Fuhr Kristina, Meisner Christoph, Batra Anil
Department of Psychiatry and Psychotherapy at the University Hospital of Tuebingen, Tuebingen.
Study Center, Robert Bosch Society for Medical Research, Stuttgart, Germany.
J Nerv Ment Dis. 2023 Jul 1;211(7):519-524. doi: 10.1097/NMD.0000000000001647. Epub 2023 Mar 15.
In a recent randomized controlled trial of mild to moderate depression, hypnotherapy (HT) was noninferior to cognitive behavioral therapy (CBT) after 6 months of outpatient treatment. In the present article, we extended the results in a secondary analysis and investigated how HT compares with CBT 1) during the course of the self-rated depressive symptoms throughout the 12-month follow-ups, 2) with regard to the rates of full remission, and 3) for the time to remission after treatment. Of the 152 randomized patients with current depression, 136 were available for the follow-up analyses. The course of self-rated depressive symptoms during follow-ups was analyzed with linear mixed-effects models. Time to a full remission, defined as eight consecutive weeks without depression, was compared between groups in a survival analysis. The self-reported depressive symptoms could be maintained on a low symptom level during the 12-month follow-up for both HT and CBT. Overall, both treatments achieved comparably high long-term remission rates of 73% after a median of 30 weeks. Outpatient psychotherapy with HT achieved good long-term results mostly comparable to CBT.
在最近一项针对轻至中度抑郁症的随机对照试验中，经过6个月的门诊治疗后，催眠疗法（HT）不劣于认知行为疗法（CBT）。在本文中，我们在二次分析中扩展了结果，并研究了HT与CBT相比：1）在12个月随访期间自评抑郁症状的过程中；2）在完全缓解率方面；3）在治疗后达到缓解的时间方面。在152名患有当前抑郁症的随机分组患者中，有136名可用于随访分析。随访期间自评抑郁症状的过程采用线性混合效应模型进行分析。在生存分析中比较了两组达到完全缓解（定义为连续八周无抑郁）的时间。在12个月的随访期间，HT和CBT的自评抑郁症状都可以维持在低症状水平。总体而言，两种治疗方法在中位30周后均达到了相当高的73%的长期缓解率。门诊HT心理治疗取得了良好的长期效果，大多与CBT相当。
