Department of Psychiatric Nursing, Sri Devaraj Urs College of Nursing, Tamaka, Kolar-563 101, Karnataka, India.
J Nurs Res. 2013 Sep;21(3):179-86. doi: 10.1097/jnr.0b013e3182a0b041.
Depression is a leading cause of disability worldwide. There is a need to develop effective strategies to treat depression and prevent recurrence. Treatments that combine pharmacological and psychotherapeutic approaches are preferred for treating severe forms of depression.
The study assesses the effect of an integrated body-mind-spirit group intervention in patients with depression.
This pilot study was a pretest-posttest design study. Thirty adult patients diagnosed with depression attending the psychiatric outpatient department at a district hospital were randomly assigned to either the intervention group or comparison group. Each group had 15 patients. The intervention group received both the intervention and routine hospital treatment and underwent four group integrated body-mind-spirit group intervention therapy sessions. These sessions were held once per week on either Saturday or Sunday, with each session lasting more than 3 hours. Comparison group participants received routine hospital treatment only. Outcome measures, including level of depression, well-being, and work and social adjustment, were measured using the Beck Depression Inventory-II, body-mind-spirit well-being scale, and work and social adjustment scale. Both groups were evaluated at baseline, 1 month, 2 months, and 3 months.
Results showed that both groups had significant reductions in the level of depression, improvements in well-being, and work and social adjustment at 3-month follow-up compared with baseline. In addition, the intervention group showed significant mean differences in levels of depression, well-being, and work and social adjustment compared with the comparison group.
The integrated body-mind-spirit group intervention model appears to reduce depressive symptoms and improve well-being in patients with depression.
抑郁症是全球范围内导致残疾的主要原因之一。因此,需要开发有效的策略来治疗抑郁症并预防其复发。对于重度抑郁症患者,药物治疗与心理治疗相结合的治疗方法是首选。
本研究评估了一种身心灵综合团体干预措施对抑郁症患者的效果。
这是一项预试验-后试验设计研究。30 名在区医院精神科门诊被诊断为抑郁症的成年患者被随机分配到干预组或对照组。每组各有 15 名患者。干预组接受干预和常规医院治疗,并接受 4 次身心灵综合团体干预治疗。这些课程每周一次在周六或周日举行,每次课程持续 3 小时以上。对照组仅接受常规医院治疗。使用贝克抑郁量表第二版、身心灵健康量表和工作和社会适应量表评估抑郁程度、幸福感和工作和社会适应等结果指标。两组均在基线、1 个月、2 个月和 3 个月时进行评估。
结果显示,与基线相比,两组在 3 个月随访时抑郁程度均显著降低,幸福感和工作及社会适应均有所改善。此外,与对照组相比,干预组在抑郁程度、幸福感和工作及社会适应方面的平均差异具有统计学意义。
身心灵综合团体干预模式似乎可以减轻抑郁症患者的抑郁症状,提高他们的幸福感。