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正念认知疗法对抑郁患者抑郁症状、脑电位和神经免疫炎症因子的影响。

Effectiveness of Mindfulness-Based Cognitive Therapy on Depressive Symptoms, Brain Potential, and Neuroimmunoinflammatory Factors in Depressed Patients.

机构信息

From the Department of Psychiatry, Nantong Fourth People's Hospital, Nantong, Jiangsu Province, China.

Department of Psychiatry, Wuxi Xishan People's Hospital, Wuxi Branch of Zhongda Hospital Southeast University, Wuxi, Jiangsu Province, China.

出版信息

Clin Neuropharmacol. 2024;47(4):128-133. doi: 10.1097/WNF.0000000000000601. Epub 2024 Jun 26.

Abstract

OBJECTIVE

This study was aimed to investigate the effectiveness of mindfulness-based cognitive therapy (MBCT) on depressive symptoms, brain potential, and neuroimmunoinflammatory factors in patients with depression.

METHODS

Sixty-four eligible patients according to the inclusion criteria were randomly divided into the control group and the observation group, with 32 patients in each group. The control group received conventional therapy, while the observation group received MBCT on top of conventional therapy. The depressive symptoms, brain potential, and neuroimmunoinflammatory factors were measured in the two groups.

RESULTS

After treatment, the Hamilton Depression Rating Scale score, tumor necrosis factor α, and interleukin-6 levels were decreased, while the World Health Organization Quality of Life Scale score, total number of response execution score, and 5-hydroxy tryptamine level were increased in both groups. Moreover, the Hamilton Depression Rating Scale score, tumor necrosis factor α, and interleukin-6 levels were decreased more significantly, while the World Health Organization Quality of Life Scale score, total number of response execution score, and 5-hydroxy tryptamine level were increased more significantly in the observation group compare to the control group ( P < 0.01). In addition, the latency in the observation group was shorter and the amplitude was longer than those in the control group ( P < 0.01).

CONCLUSIONS

Compared with conventional therapy, the use of MBCT combined with conventional therapy can effectively reduce depressive symptoms, suppresses inflammatory responses, and optimize attention and response to target stimulation and is worthy of wide clinical implementation.

摘要

目的

本研究旨在探讨正念认知疗法(MBCT)对抑郁症患者抑郁症状、脑电位和神经免疫炎症因子的影响。

方法

根据纳入标准,共纳入 64 例符合条件的患者,随机分为对照组和观察组,每组 32 例。对照组接受常规治疗,观察组在常规治疗的基础上接受 MBCT。观察两组患者抑郁症状、脑电位和神经免疫炎症因子的变化。

结果

治疗后,两组患者的汉密尔顿抑郁量表评分、肿瘤坏死因子-α和白细胞介素-6 水平降低,世界卫生组织生活质量量表评分、总反应执行次数和 5-羟色胺水平升高。观察组的汉密尔顿抑郁量表评分、肿瘤坏死因子-α和白细胞介素-6 水平下降更明显,世界卫生组织生活质量量表评分、总反应执行次数和 5-羟色胺水平升高更明显(均 P<0.01)。此外,观察组的潜伏期更短,振幅更长(均 P<0.01)。

结论

与常规治疗相比,MBCT 联合常规治疗可有效减轻抑郁症状,抑制炎症反应,优化注意力和对目标刺激的反应,值得广泛临床推广。

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