20063VA New Jersey Healthcare System, Lyons, NJ, USA.
20061Rutgers-Robert Wood Johnson Medical School, Department of Psychiatry, Piscataway, NJ, USA.
J Geriatr Psychiatry Neurol. 2023 Mar;36(2):143-154. doi: 10.1177/08919887221103579. Epub 2022 May 23.
Parkinson's disease (PD) is characterized by high-rates of depression with limited evidence-based treatment options to improve mood. To expand therapeutic options, we evaluated the feasibility and effect of a telehealth mindfulness-based cognitive therapy intervention adapted for PD (MBCT-PD) in a sample of participants with DSM-5 depressive disorders. Fifteen participants with PD and clinically-significant depression completed 9 sessions of MBCT-PD. Depression, anxiety, and quality of life were evaluated at baseline, endpoint, and 1-month follow-up. Telehealth MBCT-PD was feasible and beneficial. Completion rates exceeded 85% and treatment satisfaction rates were high. Notable improvements were observed for depression, anxiety, and quality of life over the course of the trial. Telehealth MBCT-PD shows promise and warrants further evaluation via randomized clinical trial with more diverse participants. Such research holds the potential to expand the range of therapeutic options for depression in PD, thereby setting the stage for personalized care.
帕金森病(PD)的特征是高抑郁率,且基于证据的治疗选择有限,无法改善情绪。为了扩大治疗选择,我们评估了针对 PD (MBCT-PD)的远程医疗正念认知疗法干预的可行性和效果,该研究纳入了一组符合 DSM-5 抑郁障碍标准的参与者。15 名 PD 且存在临床显著抑郁的参与者完成了 9 次 MBCT-PD 疗程。在基线、终点和 1 个月随访时评估抑郁、焦虑和生活质量。远程医疗 MBCT-PD 是可行且有益的。完成率超过 85%,治疗满意度高。在试验过程中,抑郁、焦虑和生活质量均有显著改善。远程医疗 MBCT-PD 显示出前景,值得通过更具多样性的参与者的随机临床试验进一步评估。此类研究有可能扩大 PD 中抑郁的治疗选择范围,从而为个性化护理奠定基础。