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一位抑郁科医生如何从一种新的、短期的心理团体治疗重度抑郁症中长期获益。

How a Depressive Medical Doctor Profited in the Long-Term from a New and Short Psychological Group-Treatment against Major Depressive Disorder.

机构信息

Department of Addictive Disorders, Psychiatric University Clinic Basel, 4002 Basel, Switzerland.

Department of Economics, Kalaidos University of Applied Sciences, 8050 Zürich, Switzerland.

出版信息

Int J Environ Res Public Health. 2021 Feb 17;18(4):1925. doi: 10.3390/ijerph18041925.

Abstract

Individuals suffering from major depressive disorder (MDD) often describe workplace-related stress as one of the main causes of their disorder. Here, we present the story of a 33 year old "Bob" (a pseudonym) who suffered from a moderate (Hamilton-21 = 18) major depressive episode. Workplace-related stress seemed to be the main stressor for Bob at the time. We were interested in long-lasting effects of a newly established group called "work-related interpersonal Psychotherapy, W-IPT". W-IPT consists of eight weekly 90 min sessions. The follow-ups were 12 weeks after the group-treatment and 18 months later. Bob was chosen because he agreed in advance to participate in a follow-up. We were interested if the group-treatment of W-IPT also has a persistent positive effect. We present the case of a 33-year-old man "Bob". He was included in our previous published pilot-study 2020 with diagnosed moderate MDD, and he attended the group treatment. This case report focuses on a follow-up period of 18 months. A structured clinical interview for DSM-IV was carried out in order to be included in the study, and no comorbid diagnoses were detected. However, the psychotherapeutic effects in this case seem enduring and prolonged. Of course, additional research to study the long-term effects of W-IPT is needed, and more patients need to be included.

摘要

患有重度抑郁症(MDD)的个体常将与工作相关的压力描述为其疾病的主要原因之一。在这里,我们呈现了一位 33 岁的“Bob”(化名)的故事,他患有中度(Hamilton-21=18)重度抑郁发作。当时,与工作相关的压力似乎是 Bob 的主要压力源。我们对新成立的名为“与工作相关人际心理治疗,W-IPT”的长期效果感兴趣。W-IPT 包括八周每周 90 分钟的疗程。随访时间分别在团体治疗结束后 12 周和 18 个月后。Bob 之所以被选中,是因为他事先同意参加随访。我们想知道 W-IPT 的团体治疗是否也有持续的积极效果。我们介绍了一位 33 岁的男性“Bob”的案例。他在我们之前 2020 年发表的试点研究中被诊断为中度 MDD,并参加了团体治疗。本案例报告重点关注 18 个月的随访期。为了纳入研究,进行了 DSM-IV 的结构化临床访谈,未发现共病诊断。然而,这种心理治疗效果似乎持久且持续。当然,需要进行更多的研究来研究 W-IPT 的长期效果,并纳入更多的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f15/7922573/63865b26f3ca/ijerph-18-01925-g001.jpg

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