Bitencourt Sara, Huang Bo-Huei, de Oliveira Irismar Reis, Demarzo Marcelo
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.
MethodsX. 2024 Oct 28;13:103021. doi: 10.1016/j.mex.2024.103021. eCollection 2024 Dec.
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.
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.
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.
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.
This study introduces a novel psychotherapeutic approach to address mental well-being and self-care in the judiciary.
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。
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。
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。
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。
