Feldhaus Claudia G, Jacobs Rachel H, Watkins Edward R, Peters Amy T, Bessette Katie, Langenecker Scott A
University of Illinois at Chicago, 1747 W. Roosevelt Rd., Chicago, IL 60608.
University of Exeter, Exeter, UK, Stocker Rd, Exeter EX4 4PY, United Kingdom.
J Child Fam Stud. 2020;29(7):1982-1991. doi: 10.1007/s10826-020-01711-7. Epub 2020 Apr 28.
Rumination involves a repetitive, passive focus on one's thoughts and feelings and has been hypothesized as a mechanism contributing to multiple psychopathologies. The current investigation explores secondary outcomes from a pilot study to examine whether rumination-focused cognitive behavior therapy (RFCBT) alleviates symptoms of anxiety, increases behavioral activation, or increases global functioning among adolescents with a history of Major Depressive Disorder (MDD).
Thirty-three adolescents were randomized to receive either RFCBT (n = 17) or assessment only (AO; n = 16) over the course of eight weeks. Mixed effects regression models were used to conduct intent-to-treat (ITT) analyses.
The quadratic interaction for group-by-time-by-time was significant for anxiety. Adolescents in the RFCBT group experienced a significant decrease in anxiety across the first six weeks of intervention (F = 7.01, df = 108.49, = .009). The group-by-time interaction was significant for the behavioral activation outcome (F = 4.28, df = 25.60, p = .049) with youth randomized to RFCBT demonstrating increasing activation compared to AO. Global functioning did not significantly differ between groups (F = .40, df = 1, > .05).
Preliminary evidence suggests that RFCBT may hold promise as an intervention that alleviates both depressive and anxiety symptoms when comorbid.
沉思涉及对自身想法和感受的重复、被动关注，并且被假设为导致多种精神病理学的一种机制。当前的调查探讨了一项试点研究的次要结果，以检验专注于沉思的认知行为疗法（RFCBT）是否能缓解焦虑症状、增加行为激活，或提高有重度抑郁症（MDD）病史的青少年的整体功能。
33名青少年被随机分配，在八周的时间里接受RFCBT（n = 17）或仅接受评估（AO；n = 16）。使用混合效应回归模型进行意向性治疗（ITT）分析。
焦虑方面，组×时间×时间的二次交互作用显著。RFCBT组的青少年在干预的前六周焦虑显著降低（F = 7.01，自由度 = 108.49，p = .009）。组×时间交互作用在行为激活结果方面显著（F = 4.28，自由度 = 25.60，p = .049），随机分配到RFCBT组的青少年与AO组相比表现出激活增加。两组之间的整体功能没有显著差异（F = .40，自由度 = 1，p > .05）。
初步证据表明，RFCBT作为一种在共病时能缓解抑郁和焦虑症状的干预措施可能具有前景。
