Department of Psychology, University of Isfahan, Isfahan, Iran.
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia.
Behav Cogn Psychother. 2021 Jan;49(1):118-123. doi: 10.1017/S1352465820000417. Epub 2020 Jul 20.
Depression has a profound effect on quality of life (QoL) and is associated with rumination, hopelessness and social difficulties. It is important to explore novel intervention techniques that may reduce depression, and also improve rumination, hope and QoL.
In this brief clinical report, we report the findings of two pilot randomized controlled trials examining the feasibility of a potentially important novel clinical technique (MEmory Specificity Training, MEST) on depression, social problem-solving (Study 1), rumination, hope and QoL (Study 2).
In Study 1, Iranian women with depression (n = 24) completed the Beck Depression Inventory-II and Means-Ends Problem-Solving test at baseline, post-training and 2-month follow-up. In Study 2, female students with moderate depression (n = 24) completed the Ruminative Response Scale, Adult Hope Scale and Short-Form Health Survey at baseline and post-training. Assessors were blind to group allocation. In both studies participants were randomly assigned to MEST or a non-active control group.
In both studies, MEST was found to be feasible and associated with low drop-out rates and high rates of self-reported patient and group facilitator satisfaction. There was preliminary evidence that MEST may bring about clinical benefit in terms of depression, social problem-solving (Study 1), QoL, rumination and hope (Study 2).
MEST is a promising technique in the treatment of depression.
抑郁症对生活质量(QoL)有深远影响,并与沉思、绝望和社交困难有关。探索可能减少抑郁、改善沉思、希望和生活质量的新干预技术非常重要。
在这份简短的临床报告中,我们报告了两项试点随机对照试验的结果,该试验旨在探索一种潜在的重要新型临床技术(记忆特异性训练,MEST)对抑郁症、社会问题解决(研究 1)、沉思、希望和生活质量(研究 2)的可行性。
在研究 1 中,24 名伊朗抑郁症女性在基线、培训后和 2 个月随访时完成贝克抑郁量表二项和手段-目的问题解决测试。在研究 2 中,24 名中度抑郁的女学生在基线和培训后完成沉思反应量表、成人希望量表和健康调查短表。评估者对分组情况不知情。在两项研究中,参与者被随机分配到 MEST 或非活动对照组。
在两项研究中,MEST 都被证明是可行的,具有低辍学率和高的患者和小组促进者自我报告满意度。有初步证据表明,MEST 可能在抑郁症、社会问题解决(研究 1)、生活质量、沉思和希望(研究 2)方面带来临床获益。
MEST 是治疗抑郁症的一种很有前途的技术。