School of Nursing, Fooyin University, Kaohsiung 831301, Taiwan.
College of Nursing, Kaohsiung Medical University, Kaohsiung 807378, Taiwan.
Int J Environ Res Public Health. 2023 Jan 14;20(2):1555. doi: 10.3390/ijerph20021555.
This study synthesizes the effect of mindfulness-based cognitive therapy (MBCT) on depression and suicidal ideation among patients with major depressive disorder (MDD). During treatment, patients with MDD may experience repeated episodes, negative counseling, and suicidal ideation, which can lead to further depression and ultimately affect quality of life. Recent studies have shown that MBCT can improve the level of depression and suicidal ideation in patients with MDD. A systematic review and meta-analysis of randomized controlled trials was conducted. The literature search for articles up to December 2021 was performed in the following electronic databases: Airiti Library, PsycINFO, CINAHL, Cochrane Library, PubMed/MEDLINE, ProQuest, and the Index of the Taiwan Periodical Literature System. Records were independently evaluated by two reviewers. Disagreements were resolved through consensus. The quality of study was evaluated using the Modified Jadad Scale score. A meta-analysis was performed using Review Manager Version 5.3.5 software with a random-effects model. Thirteen studies (1159 participants) investigating MBCT for patients with MDD were included. The MBCT sessions lasted 1.5-2.5 h and were delivered by therapists five times per week for 8 weeks. The meta-effects of MBCT among patients with MDD showed significant improvement in depression and suicidal ideation. Future research should evaluate the long-term effects of MBCT. MBCT is relatively convenient and effective for preventing and alleviating depression and suicidal ideation. Further research can provide detailed suggestions for effective MBCT implementation.
本研究综合了正念认知疗法（MBCT）对重度抑郁症（MDD）患者的抑郁和自杀意念的影响。在治疗期间，MDD 患者可能会经历反复发作、消极的咨询和自杀意念，这可能导致进一步的抑郁，并最终影响生活质量。最近的研究表明，MBCT 可以改善 MDD 患者的抑郁和自杀意念水平。对截至 2021 年 12 月的随机对照试验进行了系统评价和荟萃分析。使用以下电子数据库进行了文献检索：爱学术、PsycINFO、CINAHL、 Cochrane Library、PubMed/MEDLINE、ProQuest 和台湾期刊文献系统索引。由两名评审员独立评估记录。通过协商解决分歧。使用 Review Manager Version 5.3.5 软件进行荟萃分析，使用随机效应模型。纳入了 13 项研究（1159 名参与者），研究了 MBCT 对 MDD 患者的影响。MBCT 课程持续 1.5-2.5 小时，由治疗师每周 5 次、每次 8 周进行。荟萃分析结果表明，MBCT 对 MDD 患者的抑郁和自杀意念有显著改善。未来的研究应评估 MBCT 的长期效果。MBCT 对预防和缓解抑郁和自杀意念相对方便且有效。进一步的研究可以为有效的 MBCT 实施提供详细建议。
