Center of Research and Training on Genderand Women Health Khon Kaen University, Thailand.
Arch Psychiatr Nurs. 2011 Jun;25(3):195-205. doi: 10.1016/j.apnu.2010.08.007. Epub 2010 Nov 5.
The objective of this study was to assess the effect of Buddhist group therapy on patients with type 2 diabetes who had depressive symptoms. A quasi-experimental design study using a control group with matching technique was conducted. After informed consent was obtained, the "Nine questions for assessing depressive disorder symptom" (Isan language) was used to determine the patient's condition. A total of 62 patients with type 2 diabetes who had depressive symptoms were assigned to either the experimental group (n = 32) or the control group (n = 32). Patients in the experimental group were divided further into four groups (8 patients per group) and attended the Buddhist group therapy. The intervention consisted of a weekly Buddhist group gathering lasting 2 hours for 6 weeks plus home meditation practices. Patients in the control group received treatment as usual. Both groups received standard physician treatment, including medication. Physicians did not know who was in either the control or experimental groups. Results show that 6 months after the intervention, 65.6% and 100% of patients in the control group and experimental group, respectively, returned to normal level. The intention-to-treat analysis, which included two participants in the experimental group lost follow-up, yielded a small reduction in the number of patients who returned to normal level (93.8%). With intention-to-treat analysis, the relative risk on depressive symptoms between the experimental and control groups was 6.5 (95% confidence interval, 1.4-30.6). Qualitative data from the experimental group supported that there were therapeutic group factors involved. However, patients realized the truth of being oneself and also accepted their current living condition. In conclusion, this program is effective in reducing depressive symptoms.
本研究旨在评估佛教团体治疗对患有 2 型糖尿病并伴有抑郁症状患者的影响。采用匹配技术的准实验设计研究。在获得知情同意后，使用“九项抑郁障碍症状评估问卷”（伊桑语）来确定患者的状况。共有 62 名患有 2 型糖尿病并伴有抑郁症状的患者被分配到实验组（n = 32）或对照组（n = 32）。实验组患者进一步分为四组（每组 8 人），并参加佛教团体治疗。干预措施包括每周一次的佛教团体聚会，每次 2 小时，持续 6 周，外加家庭冥想练习。对照组患者接受常规治疗，包括药物治疗。医生不知道患者是在对照组还是实验组。结果显示，干预 6 个月后，对照组和实验组的患者分别有 65.6%和 100%恢复正常水平。意向治疗分析包括两名实验组患者失去随访，恢复正常水平的患者数量略有减少（93.8%）。意向治疗分析显示，实验组和对照组之间的抑郁症状相对风险为 6.5（95%置信区间，1.4-30.6）。实验组的定性数据支持存在治疗组因素。然而，患者意识到了做自己的真谛，也接受了自己当前的生活状况。综上所述，该方案可有效减轻抑郁症状。
