在线基于正念的认知疗法治疗耐治疗抑郁症:一个平行臂随机对照可行性试验
Michele Ferreira Rodrigues1, Laiana Quagliato1, Jose Carlos Appolinario1
1Institute of Psychiatry (IPUB) of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
Frontiers in psychology
|July 18, 2024
概括
在线基于正念的认知疗法 (eMBCT) 有效地减少了治疗耐药抑郁症 (TRD) 患者的抑郁和焦虑症状. 这种数字心理健康干预措施有望改善TRD患者的临床结果.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 数字治疗学数字治疗学
背景情况:
- 耐治疗性抑郁症 (TRD) 影响了相当一部分主要抑郁症患者,导致治疗结果不佳.
- 数字心理健康创新,如基于正念的在线认知疗法 (eMBCT),为TRD管理提供了可访问的解决方案.
- 在临床环境中,eMBCT为TRD提供了一条有希望的途径,以加强心理健康护理的提供.
研究的目的:
- 评估基于正念的个人在线认知治疗 (eMBCT) 计划的可行性,以减少TRD患者的抑郁症状.
- 评估eMBCT在TRD患者个体临床环境中的疗效.
主要方法:
- 一项随机对照可行性试验与28名诊断为TRD的门诊患者进行.
- 参与者被分配到通过现场视频会议或对照组提供的为期8周的eMBCT计划中.
- 标准化问卷被用于基线和研究完成时的评估.
主要成果:
- 在eMBCT组显示显著减少抑郁症状 (p=0.001) 和焦虑症状 (p=0.001).
- 与对照组相比,eMBCT组显示抑郁症状显著减少 (p=0.015) 和改善临床总体印象 (p=0.004).
- 在初始评估期间,对照组没有观察到任何显著变化.
结论:
- 个人eMBCT,当与药物相结合时,似乎是一个可行的和有效的治疗方法来减少TRD中的抑郁症状.
- 未来的试验可以探索将对照组的手动干预纳入试验中,以进一步完善治疗比较.
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