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正念与基于试验的认知疗法对司法人员心理健康的影响:一项对照随机研究方案。

Mindfulness and trial-based cognitive therapy for the psychological well-being in the judiciary: A controlled and randomized study protocol.

作者信息

Bitencourt Sara, Huang Bo-Huei, de Oliveira Irismar Reis, Demarzo Marcelo

机构信息

Federal University of São Paulo (UNIFESP), "Mente Aberta" - Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, São Paulo, Brazil.

School of Public Health, Faculty of Health, University of Technology, Sydney, Australia.

出版信息

MethodsX. 2024 Oct 28;13:103021. doi: 10.1016/j.mex.2024.103021. eCollection 2024 Dec.

Abstract

INTRODUCTION

The judiciary sector faces high absenteeism due to mental health issues, yet applying effective therapies like mindfulness and trial-based cognitive therapy (TBCT) remains unexplored.

OBJECTIVES

Develop and apply Mindfulness-Integrated Trial-Based Cognitive Therapy (M-TBCT) in the judiciary to assess its acceptability, feasibility, and efficacy in enhancing psychological well-being and reducing depression, anxiety, and improving self-care.

METHODS

Conduct a controlled, randomized study in two phases: Phase 1 involves a pilot study to structure the M-TBCT protocol and test its acceptability and feasibility in the judiciary ( = 30); Phase 2, an efficacy trial with 90 participants, comparing M-TBCT to a waitlist. M-TBCT consists of 8 online, individual, weekly sessions. Participants recruited via SRQ-20, with WHO-5, PHQ-9, GAD-7, CD-QUEST and ASAS-R as outcomes.

EXPECTED OUTCOMES

M-TBCT is expected to be acceptable, feasible, and effective in improving psychological well-being, reducing anxiety, depression, and enhancing self-care, with sustained benefits at a 6-month follow-up.

CONCLUSIONS

This study introduces a novel psychotherapeutic approach to address mental well-being and self-care in the judiciary.

摘要

引言

司法部门因心理健康问题面临着高缺勤率,但应用正念和基于试验的认知疗法(TBCT)等有效疗法仍未得到探索。

目的

在司法部门开发并应用整合正念的基于试验的认知疗法(M-TBCT),以评估其在增强心理健康、减轻抑郁和焦虑以及改善自我护理方面的可接受性、可行性和疗效。

方法

分两个阶段进行一项对照随机研究:第一阶段是一项试点研究,以构建M-TBCT方案并测试其在司法部门的可接受性和可行性(n = 30);第二阶段是一项有90名参与者的疗效试验,将M-TBCT与等待名单进行比较。M-TBCT包括8次在线、个体、每周一次的课程。通过SRQ-20招募参与者,以WHO-5、PHQ-9、GAD-7、CD-QUEST和ASAS-R作为结果指标。

预期结果

预计M-TBCT在改善心理健康、减轻焦虑和抑郁以及增强自我护理方面是可接受的、可行的和有效的,在6个月的随访中具有持续的益处。

结论

本研究引入了一种新颖的心理治疗方法,以解决司法部门的心理健康和自我护理问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1139/11566881/2d5a59015197/ga1.jpg

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