Dobbin Alastair, Maxwell Margaret, Elton Robert
National Health Service, United Kingdom.
Int J Clin Exp Hypn. 2009 Jul;57(3):293-318. doi: 10.1080/00207140902881221.
This investigation assessed the effectiveness of a self-help, self-hypnosis treatment in a primary-care setting in Edinburgh, UK. A partially randomized preference (PRP) study design was used, with benchmarking results to trials of CBT and counseling. Patients seeing their general practitioner for depression were offered randomization to, or their treatment preference of, either self-help (self-hypnosis) or antidepressant medication. Evaluation measures were Becks Depression Inventory, Brief Symptom Inventory, and SF-36. Of the 58 patients recruited, 50 chose self-hypnosis, 4 chose antidepressants, and 4 were randomized. The preference groups demonstrated similar demography, baseline measurements, and outcome effects to benchmarked trials. This feasibility study of a self-help, self-hypnosis program for depression showed promise for its future use in primary care. Benchmarking improved validity and reliability. A PRP study design appeared useful in a primary-care setting, where past studies have experienced problems of recruitment, concordance, and compliance.
这项调查评估了在英国爱丁堡初级保健机构中一种自助式自我催眠疗法的有效性。研究采用了部分随机偏好（PRP）研究设计，并将结果与认知行为疗法（CBT）和咨询试验进行了基准对比。因抑郁症状而就诊于全科医生的患者，可随机选择接受自助式（自我催眠）治疗或抗抑郁药物治疗，也可选择自己倾向的治疗方式。评估指标包括贝克抑郁量表、简明症状量表和SF-36健康调查简表。在招募的58名患者中，50人选择了自我催眠，4人选择了抗抑郁药物，4人被随机分组。偏好组在人口统计学特征、基线测量结果和疗效方面与基准试验相似。这项针对抑郁症的自助式自我催眠疗法可行性研究表明，该疗法在未来初级保健中的应用具有前景。基准对比提高了研究的效度和信度。在过去研究存在招募、一致性和依从性问题的初级保健机构中，PRP研究设计似乎很有用。
