Zamirinejad Somayeh, Hojjat Seyed Kaveh, Golzari Mahmoud, Borjali Ahmad, Akaberi Arash
Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Islamic Republic of Iran.
Issues Ment Health Nurs. 2014 Jun;35(6):480-8. doi: 10.3109/01612840.2013.879628.
Depression is the most common mental illness among women. Its prevalence in women is two to three times that of men. The purpose of the present study was to evaluate the effectiveness of resilience training on the reduction of depression in female college students. This semi-empirical study was carried out with two experimental groups and one control group. The research sample was women with symptoms of depression who were 18-22 years of age and living in a college dormitory. One experimental group was given eight 90-minute resilience training sessions, while the other received eight 90-minute cognitive therapy sessions. The control group didn't receive any interventions. The three groups under study were evaluated using the Beck II depression inventory before and after the interventions and two months after the treatment had ended. The three groups didn't have significant differences in age, marital status, or depression scores on the pretest. The resilience training group and cognitive therapy group showed a significant decrease in the average depression score from pretest to posttest and from pretest to follow-up. The main effect of groups, stage, and interaction between groups and stage also were significant (all were p < 0.001). There was no significant difference between effectiveness of resilience training and cognitive therapy on depression but there was a significant difference between these two treatment groups and the control group. The effectiveness of resilience training was just as good as the effectiveness of cognitive therapy. The effects of resilience training on depression remained stable from the posttest to the follow-up, like that of cognitive therapy.
抑郁症是女性中最常见的精神疾病。其在女性中的患病率是男性的两到三倍。本研究的目的是评估复原力训练对减少女大学生抑郁症的有效性。这项半实证研究设置了两个实验组和一个对照组。研究样本为年龄在18至22岁、居住在大学宿舍且有抑郁症状的女性。一个实验组接受了八次每次90分钟的复原力训练课程，而另一个实验组接受了八次每次90分钟的认知疗法课程。对照组未接受任何干预。在干预前后以及治疗结束后两个月，使用贝克抑郁量表第二版对三个研究组进行评估。三组在年龄、婚姻状况或预测试的抑郁评分上没有显著差异。复原力训练组和认知疗法组从预测试到后测试以及从预测试到随访，平均抑郁评分均显著下降。组间、阶段以及组间与阶段的交互作用的主要效应也均显著（均为p < 0.001）。复原力训练和认知疗法在治疗抑郁症方面的有效性没有显著差异，但这两个治疗组与对照组之间存在显著差异。复原力训练的有效性与认知疗法的有效性相当。从后测试到随访，复原力训练对抑郁症的效果与认知疗法一样保持稳定。
