Racey Daniel N, Fox Jerry, Berry Vashti L, Blockley Kelly V, Longridge Rachel A, Simmons Jennifer L, Janssens Astrid, Kuyken Willem, Ford Tamsin J
1Child Mental Health Group, University of Exeter Medical School, South Cloisters, St. Luke's Campus, Heavitree Road, Exeter, EX1 1TE UK.
2AccEPT Clinic, Mood Disorders Centre, University of Exeter, Sir Henry Wellcome Building, Streatham Drive, Exeter, EX4 4QG UK.
Mindfulness (N Y). 2018;9(4):1063-1075. doi: 10.1007/s12671-017-0842-7. Epub 2017 Oct 27.
We aimed to evaluate whether mindfulness-based cognitive therapy (MBCT) was feasible and acceptable for young people, their parents and the clinicians working with them; whether a parallel course for parents was a useful addition; and whether attendance at MBCT was associated with improved outcomes. The design was a mixed-method service evaluation of an eight-session MBCT programme for young people who were recovering from depression. The course was a manualised eight-session group intervention. Both young people ( = 18) and parents ( = 21) completed validated measures before and after the course. Semi-structured interviews were completed with some group participants and clinical staff working in the service. Care records were searched for additional contact following the intervention. Qualitative data from young people, parents and clinicians suggested that MBCT was acceptable and feasible and provided strategies to cope. The parent course was reported to provide personal support to parents and helped them cope with their child's depression whilst also impacting the family, promoted shared understanding of depression and strategies to combat it and addressed intergenerational aspects of depression. Eighty-four per cent of participants attended at least 6/8 sessions, and 48% required no further intervention within the following year. Young people had statistically significant improvements across all outcome measures, whilst parents had statistically significant improvements in rumination, self-compassion and decentring.
我们旨在评估基于正念的认知疗法（MBCT）对年轻人、他们的父母以及与他们合作的临床医生而言是否可行且可接受；为父母开设的平行课程是否是有益的补充；以及参加MBCT是否与改善的结果相关。研究设计为对一项针对正在从抑郁症中康复的年轻人的八节MBCT课程进行的混合方法服务评估。该课程是一个采用手册化的八节小组干预课程。年轻人（n = 18）和父母（n = 21）在课程前后均完成了经过验证的测量。对一些小组参与者和在该服务机构工作的临床工作人员进行了半结构化访谈。干预后，查阅护理记录以获取更多接触信息。来自年轻人、父母和临床医生的定性数据表明，MBCT是可接受且可行的，并提供了应对策略。据报告，为父母开设的课程为父母提供了个人支持，帮助他们应对孩子的抑郁症，同时也对家庭产生了影响，促进了对抑郁症及其应对策略的共同理解，并解决了抑郁症的代际问题。84%的参与者参加了至少6/8节课程，48%的参与者在接下来的一年中无需进一步干预。年轻人在所有结果测量指标上均有统计学显著改善，而父母在沉思、自我同情和去中心化方面有统计学显著改善。
