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日本社区中针对抑郁症的团体认知行为疗法与共情训练:单组可行性研究

Group cognitive behavioural therapy with compassion training for depression in a Japanese community: a single-group feasibility study.

作者信息

Asano Kenichi, Koike Haruna, Shinohara Yuriko, Kamimori Hiromi, Nakagawa Akiko, Iyo Masaomi, Shimizu Eiji

机构信息

Research Center for Child Mental Development, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Japan.

Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, Japan.

出版信息

BMC Res Notes. 2017 Dec 4;10(1):670. doi: 10.1186/s13104-017-3003-0.

Abstract

OBJECTIVE

Depression is a representative mental problem, and more than 350 million people are suffering in the world. Cognitive behavioural therapy (CBT) in individual or group formats is mainly recommended in major guidelines. However, patients with high self-criticism have a poor response to CBT. To treat such patients, psychotherapies focusing on compassion are gaining attention. Although trials have begun to be reported, there are relatively few studies examining the effectiveness of group CBT with compassion work for managing depression. The purpose of this study was to evaluate the feasibility and acceptability and the estimate effect size of group CBT with compassion training for future controlled studies.

RESULTS

Fourteen participants were enrolled in the trial, of which 13 completed the intervention, and 12 completed a 6-month follow-up assessment. Participants received a 1 h group-based CBT with compassion training session every week for 10 weeks. The effect of the intervention on participants' Beck Depression Inventory score was examined using a general linear mixed model. This analysis showed an effect size of d = 1.12 at post intervention and d = 0.92 at 6-month follow-up. Group cognitive behavioural therapy with compassion training for depression shows feasibility and acceptability in a Japanese community. Trial Registration UMIN000015007.

摘要

目的

抑郁症是一个典型的心理问题,全球有超过3.5亿人深受其害。主要指南中主要推荐采用个体或团体形式的认知行为疗法(CBT)。然而,自我批评程度高的患者对CBT反应不佳。为了治疗这类患者,关注同情心的心理疗法正受到关注。尽管已有试验开始报道,但研究团体CBT结合同情心训练对治疗抑郁症有效性的研究相对较少。本研究的目的是评估团体CBT结合同情心训练用于未来对照研究的可行性、可接受性以及估计效应量。

结果

14名参与者纳入试验,其中13名完成干预,12名完成6个月的随访评估。参与者每周接受1次为期1小时的团体CBT结合同情心训练课程,共10周。使用一般线性混合模型检验干预对参与者贝克抑郁量表得分的影响。该分析显示干预后效应量d = 1.12,6个月随访时d = 0.92。团体认知行为疗法结合同情心训练治疗抑郁症在日本社区显示出可行性和可接受性。试验注册号UMIN000015007。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbae/5716016/c8f8116bf758/13104_2017_3003_Fig1_HTML.jpg

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