Hilbert Sven, Goerigk Stephan, Padberg Frank, Nadjiri Annekatrin, Übleis Aline, Jobst Andrea, Dewald-Kaufmann Julia, Falkai Peter, Bühner Markus, Naumann Felix, Sarubin Nina
Department of Psychiatry and Psychotherapy,Ludwig-Maximilians-University,Munich,Germany.
Department of Psychological Methodology and Assessment,Ludwig-Maximilians-University,Munich,Germany.
Behav Cogn Psychother. 2019 Mar;47(2):244-250. doi: 10.1017/S1352465818000243. Epub 2018 Apr 25.
Based on the vulnerability model, several studies indicate that low self-esteem seems to contribute to depressive symptoms.
The aim of this study was to treat depressive symptoms in a cognitive behavioural group therapy, focusing on the enhancement of self-esteem, and to explore co-variation in depressive symptoms and the level of self-esteem.
The Multidimensional Self-esteem Scale (MSWS) and the Beck Depression Inventory (BDI) were administered to 147 psychiatric in-patients with current depressive symptoms due to an affective disorder (major depression, bipolar I, dysthymia). Self-esteem was measured pre-treatment (t0) and post-treatment (t4, after 5 weeks of eight group sessions); the BDI was applied weekly. A linear mixed growth analysis was conducted to estimate the change in depressive symptoms including interactions with self-esteem.
Within the 5 weeks of group therapy, depressive symptoms showed a linear decline, which was stronger for patients with higher gains in self-esteem between t0 and t4. Self-esteem at t0 was unrelated to the change in depression but predicted self-esteem at t4.
Treating depressive symptoms in a cognitive behavioural group therapy in a naturalistic setting might have a positive effect on the process of recovery. Moreover, depressive symptoms and level of self-esteem seemed to co-vary.
基于脆弱性模型，多项研究表明，低自尊似乎会导致抑郁症状。
本研究的目的是在认知行为团体治疗中治疗抑郁症状，重点是提高自尊，并探讨抑郁症状与自尊水平的共同变化。
对147名因情感障碍（重度抑郁症、双相I型、心境恶劣）而出现当前抑郁症状的精神科住院患者进行多维自尊量表（MSWS）和贝克抑郁量表（BDI）测试。在治疗前（t0）和治疗后（t4，即经过8次团体治疗课程的5周后）测量自尊；每周应用BDI。进行线性混合增长分析以估计抑郁症状的变化，包括与自尊的相互作用。
在团体治疗的5周内，抑郁症状呈线性下降，对于在t0和t4之间自尊提高幅度较大的患者，下降更为明显。t0时的自尊与抑郁变化无关，但可预测t4时的自尊。
在自然环境下的认知行为团体治疗中治疗抑郁症状可能对康复过程有积极影响。此外，抑郁症状和自尊水平似乎会共同变化。
