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正念认知疗法对尼日利亚抑郁患者抑郁症状减轻的影响:一项随机对照试验。

Impact of Mindfulness-Based Cognitive Therapy on Depressive Symptoms Reduction among Depressed Patients in Nigeria: A Randomized Controlled Trial.

机构信息

Faculty of Health and Allied Sciences, Department of Nursing Sciences, Usman Danfodiyo University, Sokoto, Nigeria.

Faculty of Medicine and Health Sciences, Department of Nursing and Rehabilitation, Universiti Putra Malaysia, Serdang, Serlangor State, Malaysia.

出版信息

Issues Ment Health Nurs. 2021 Jul;42(7):667-675. doi: 10.1080/01612840.2020.1821139. Epub 2020 Sep 30.

Abstract

Depression is a common mental health disease with a high risk of relapse in people with a mental health condition. Mindfulness-based cognitive therapy (MBCT) showed higher efficacy in reducing depressive symptoms and prevent relapse for depressed patients. The study examined the effectiveness of MBCT versus the control group (CG) for the depression symptom reduction. A controlled trial was used to examine the effectiveness of MBCT or CG on depressive patients in Nigeria. Out of 357 screened subjects, 101 patients were randomized to receive either MBCT ( = 50) or CG ( = 51) and prospectively followed for 2 months. The intervention delivered according to the published manuals, and Beck Depression Inventory (BDI) was used to assess MDD severity among the patients. All assessments were conducted at three levels (baseline, 2 and 4 months). At the end of the 8 weeks of MBCT intervention, MBCT participants did not have significantly fewer depressive symptoms compared to those in the CG. However, the MBCT group had a significant depressive symptom reduction after 2 month follow up. The findings are in line with other studies, which show MBCT significantly decreased depression severity and improved treatment response rates after 2 months follow up, confirmed MBCT viability in the management of MDD.

摘要

抑郁症是一种常见的精神疾病,精神健康状况不佳的人复发风险较高。基于正念的认知疗法(MBCT)在降低抑郁症状和预防抑郁患者复发方面显示出更高的疗效。本研究考察了 MBCT 与对照组(CG)在减轻抑郁症状方面的效果。一项对照试验考察了 MBCT 或 CG 对尼日利亚抑郁患者的效果。在筛选出的 357 名受试者中,有 101 名患者被随机分配接受 MBCT( = 50)或 CG( = 51),并前瞻性随访 2 个月。干预措施按照已发表的手册进行,使用贝克抑郁量表(BDI)评估患者的 MDD 严重程度。所有评估均在三个水平(基线、2 个月和 4 个月)进行。在 8 周的 MBCT 干预结束时,与 CG 相比,MBCT 组的抑郁症状并没有明显减少。然而,MBCT 组在 2 个月的随访后抑郁症状有明显减轻。这些发现与其他研究一致,其他研究表明,MBCT 在 2 个月的随访后显著降低了抑郁严重程度,并提高了治疗反应率,证实了 MBCT 在 MDD 管理中的可行性。

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