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认知回忆疗法在约旦有重度抑郁障碍人群中的可行性、可接受性和初步有效性:一项混合方法研究。

Feasibility, Acceptability, and Preliminary Effectiveness of Cognitive-Reminiscence Therapy among Jordanian People with Major Depressive Disorders: A Mixed Methods Study.

机构信息

Jordanian Royal Medical Services Amman, Amman, Jordan.

Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.

出版信息

Issues Ment Health Nurs. 2023 Jun;44(6):517-529. doi: 10.1080/01612840.2023.2205511. Epub 2023 May 25.

Abstract

Depression is a major public health problem around the world. Negative automatic thoughts are cognitive errors that build in the mind, leading to depression. Cognitive-reminiscence therapy is one of the most effective psychosocial methods for managing cognitive errors. This study aimed to evaluate cognitive reminiscence therapy's feasibility, acceptability, and preliminary effectiveness among Jordanian patients with major depressive disorder. A convergent-parallel design was employed. A convenience sampling method was used to recruit 36 participants (Site 1:  = 16, Site 2:  = 20). A total of 31 participants were included in the analysis, divided into six groups, with 5-6 participants in each group. Cognitive-reminiscence therapy included eight supported sessions of up to 2 h each, delivered over 4 wk. Recruitment, adherence, retention, and attrition rates of 80%, 86.1%, and 13.9%, respectively, indicated the feasibility of the therapy. The acceptability of therapy was reflected in the following four themes: . A significant reduction in the mean of depressive symptoms and negative automatic thoughts and a significant increase in the self-transcendence mean demonstrated the effectiveness of the intervention. The study's results suggest that cognitive reminiscence therapy is feasible and acceptable among patients with major depressive disorder. This therapy is a promising nursing intervention to reduce depressive symptoms and negative automatic thoughts and increase self-transcendence for those patients.

摘要

抑郁症是全球范围内的一个主要公共卫生问题。负性自动思维是在大脑中逐渐形成的认知错误,导致抑郁症的发生。认知怀旧疗法是管理认知错误的最有效心理社会方法之一。本研究旨在评估认知怀旧疗法在约旦重度抑郁症患者中的可行性、可接受性和初步疗效。采用汇聚平行设计。采用便利抽样法招募 36 名参与者(Site 1: = 16,Site 2: = 20)。共有 31 名参与者纳入分析,分为 6 组,每组 5-6 名参与者。认知怀旧疗法包括 8 次支持性治疗,每次治疗时间长达 2 小时,每周治疗 1 次,共 4 周。80%的招募率、86.1%的依从率、13.9%的保留率和损耗率表明该疗法具有可行性。治疗的可接受性体现在以下四个主题:1)患者的个人经历和记忆可以为治疗提供丰富的资源;2)认知怀旧疗法有助于建立信任和治疗关系;3)治疗有助于改善情绪和认知功能;4)治疗提供了一种积极的治疗体验。抑郁症状和负性自动思维的平均分显著降低,自我超越的平均分显著升高,表明干预措施有效。研究结果表明,认知怀旧疗法在重度抑郁症患者中是可行和可接受的。对于这些患者来说,该疗法是一种有前途的护理干预措施,可以降低抑郁症状和负性自动思维,提高自我超越感。

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