患有抑郁症的门诊患者,其中75人完成了为期10周的在线组MBCT.
- 标准化尺度包括汉密尔顿抑郁量表 (HAMD-24) 和汉密尔顿焦虑量表 (HAMA) 在治疗前,治疗中期和治疗后进行.
主要成果:
- 所有参与者都观察到HAMD-24和HAMA分数的显著降低.
- 接受精神药物治疗的患者显示,抑郁和焦虑症状的下降速度更快.
- 超过30%的患者获得了显著的治疗效果,定义为HAMD-24得分减少>50%.
结论:
- 在线小组MBCT是在门诊环境中治疗抑郁症的有效干预措施.
- 抑郁症患者对在线组MBCT计划的坚持程度很高.
- 这些发现支持将在线MBCT整合到常规精神卫生保健服务中.
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