在抑郁症中辅助使用基于正念的移动应用程序:随机对照研究.
Jan Sarlon1, Else Schneider2, Annette B Brühl2
1University of Basel, University Psychiatric Clinics (UPK), Basel, Switzerland. jan.sarlon@upk.ch.
European archives of psychiatry and clinical neuroscience
|September 4, 2024
概括
通过移动应用程序进行基于正念的干预 (MBI) 可以有效地补充对重大抑郁症 (MDD) 的标准护理. 这项研究发现,辅助MBI在MDD患者中显著降低了抑郁症严重程度和缩血压.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 基于正念的干预措施 (MBI) 是有效的重大抑郁症 (MDD) 复发的预防.
- 基于互联网的干预措施在治疗MDD方面显示出有效性.
- 移动应用程序交付的MBI提供了一个有前途的补充方法,MDD管理在门诊护理.
研究的目的:
- 通过移动应用程序评估辅助MBI在减少MDD患者症状严重程度和压力的有效性.
- 为了比较移动应用程序MBI加标准治疗与标准治疗单独在门诊设置.
- 评估二次结果,包括血压和心率.
主要方法:
- 随机对照试验,有83名MDD患者被分配到MBI (30天每天使用应用程序) 或通常的治疗 (TAU).
- 使用贝克抑郁 inventory (BDI-II) 和汉密尔顿抑郁评分表 (HDRS-17) 评估症状严重程度.
- 其次结果包括血压和静止心率.
主要成果:
- 这两组在30天后都显示出抑郁症得分下降.
- 与TAU组相比,MBI组在HDRS-17分数中显示出明显更大的下降.
- 在MBI干预组中,缩血压较低.
结论:
- 通过移动应用程序进行短期 (30天) 的正念干预可以成为MDD患者有益的辅助疗法.
- 移动MBI显示了在门诊护理环境中增加心理健康服务的潜力.
- 辅助移动MBI可以改善MDD中的抑郁症严重程度和心血管标志物.
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