Kelman Alex R, Evare Benjamin S, Barrera Alinne Z, Muñoz Ricardo F, Gilbert Paul
Pacific Graduate School of Psychology, Palo Alto University, Palo Alto, CA, USA.
Institute for International Internet Interventions for Health (i4health), Palo Alto, CA, USA.
Clin Psychol Psychother. 2018 Feb 23. doi: 10.1002/cpp.2185.
Depression is a prevalent and costly mental health problem that affects women as well as their larger communities, with substantial impacts on mother and infant during childbearing years. Face-to-face care has not adequately addressed this global concern due to difficulties in scaling these resources. Internet interventions, which can provide psychological tools to those lacking adequate access, show promise in filling this void.
We conducted a 2-condition proof-of-concept pilot randomized trial comparing brief Internet-based cognitive behavioural therapy (CBT) and brief Internet-based compassionate mind training (CMT) for women who are currently pregnant, became pregnant within the last year, and intend to become pregnant in the future.
We found that, although CMT and CBT demonstrated near equivalence in improving affect, self-reassurance, self-criticism, and self-compassion, CMT showed superiority to CBT in reducing depression and anxiety symptoms.
These findings provide a compelling initial argument for the use of CMT as an avenue for addressing problems associated with negative affect. Implications, limitations, and future directions along this line of research will also be discussed.
抑郁症是一个普遍且代价高昂的心理健康问题，它不仅影响女性自身，还对其所在的更大社区产生影响，在育龄期对母亲和婴儿有重大影响。由于扩大这些资源存在困难，面对面护理未能充分解决这一全球关注的问题。互联网干预可以为那些缺乏足够资源的人提供心理工具，有望填补这一空白。
我们进行了一项双条件概念验证性试点随机试验，比较基于互联网的简短认知行为疗法（CBT）和基于互联网的简短慈悲心训练（CMT）对目前怀孕、在过去一年内怀孕或打算未来怀孕的女性的效果。
我们发现，虽然CMT和CBT在改善情感、自我安慰、自我批评和自我慈悲方面表现出近乎相同的效果，但CMT在减轻抑郁和焦虑症状方面优于CBT。
这些发现为使用CMT作为解决与消极情感相关问题的途径提供了有力的初步依据。还将讨论这一研究方向的意义、局限性和未来方向。
