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比较基于正念的认知疗法、传统认知行为疗法与常规治疗在减轻重度抑郁症症状方面的效果。

Comparing mindfulness based cognitive therapy and traditional cognitive behavior therapy with treatments as usual on reduction of major depressive disorder symptoms.

作者信息

Omidi Abdollah, Mohammadkhani Parvaneh, Mohammadi Abolfazl, Zargar Fatemeh

机构信息

Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran.

出版信息

Iran Red Crescent Med J. 2013 Feb;15(2):142-6. doi: 10.5812/ircmj.8018. Epub 2013 Feb 5.

Abstract

BACKGROUND

In this studyMindfulness and CBT were combined to investigate the enhance of psychotropic work. Both therapies have integrated acceptance-based mindfulness approaches with change-based cognitive behavioral therapies to create efficacious treatments. That is, introduce use of MBCT in active phase of treatment and chronic depression.

OBJECTIVES

This study was done to evaluate efficacy of Mindfulness Based Cognitive Therapy (MBCT) and traditional Cognitive Behavior Therapy (CBT) with Treatments as usual (TAU) to reduce psychiatric symptoms in a sample of patients with Major Depressive Disorder (MDD).

MATERIALS AND METHODS

90 patients who were referred to clinics of university of Social Welfare and Rehabilitation Sciences and Tehran University Counseling Centre and met DSM-IV criteria for MDD were selected. They were randomly assigned to MBCT (n = 30), CBT (n = 30), or TAU (n = 30). They were aged between 18 and 45 years (M = 28, SD = 8), with an average of two previous depression episodes. They were interviewed through the Structured Clinical Interview for DSM-IV and self-report by Brief Symptom Inventory, pre and post treatment. Patients in MBCT and CBT group received the treatment, while TAU group continued therapy (anti-depressant).

RESULTS

The results indicated that MBCT and CBT groups have significant efficacy on reduction of MDD symptoms.

CONCLUSIONS

MBCT appears to be as effective as CBT in the treatment of current depression.

摘要

背景

在本研究中,将正念与认知行为疗法相结合以探究精神治疗效果的增强。两种疗法都将基于接纳的正念方法与基于改变的认知行为疗法相结合,以创造有效的治疗方法。也就是说,在治疗的急性期和慢性抑郁症中引入正念认知疗法的应用。

目的

本研究旨在评估正念认知疗法(MBCT)、传统认知行为疗法(CBT)与常规治疗(TAU)对重度抑郁症(MDD)患者样本中精神症状的减轻效果。

材料与方法

选取90名被转介至社会福利与康复科学大学诊所及德黑兰大学咨询中心且符合DSM-IV标准的MDD患者。他们被随机分配至MBCT组(n = 30)、CBT组(n = 30)或TAU组(n = 30)。他们的年龄在18至45岁之间(M = 28,SD = 8),平均有过两次之前的抑郁发作。在治疗前和治疗后,通过DSM-IV结构化临床访谈和症状自评量表进行自我报告对他们进行访谈。MBCT组和CBT组的患者接受治疗,而TAU组继续进行治疗(抗抑郁药治疗)。

结果

结果表明,MBCT组和CBT组在减轻MDD症状方面具有显著疗效。

结论

在治疗当前抑郁症方面,MBCT似乎与CBT一样有效。

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