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基于自我同情的丧亲相关悲伤在线团体心理治疗:COMPACT 可行性试验。

Self-compassion-based online group psychotherapy for bereavement-related grief: The COMPACT feasibility trial.

机构信息

Department of Palliative Medicine, Kyoto University Hospital, Kyoto, Japan.

School of Health Sciences, University of Nottingham, Nottingham, UK.

出版信息

Gen Hosp Psychiatry. 2024 Sep-Oct;90:116-123. doi: 10.1016/j.genhosppsych.2024.08.009. Epub 2024 Aug 17.

Abstract

OBJECTIVE

This study aimed to examine the feasibility and effectiveness of online group psychotherapy focused on self-compassion for individuals experiencing bereavement-related grief.

METHOD

This single-arm feasibility trial involved participants aged 18 years or older who had experienced bereavement at least 6 months prior the five-week intervention. Outcomes were measured at baseline, immediately post-intervention, and 4 and 12 weeks later. The primary endpoint was the percentage of participants who completed four out of five sessions; the pre-defined feasibility criterion was 70%. Secondary endpoints included measures of grief, depression, anxiety, self-compassion, and resilience.

RESULTS

The program was conducted in three courses with 18, 26, and 16 participants, respectively. The primary endpoint was met for 83.1% of participants (54/65). Cohen's d effect sizes ([95% CI] 12 weeks vs. baseline) for grief, depression, anxiety, self-compassion, and resilience were - 0.25 [-0.52, 0.03], -0.64 [-0.94, -0.34], -0.48 [-0.77, -0.19], 0.50 [0.21, 0.79], and - 0.07 [-0.34, 0.21], respectively.

CONCLUSIONS

Online group psychotherapy focused on self-compassion for individuals with bereavement-related grief is feasible and effective for addressing grief and psychological distress. Randomized controlled trials are warranted to confirm the intervention's efficacy.

TRIAL REGISTRATION NUMBER

UMIN000048554, registered 2 August 2022.

摘要

目的

本研究旨在探讨针对丧亲悲痛人群的自我同情为重点的在线团体心理疗法的可行性和有效性。

方法

这是一项单臂可行性试验,纳入年龄在 18 岁及以上、丧亲至少 6 个月、参加为期五周干预的个体。结局指标在基线、干预即刻、4 周和 12 周时进行评估。主要终点是完成五节课中的四节课的参与者比例;定义的可行性标准为 70%。次要结局指标包括悲痛、抑郁、焦虑、自我同情和韧性的测量。

结果

该项目分三期进行,每期分别有 18、26 和 16 名参与者。主要终点在 83.1%(54/65)的参与者中达到。12 周与基线相比,悲痛、抑郁、焦虑、自我同情和韧性的 Cohen's d 效应量([95%CI])分别为 -0.25 [-0.52, 0.03]、-0.64 [-0.94, -0.34]、-0.48 [-0.77, -0.19]、0.50 [0.21, 0.79]和 -0.07 [-0.34, 0.21]。

结论

针对丧亲悲痛人群的自我同情为重点的在线团体心理疗法对于缓解悲痛和心理困扰是可行和有效的。需要进行随机对照试验来证实该干预的疗效。

临床试验注册号

UMIN000048554,注册于 2022 年 8 月 2 日。

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