初级保健中轻度抑郁症的问题解决疗法及应对方式
Problem-solving treatment and coping styles in primary care for minor depression.
作者信息
Oxman Thomas E, Hegel Mark T, Hull Jay G, Dietrich Allen J
机构信息
Department of Psychiatry, Dartmouth Medical School, Lebanon, NH 03756, USA.
出版信息
J Consult Clin Psychol. 2008 Dec;76(6):933-43. doi: 10.1037/a0012617.
Abstract
Research was undertaken to compare problem-solving treatment for primary care (PST-PC) with usual care for minor depression and to examine whether treatment effectiveness was moderated by coping style. PST-PC is a 6-session, manual-based, psychosocial skills intervention. A randomized controlled trial was conducted in 2 academic, primary care clinics. Those subjects who were eligible were randomized (N = 151), and 107 subjects completed treatment (57 PST-PC, 50 usual care) and a 35-week follow-up. Analysis with linear mixed modeling revealed significant effects of treatment and coping, such that those in PST-PC improved at a faster rate and those initially high in avoidant coping were significantly more likely to have sustained benefit from PST-PC.
摘要
开展了一项研究，以比较初级保健问题解决疗法（PST-PC）与轻度抑郁症常规护理的效果，并研究治疗效果是否会因应对方式而有所不同。PST-PC是一种为期6节、基于手册的心理社会技能干预措施。在2家学术性初级保健诊所进行了一项随机对照试验。符合条件的受试者被随机分组（N = 151），107名受试者完成了治疗（57人接受PST-PC，50人接受常规护理）以及35周的随访。线性混合模型分析显示了治疗和应对方式的显著影响，即接受PST-PC治疗的患者改善速度更快，而最初回避应对得分较高的患者从PST-PC中持续受益的可能性显著更高。
相似文献
1
Problem-solving treatment and coping styles in primary care for minor depression.初级保健中轻度抑郁症的问题解决疗法及应对方式
J Consult Clin Psychol. 2008 Dec;76(6):933-43. doi: 10.1037/a0012617.
2
3
Effectiveness of a Web-Based Guided Self-help Intervention for Outpatients With a Depressive Disorder: Short-term Results From a Randomized Controlled Trial.基于网络的抑郁症门诊患者自助引导干预的有效性：一项随机对照试验的短期结果
J Med Internet Res. 2016 Mar 31;18(3):e80. doi: 10.2196/jmir.4861.
4
Military Health Provider Training and Evaluation of a Problem-Solving Intervention to Reduce Distress and Enhance Readiness Among Service Members.军事健康提供者培训与一项解决问题干预措施的评估，该措施旨在减少服役人员的痛苦并提高其战备状态。
Mil Med. 2019 May 1;184(5-6):e303-e311. doi: 10.1093/milmed/usy229.
5
Using problem solving therapy to treat veterans with subsyndromal depression: a pilot study.使用问题解决疗法治疗亚综合征性抑郁症退伍军人：一项试点研究。
Int J Geriatr Psychiatry. 2014 Dec;29(12):1255-61. doi: 10.1002/gps.4105. Epub 2014 May 1.
6
Problem-Solving Therapy During Outpatient Stroke Rehabilitation Improves Coping and Health-Related Quality of Life: Randomized Controlled Trial.门诊卒中康复期间的问题解决疗法可改善应对能力和与健康相关的生活质量：随机对照试验。
Stroke. 2016 Jan;47(1):135-42. doi: 10.1161/STROKEAHA.115.010961. Epub 2015 Nov 19.
7
Problem solving therapies for depression: a meta-analysis.抑郁症的问题解决疗法：一项荟萃分析。
Eur Psychiatry. 2007 Jan;22(1):9-15. doi: 10.1016/j.eurpsy.2006.11.001. Epub 2006 Dec 27.
8
Treatment of dysthymia and minor depression in primary care: A randomized controlled trial in older adults.初级保健中恶劣心境障碍和轻度抑郁症的治疗：一项针对老年人的随机对照试验。
JAMA. 2000 Sep 27;284(12):1519-26. doi: 10.1001/jama.284.12.1519.
9
Delivering problem-solving treatment in low-vision rehabilitation: A pilot feasibility study.在低视力康复中提供解决问题的治疗：一项试点可行性研究。
Rehabil Psychol. 2018 Aug;63(3):349-356. doi: 10.1037/rep0000217.
10
Can we address depression in vision rehabilitation settings? Professionals' perspectives on the barriers to integrating problem-solving treatment.我们能否在视力康复环境中解决抑郁症问题？专业人士对整合问题解决疗法的障碍的看法。
Disabil Rehabil. 2018 Feb;40(3):287-295. doi: 10.1080/09638288.2016.1250172. Epub 2016 Nov 20.
引用本文的文献
1
A Depression-Risk Mental Pattern Identified by Hidden Markov Model in Undergraduates.基于隐马尔可夫模型识别大学生抑郁风险心理模式。
Int J Environ Res Public Health. 2022 Nov 3;19(21):14411. doi: 10.3390/ijerph192114411.
2
Impact of an integrated care programme on patient-reported outcomes for mild to moderate mental health conditions in Singapore: a pilot study.综合护理计划对新加坡轻至中度心理健康状况患者报告结局的影响：一项试点研究。
Singapore Med J. 2021 May;62(5):230-234. doi: 10.11622/smedj.2021062.
3
Brief problem-solving therapy for antenatal depressive symptoms in primary care in rural Ethiopia: protocol for a randomised, controlled feasibility trial.埃塞俄比亚农村地区初级保健中针对产前抑郁症状的简短问题解决疗法：一项随机对照可行性试验方案
Pilot Feasibility Stud. 2021 Jan 30;7(1):35. doi: 10.1186/s40814-021-00773-8.
4
Problem-Solving Education to Prevent Depression Among Low-Income Mothers: A Path Mediation Analysis in a Randomized Clinical Trial.解决问题式教育预防低收入母亲抑郁：一项随机临床试验中的中介路径分析。
JAMA Netw Open. 2018 Jun 1;1(2):e180334. doi: 10.1001/jamanetworkopen.2018.0334.
5
Randomized Controlled Trial of a Computerized Interactive Media-Based Problem Solving Treatment for Depression.基于计算机交互式媒体的抑郁症问题解决疗法的随机对照试验。
Behav Ther. 2017 May;48(3):413-425. doi: 10.1016/j.beth.2016.04.001. Epub 2016 May 3.
6
Avoidance as an obstacle to preventing depression among urban women at high risk for violent trauma.回避作为预防遭受暴力创伤风险较高的城市女性患抑郁症的一个障碍。
Arch Womens Ment Health. 2016 Feb;19(1):63-70. doi: 10.1007/s00737-015-0521-4. Epub 2015 Apr 2.
7
Behavioral and experiential avoidance in patients with hoarding disorder.囤积障碍患者的行为和经验性回避
J Behav Ther Exp Psychiatry. 2014 Sep;45(3):408-14. doi: 10.1016/j.jbtep.2014.04.005. Epub 2014 May 2.
8
Feasibility study of an interactive multimedia electronic problem solving treatment program for depression: a preliminary uncontrolled trial.抑郁症交互式多媒体电子问题解决治疗方案的可行性研究：一项初步非对照试验
Behav Ther. 2014 May;45(3):358-75. doi: 10.1016/j.beth.2014.02.001. Epub 2014 Feb 7.
9
Adequacy of treatment received by primary care patients with anxiety disorders.焦虑症初级护理患者所接受治疗的充分性。
Depress Anxiety. 2014 May;31(5):443-50. doi: 10.1002/da.22209. Epub 2013 Nov 4.
10
Electronic problem-solving treatment: description and pilot study of an interactive media treatment for depression.电子问题解决疗法：一种抑郁症交互式媒体治疗方法的描述与初步研究
JMIR Res Protoc. 2012 Sep 25;1(2):e11. doi: 10.2196/resprot.1925.
本文引用的文献
1
Responder criteria for operant and cognitive-behavioral treatment of fibromyalgia syndrome.纤维肌痛综合征操作性及认知行为治疗的应答标准。
Arthritis Rheum. 2007 Jun 15;57(5):830-6. doi: 10.1002/art.22778.
2
Which panic disorder patients benefit from which treatment: cognitive therapy or antidepressants?哪些惊恐障碍患者会从哪种治疗中获益：认知疗法还是抗抑郁药？
Psychother Psychosom. 2007;76(3):154-61. doi: 10.1159/000099842.
3
Does matching matter? Examining matches and mismatches between patient attributes and therapy techniques in alcoholism treatment.匹配重要吗？审视酒精成瘾治疗中患者属性与治疗技术之间的匹配与不匹配情况。
Addiction. 2007 Apr;102(4):587-96. doi: 10.1111/j.1360-0443.2007.01754.x. Epub 2007 Feb 15.
4
Economic costs of minor depression: a population-based study.轻度抑郁症的经济成本：一项基于人群的研究。
Acta Psychiatr Scand. 2007 Mar;115(3):229-36. doi: 10.1111/j.1600-0447.2006.00851.x.
5
Problem solving therapies for depression: a meta-analysis.抑郁症的问题解决疗法：一项荟萃分析。
Eur Psychiatry. 2007 Jan;22(1):9-15. doi: 10.1016/j.eurpsy.2006.11.001. Epub 2006 Dec 27.
6
Watchful waiting for minor depression in primary care: remission rates and predictors of improvement.基层医疗中对轻度抑郁症的观察等待：缓解率及改善的预测因素
Gen Hosp Psychiatry. 2006 May-Jun;28(3):205-12. doi: 10.1016/j.genhosppsych.2006.02.008.
7
Avoidant coping partially mediates the relationship between patient problem behaviors and depressive symptoms in spousal Alzheimer caregivers.在配偶患有阿尔茨海默病的照料者中，回避应对方式部分介导了患者问题行为与抑郁症状之间的关系。
Am J Geriatr Psychiatry. 2006 Apr;14(4):299-306. doi: 10.1097/01.JGP.0000192492.88920.08.
8
The efficacy of problem solving therapy in reducing mental and physical health problems: a meta-analysis.问题解决疗法在减轻身心健康问题方面的疗效：一项荟萃分析。
Clin Psychol Rev. 2007 Jan;27(1):46-57. doi: 10.1016/j.cpr.2005.12.005. Epub 2006 Feb 9.
9
You want to measure coping but your protocol's too long: consider the brief COPE.你想测量应对方式，但你的方案太长：可以考虑使用简易应对方式问卷。
Int J Behav Med. 1997;4(1):92-100. doi: 10.1207/s15327558ijbm0401_6.
10
Stress generation, avoidance coping, and depressive symptoms: a 10-year model.压力产生、回避应对与抑郁症状：一个十年模型
J Consult Clin Psychol. 2005 Aug;73(4):658-66. doi: 10.1037/0022-006X.73.4.658.
Zotero 插件