Department of Pediatrics, Faculty of Medicine, Hospital de Santa Maria, University of Lisbon, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal.
Faculty of Psychology and Educational Sciences, University of Porto, Rua Alfredo Allen 535, Porto, Portugal.
Psychiatry Res. 2017 Jun;252:340-345. doi: 10.1016/j.psychres.2017.03.020. Epub 2017 Mar 12.
The aim of this study was to compare the effect of motivational interview (MI) with conventional care on the depression scale scores of adolescents with obesity/overweight. It was a controlled cluster randomized trial with parallel design, including two groups: intervention group [Motivational Interview Group (MIG)], control group [Conventional Intervention Group (CIG)].
three face-to-face 30min' interviews three months apart (only MIG interviews were based on MI principles).
change in Children Depression Inventory (CDI) scores. We used a mixed repeated-measures ANOVAs analysis to assess the group vs time interaction. Effect size was calculated for ANOVA with difference of means of the total score (DOMTS). CDI scores were compared by a paired t-test. Eighty-three (84%) adolescents finished the intervention. There was a significant time vs group interaction both groups. While in the CIG scores significantly increased, in the MIG the scores significantly decreased. The DOMTS was significantly different between the two groups. We concluded that MI showed a positive effect on depression scale scores over time relatively to conventional intervention.
目的:本研究旨在比较动机访谈(MI)与常规护理对肥胖/超重青少年抑郁量表评分的影响。这是一项采用平行设计的对照集群随机试验,包括两组:干预组[动机访谈组(MIG)],对照组[常规干预组(CIG)]。
干预:三组相隔三个月的面对面 30 分钟访谈(仅 MIG 访谈基于 MI 原则)。
结果:儿童抑郁量表(CDI)评分的变化。我们使用混合重复测量方差分析评估组间与时间的交互作用。对于总评分(DOMTS)的均值差异进行 ANOVA 计算效应大小。采用配对 t 检验比较 CDI 评分。83 名(84%)青少年完成了干预。两组均存在显著的时间与组间交互作用。CIG 组的评分显著增加,而 MIG 组的评分显著降低。两组间的 DOMTS 差异显著。我们得出结论,MI 与常规干预相比,随着时间的推移,对抑郁量表评分有积极影响。