基于互联网的情绪调节培训,旨在减少受害抑郁患者的暴力复仇和抑郁症状:随机对照试验的结果
C Christ1, D J F van Schaik2, M J Kikkert3
1Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Medical Center, Department of Psychiatry, Amsterdam, the Netherlands; GGZ inGeest Specialized Mental Health Care, Department of Research and Innovation, Amsterdam, the Netherlands; Arkin Mental Health Care, Department of Research, Amsterdam, the Netherlands.
Journal of affective disorders
|March 23, 2024
概括
基于互联网的情绪调节训练 (iERT) 并没有减少最近受害的患者的再受害或抑郁. 然而,iERT确实提高了情绪调节技能,当添加到通常的治疗 (TAU) 时.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 患有抑郁症的暴力受害者面临重新受害的高风险.
- 目前,没有以证据为基础的干预措施专门针对这个脆弱人群的再受害.
研究的目的:
- 评估基于互联网的情绪调节训练 (iERT) 结合常规治疗 (TAU) 的有效性,以减少重新受害,情绪失调和抑郁症状.
- 为了比较TAU加iERT与TAU单独的结果,最近受害,抑郁的成人门诊患者.
主要方法:
- 一个多中心随机对照试验,涉及153名患有抑郁症的成人门诊患者,过去三年内有攻击史.
- 参与者被随机分配到TAU加iERT (n=74) 或TAU单独 (n=79). TAU主要包括认知行为疗法.
- 主要结局是12个月后的再受害事件数量,用安全监测器测量. 其次结果包括情绪失调和抑郁症状.
主要成果:
- 这两组都经历了受害者事件的显著减少.
- 与单独TAU相比,TAU加iERT并没有显著降低复杂化 (IRR = 0.97;p = .886).
- 与单独使用TAU相比,TAU加上iERT导致情绪失调的减少更大 (B = -7.217; p = .046) 但不导致抑郁症状 (B = -1.041; p = .607).
结论:
- 虽然基于互联网的情绪调节训练 (iERT) 改善了情绪失调,但它没有有效地减少最近受害的抑郁患者的再受害或抑郁症状.
- 该研究不足以检测较小的治疗效果,iERT的摄入量也很低.
- 通常治疗中的心理治疗 (TAU) 显著降低了患者的复兴风险.
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