Watanabe Takafumi
Department of Psychiatry, Nagoya City University Graduate School of Medical Sciences, 1, Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya City, Aichi 467-8601, Japan.
Case Rep Psychiatry. 2021 Apr 7;2021:5511232. doi: 10.1155/2021/5511232. eCollection 2021.
Autism spectrum disorder (ASD) is known to increase a variety of psychiatric disorders, including major depressive disorder (MDD). Acceptance and commitment therapy (ACT) has been reported to be an effective psychotherapy for MDD. However, this is not the case with ASD. In this case study, based on the hypothesis that it is effective in treating MDD with ASD, we adapted the ACT Matrix, a tool for visualizing an individual's experiences in the context of ACT, and administered 15 sessions to a woman with MDD with ASD following the onset of photo dermatosis. By the end of the final session, there was an increase in value-based behaviors and significant changes in depressive symptoms as well as significant changes in process measures such as experience avoidance, mindfulness, and progress toward a valued life. Six months after the end of the session, the improvement in symptoms was even stronger and the process measure of obstruction to a valued life was significantly improved. The ACT Matrix may thus ameliorate MDD in patients with ASD.
已知自闭症谱系障碍（ASD）会增加多种精神疾病的患病风险，包括重度抑郁症（MDD）。据报道，接受与承诺疗法（ACT）是治疗MDD的一种有效心理疗法。然而，ASD患者的情况并非如此。在本案例研究中，基于ACT对伴有ASD的MDD有效这一假设，我们采用了ACT矩阵（一种用于直观呈现个体在ACT情境下经历的工具），并在一位患有MDD且伴有ASD的女性患者发生光皮肤病后，为其进行了15次治疗。在最后一次治疗结束时，基于价值观的行为有所增加，抑郁症状有显著变化，同时在诸如经验回避、正念以及朝着有价值生活迈进等过程指标方面也有显著变化。治疗结束六个月后，症状改善更为明显，且在阻碍有价值生活的过程指标方面有显著改善。因此，ACT矩阵可能会改善伴有ASD患者的MDD症状。
