Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
Department of Occupational Therapy, Queen Mary Hospital, Hong Kong, China.
BMC Psychiatry. 2020 Dec 14;20(1):590. doi: 10.1186/s12888-020-02994-2.
The goal of this study was to investigate treatment outcome and related intervention processes of mindfulness-based cognitive therapy versus health qigong-based cognitive therapy versus waitlist control among individuals with mood disorders.
A total of 187 individuals with mood disorders were randomized and allocated into mindfulness-based cognitive therapy, health qigong-based cognitive therapy, or waitlist control groups. All participants were assessed at three time points with regard to depressive and anxiety symptoms, physical and mental health status, perceived stress, sleep quality, and self-efficacy. Linear mixed models analysis was used to test the individual growth model by studying the longitudinal data.
Mindfulness-based cognitive therapy and health qigong-based cognitive therapy both produced greater improvements on all outcome measures as compared with waitlist control. Relatively, more reductions of mood symptoms were observed in the health qigong-based cognitive therapy group as compared with the mindfulness-based cognitive therapy group. Health qigong-based cognitive therapy is more conducive to physical health status whereas mindfulness-based cognitive therapy has more favorable mental health outcomes. Individual growth curve models indicated that alterations in perceived stress was the common predictor of mood changes in both intervention groups.
The predominant emphasis on physical health in health qigong-based cognitive therapy makes it more acceptable and effective than mindfulness-based cognitive therapy as applied in Chinese individuals with mood disorders. The influence of Chinese culture is discussed.
HKU Clinical Trials Registry. Identifier: HKUCTR-2558 . Registered 21st Nov 2018.
本研究旨在调查正念认知疗法与气功认知疗法对比等待对照治疗心境障碍患者的治疗效果及相关干预过程。
共 187 名心境障碍患者被随机分配到正念认知疗法组、气功认知疗法组或等待对照组。所有参与者在三个时间点评估抑郁和焦虑症状、身心健康状况、感知压力、睡眠质量和自我效能。通过研究纵向数据，采用线性混合模型分析测试个体增长模型。
正念认知疗法和气功认知疗法均比等待对照组在所有结果测量上产生更大的改善。相对而言，气功认知疗法组的情绪症状减少幅度大于正念认知疗法组。气功认知疗法更有利于身体健康状况，而正念认知疗法则对心理健康结果更有利。个体增长曲线模型表明，感知压力的变化是两个干预组情绪变化的共同预测因素。
气功认知疗法主要强调身体健康，因此比正念认知疗法更能被有心境障碍的中国患者接受，也更有效。讨论了中国文化的影响。
香港大学临床试验注册处。标识符：HKUCTR-2558。注册于 2018 年 11 月 21 日。
