Teasdale J D, Segal Z V, Williams J M, Ridgeway V A, Soulsby J M, Lau M A
Medical Research Council Cognition and Brain Sciences Unit, Cambridge, United Kingdom.
J Consult Clin Psychol. 2000 Aug;68(4):615-23. doi: 10.1037//0022-006x.68.4.615.
This study evaluated mindfulness-based cognitive therapy (MBCT), a group intervention designed to train recovered recurrently depressed patients to disengage from dysphoria-activated depressogenic thinking that may mediate relapse/recurrence. Recovered recurrently depressed patients (n = 145) were randomized to continue with treatment as usual or, in addition, to receive MBCT. Relapse/recurrence to major depression was assessed over a 60-week study period. For patients with 3 or more previous episodes of depression (77% of the sample), MBCT significantly reduced risk of relapse/recurrence. For patients with only 2 previous episodes, MBCT did not reduce relapse/recurrence. MBCT offers a promising cost-efficient psychological approach to preventing relapse/recurrence in recovered recurrently depressed patients.
本研究评估了基于正念的认知疗法（MBCT），这是一种团体干预措施，旨在训练康复的复发性抑郁症患者摆脱可能介导复发/再发的烦躁激活的致抑郁性思维。将康复的复发性抑郁症患者（n = 145）随机分为继续常规治疗组或另外接受MBCT组。在为期60周的研究期间评估重度抑郁症的复发/再发情况。对于既往有3次或更多次抑郁发作的患者（占样本的77%），MBCT显著降低了复发/再发风险。对于既往仅有2次发作的患者，MBCT并未降低复发/再发风险。MBCT为预防康复的复发性抑郁症患者复发/再发提供了一种有前景的、具有成本效益的心理方法。
