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人际心理咨询与积极倾听治疗轻度抑郁症的随机对照试验

Interpersonal counseling versus active listening in the treatment of mild depression: a randomized controlled trial.

作者信息

Hirokawa-Ueda Hitomi, Sawamura Yuki, Kawakami Takuro, Sakane Haruka, Teramoto Koki, Yamamoto Ami, Taketani Reiko, Ono Hisae

机构信息

Department of Psychological Science, Graduate School of Humanities, Kwansei Gakuin University: 1-155 Uegahara Ichibancho, Nishinomiya, Hyogo 662-8501, Japan.

Kindai University Hospital, Japan.

出版信息

J Phys Ther Sci. 2023 Jul;35(7):533-537. doi: 10.1589/jpts.35.533. Epub 2023 Jul 1.

DOI:10.1589/jpts.35.533
PMID:37405189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10315209/
Abstract

[Purpose] Healthcare workers, such as physical therapists, need to be equipped in dealing with patients' psychological problems. The three-session interpersonal counseling (three-session IPC) is a constructed counseling method that can be performed even by non-mental health professionals. This study examined the efficacy of the three-session IPC for treating depression. Immediate efficacy and efficacy up to 12 weeks post-intervention were examined. [Participants and Methods] In this randomized controlled trial of the two groups, one group (n=24) received the three-session IPC therapy (IPC group) while the other (n=24) received three sessions of active listening (active listening group). Depression was assessed using the Self-Rating Depression Scale (SDS) at baseline, post-intervention, and at 4, 8, and 12 weeks. [Results] There was a significant difference in total SDS scores between the IPC and active listening groups from baseline to 4 weeks after counseling, although no significant differences were observed at other time points. [Conclusion] The three-session IPC may be effective for 4 weeks after counseling. However, further studies are warranted in this regard.

摘要

[目的] 诸如物理治疗师等医护人员需要具备应对患者心理问题的能力。三阶段人际咨询(三阶段IPC)是一种构建的咨询方法,甚至非心理健康专业人员也可实施。本研究考察了三阶段IPC治疗抑郁症的疗效。研究了干预后的即时疗效以及长达12周的疗效。[参与者与方法] 在这项两组随机对照试验中,一组(n = 24)接受三阶段IPC治疗(IPC组),另一组(n = 24)接受三个阶段的积极倾听(积极倾听组)。在基线、干预后以及第4、8和12周使用自评抑郁量表(SDS)评估抑郁情况。[结果] 从基线到咨询后4周,IPC组和积极倾听组的SDS总分存在显著差异,不过在其他时间点未观察到显著差异。[结论] 三阶段IPC在咨询后4周可能有效。然而,在这方面还需要进一步研究。

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本文引用的文献

1
Psychological Distress among Patients Attending Physiotherapy: A Survey-Based Investigation of Irish Physiotherapists' Current Practice and Opinions.接受物理治疗患者的心理困扰:基于调查对爱尔兰物理治疗师当前实践与观点的研究
Physiother Can. 2020 Summer;72(3):239-248. doi: 10.3138/ptc-2019-0010.
2
Interpersonal Counseling for College Students: Pilot Feasibility and Acceptability Study.大学生人际咨询:试点可行性和可接受性研究。
Am J Psychother. 2021 Dec 1;74(4):165-171. doi: 10.1176/appi.psychotherapy.202120200038.
3
The Effect of Interpersonal Counseling for Subthreshold Depression in Undergraduates: An Exploratory Randomized Controlled Trial.
人际心理咨询对大学生阈下抑郁的影响:一项探索性随机对照试验
Depress Res Treat. 2018 Feb 22;2018:4201897. doi: 10.1155/2018/4201897. eCollection 2018.
4
Task shifting interpersonal counseling for depression: a pragmatic randomized controlled trial in primary care.抑郁症人际心理咨询的任务转移:一项初级保健中的实用随机对照试验
BMC Psychiatry. 2017 Jun 21;17(1):225. doi: 10.1186/s12888-017-1379-y.
5
Predictors of Stress in College Students.大学生压力的预测因素。
Front Psychol. 2017 Jan 25;8:19. doi: 10.3389/fpsyg.2017.00019. eCollection 2017.
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College students coping with interpersonal stress: Examining a control-based model of coping.应对人际压力的大学生:审视基于控制的应对模型。
J Am Coll Health. 2017 Apr;65(3):177-186. doi: 10.1080/07448481.2016.1266641. Epub 2016 Dec 2.
7
Interpersonal Counseling (IPC) for Depression in Primary Care.基层医疗中抑郁症的人际咨询(IPC)
Am J Psychother. 2014;68(4):359-83. doi: 10.1176/appi.psychotherapy.2014.68.4.359.
8
Causal Relationships between the Psychological Acceptance Process of Athletic Injury and Athletic Rehabilitation Behavior.运动损伤心理接纳过程与运动康复行为之间的因果关系
J Phys Ther Sci. 2014 Aug;26(8):1247-57. doi: 10.1589/jpts.26.1247. Epub 2014 Aug 30.
9
Subthreshold depression in adolescence: a systematic review.青少年亚临床抑郁:系统评价。
Eur Child Adolesc Psychiatry. 2013 Oct;22(10):589-603. doi: 10.1007/s00787-013-0411-0. Epub 2013 Apr 12.
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Depression in adolescence.青少年抑郁症。
Lancet. 2012 Mar 17;379(9820):1056-67. doi: 10.1016/S0140-6736(11)60871-4. Epub 2012 Feb 2.