Behavioral Disorders and Substances Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
White Jasmine Adult Nursing Home. Hamadan, Iran.
Psychiatry Res. 2017 Nov;257:87-94. doi: 10.1016/j.psychres.2017.07.030. Epub 2017 Jul 15.
We investigated the influence of detached mindfulness (DM) in treating symptoms of depression and anxiety among elderly women. Thirty-four elderly females (mean age: 69.23 years) suffering from moderate major depressive disorders (MDD) and treated with a standard medication (citalopram) at therapeutic doses were randomly assigned either to an intervention condition (DM; group treatment, twice weekly) or to a control condition (with leisure activities, twice weekly). At baseline (BL), four weeks later at study completion (SC), and four weeks after that at follow-up (FU), participants completed ratings for symptoms of depression and anxiety; experts blind to patients' group assignments rated patients' symptoms of depression. Symptoms of depression (self and experts' ratings) and anxiety declined significantly over time in the DM, but not in the control condition. Effects remained stable at FU. The pattern of results suggests that, compared to a control condition, a specific psychotherapeutic intervention such as DM can have a beneficial effect in elderly female patients with MDD.
我们研究了分离正念（DM）对治疗老年女性抑郁和焦虑症状的影响。34 名患有中度重度抑郁症（MDD）的老年女性（平均年龄：69.23 岁）接受标准药物（西酞普兰）治疗，剂量为治疗剂量，随机分为干预组（DM；小组治疗，每周两次）或对照组（每周两次进行休闲活动）。在基线（BL）、研究完成时的四周后（SC）和之后的四周后（FU），参与者完成了抑郁和焦虑症状的评分；对患者分组不知情的专家对患者的抑郁症状进行了评分。DM 组的抑郁症状（自我和专家的评分）和焦虑症状随时间显著下降，但对照组没有。在 FU 时，效果仍然稳定。结果表明，与对照组相比，DM 等特定心理治疗干预措施对患有 MDD 的老年女性患者可能具有有益的效果。
