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基于团体的接纳与承诺疗法对老年脑卒中幸存者的影响:一项随机对照试验研究方案。

Effect of group-based acceptance and commitment therapy on older stroke survivors: study protocol for a randomized controlled trial.

机构信息

The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha City, Hunan Province, 410013, China.

School of Nursing, University of South China, Hengyang City, Hunan Province, 421001, China.

出版信息

BMC Complement Med Ther. 2023 Oct 6;23(1):353. doi: 10.1186/s12906-023-04160-z.

DOI:10.1186/s12906-023-04160-z
PMID:37803299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10557283/
Abstract

INTRODUCTION

Older stroke survivors usually experience various psychology disorders, such as post-stroke depression (PSD), which may be associated with high experiential avoidance (EA) and can seriously affect their quality of life. To date, the efficacy of group-based acceptance and commitment therapy (ACT) for older stroke survivors has not been established. The aim of this study is to investigate the effectiveness of group-based ACT on EA, PSD, psychological distress, and quality of life in older stroke survivors after group-based ACT.

METHODS AND ANALYSIS

This study is a randomized, single-blind, wait-list controlled, parallel-arm trial. A total of 66 stroke survivors will be randomly assigned to wait-list control group or intervention group. Participants in wait-list control group will receive treatment as usual (TAU), while the intervention group will receive group-based ACT once a week for eight weeks. The primary outcome measure being EA, and the secondary outcome measures being PSD, psychological distress, and quality of life. Results of the two groups will be blindly assessed by professional evaluators at baseline (T0), post-treatment (T1), and one-month follow up (T2).

DISCUSSION

The results of this study will provide the first evidence for the effectiveness of a group-based ACT intervention in reducing EA, PSD, psychological stress, and improving quality of life for post-stroke survivors.

TRIAL REGISTRATION

ChiCTR2200066361.

摘要

简介

老年中风幸存者通常会经历各种心理障碍,如中风后抑郁(PSD),这可能与高体验回避(EA)有关,并严重影响他们的生活质量。迄今为止,基于小组的接受与承诺疗法(ACT)对老年中风幸存者的疗效尚未得到证实。本研究旨在探讨基于小组的 ACT 对 EA、PSD、心理困扰和生活质量的影响。

方法和分析

这是一项随机、单盲、等待名单对照、平行臂试验。共有 66 名中风幸存者将被随机分配到等待名单对照组或干预组。等待名单对照组将接受常规治疗(TAU),而干预组将每周接受一次基于小组的 ACT,共八周。主要结局指标为 EA,次要结局指标为 PSD、心理困扰和生活质量。两组的结果将由专业评估人员在基线(T0)、治疗后(T1)和一个月随访(T2)时进行盲法评估。

讨论

这项研究的结果将为基于小组的 ACT 干预在降低 EA、PSD、心理压力和改善中风后幸存者的生活质量方面的有效性提供第一个证据。

试验注册

ChiCTR2200066361。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f872/10557283/a2f16c60bb1e/12906_2023_4160_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f872/10557283/a2f16c60bb1e/12906_2023_4160_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f872/10557283/a2f16c60bb1e/12906_2023_4160_Fig1_HTML.jpg

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2
A Chinese adaptation of six items, self-report Hamilton Depression Scale: Factor structure and psychometric properties.六项自评汉密尔顿抑郁量表的中文修订版:因子结构和心理测量特性。
Asian J Psychiatr. 2022 Jul;73:103104. doi: 10.1016/j.ajp.2022.103104. Epub 2022 Apr 6.
3
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Front Public Health. 2024 May 29;12:1239445. doi: 10.3389/fpubh.2024.1239445. eCollection 2024.
团体接纳与承诺疗法预防脑卒中后抑郁的疗效:一项随机对照试验。
J Stroke Cerebrovasc Dis. 2022 Feb;31(2):106225. doi: 10.1016/j.jstrokecerebrovasdis.2021.106225. Epub 2021 Nov 24.
4
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10
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