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一种基于正念的简短认知行为疗法(MBCT)干预作为焦虑和抑郁的群体层面策略。

A Brief Mindfulness-Based Cognitive Therapy (MBCT) Intervention as a Population-Level Strategy for Anxiety and Depression.

作者信息

Burgess Emilee E, Selchen Steven, Diplock Benjamin D, Rector Neil A

机构信息

Department of Psychiatry, Sunnybrook Health Sciences Centre, Sunnybrook Research Institute, 2075 Bayview Ave, Toronto, Ontario M4N 3M5 Canada.

Department of Psychiatry, University of Toronto, Toronto, Ontario Canada.

出版信息

Int J Cogn Ther. 2021;14(2):380-398. doi: 10.1007/s41811-021-00105-x. Epub 2021 Apr 20.

Abstract

Mindfulness-based interventions (MBIs) have emerged as clinically effective interventions for anxiety and depression although there are significant barriers to their access in the general population. The present study examined the effectiveness of a 5-week abbreviated mindfulness-based cognitive therapy (MBCT) intervention for a physician-referred, treatment-seeking, community sample ( = 54) with mood and/or anxiety symptom burden. Treatment effects demonstrated significant reductions in mood and anxiety symptom severity and significant increases in general well-being. Observed effect sizes were generally large, with high response and remission rates. The present study offers preliminary support that an abbreviated MBCT protocol can offer large treatment effects for decreasing mood and anxiety symptoms and could potentially offer an effective population-level strategy to improve cost-effectiveness and access to care.

摘要

基于正念的干预措施(MBIs)已成为治疗焦虑和抑郁的临床有效干预手段,尽管在普通人群中获得这些干预措施存在重大障碍。本研究考察了为期5周的简化版基于正念的认知疗法(MBCT)对因情绪和/或焦虑症状负担而被医生转诊、寻求治疗的社区样本(n = 54)的有效性。治疗效果显示,情绪和焦虑症状严重程度显著降低,总体幸福感显著提高。观察到的效应量通常较大,反应率和缓解率较高。本研究提供了初步支持,即简化版MBCT方案可以在减轻情绪和焦虑症状方面产生显著的治疗效果,并有可能提供一种有效的群体层面策略,以提高成本效益和获得医疗服务的机会。

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