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使用密集纵向数据研究重度抑郁症患者的治疗效果:一项系统综述。

Using Intensive Longitudinal Data to Study Treatment Effects in Patients with Major Depression: A Systematic Review.

作者信息

Jonasson Cajsa

机构信息

Lund University, Lund, Sweden.

出版信息

J Pers Oriented Res. 2019 Sep 12;5(1):17-26. doi: 10.17505/jpor.2019.02. eCollection 2019.

Abstract

Depression is a disabling condition, causing suffering worldwide. The purpose of this paper is to review studies that have used Intensive Longitudinal Data (ILD) in research on depression treatment. Intensive longitudinal data in the form of daily diaries, experience sampling method (ESM), and ecological momentary assessment (EMA) are increasingly used in psychotherapy research to gather individualized data. A systematic search was conducted in the research databases PsycINFO, PubMed and Scopus on depression treatment assessed with ILD methods. Seven studies met inclusion criteria; two focused on the effects of cognitive therapy/cognitive behavioral therapy (CBT)/Self-System Therapy (SST); one focused on the effects of physical exercise; and four examined ESM as an add-on intervention to pharmacological treatment. ILD is useful when studying changes in complex patterns of patients' functioning, such as daily affective reactivity, empowerment, daily dose-response effects of physical activity on PA, and associations between activity and depressive symptoms. Results also showed that ESM registration in itself can help patients with major depression (MDD) to engage more in physical and social activities and to spend less time alone or resting.

摘要

抑郁症是一种使人丧失能力的疾病,在全球范围内造成痛苦。本文的目的是回顾在抑郁症治疗研究中使用密集纵向数据(ILD)的研究。以每日日记、经验取样法(ESM)和生态瞬时评估(EMA)形式存在的密集纵向数据在心理治疗研究中越来越多地被用于收集个性化数据。我们在研究数据库PsycINFO、PubMed和Scopus中对使用ILD方法评估的抑郁症治疗进行了系统检索。七项研究符合纳入标准;两项研究聚焦于认知疗法/认知行为疗法(CBT)/自我系统疗法(SST)的效果;一项研究聚焦于体育锻炼的效果;四项研究将ESM作为药物治疗的附加干预措施进行了考察。在研究患者功能的复杂模式变化时,如日常情感反应性、赋权、体育活动对身体活动的每日剂量反应效应以及活动与抑郁症状之间的关联时,ILD是有用的。结果还表明,ESM记录本身可以帮助重度抑郁症(MDD)患者更多地参与体育和社交活动,并减少独处或休息的时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcc7/7842642/0074cf2f5269/JPOR-5-1-017-g001.jpg

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