Sequeira-Nazaré Elena Renée, Schmitz Bernhard
Department of Human Sciences, Technische Universität Darmstadt, 64289 Darmstadt, Germany.
Behav Sci (Basel). 2025 Jan 10;15(1):57. doi: 10.3390/bs15010057.
This study explored the impact of an art of living intervention within group psychotherapy for depression, focusing on constructs like life satisfaction, self-efficacy, and depression. Mental illness prevalence often exceeds available treatment options, particularly in Germany, where group psychotherapy is a viable alternative. While less researched, group therapy effectively improves well-being, especially through interpersonal exchange. Meta-analyses confirm cognitive behavioral group therapy's effectiveness against depression, encouraging further investigation. This study employed a two-factor experimental design with randomized group allocation. The control group (CG) participated in weekly 50 min sessions for four weeks, while the experimental group (EG) received identical therapy plus reflective life-stimulating questions. Measures of depression, art of living, life satisfaction, and self-efficacy were taken before, after, and three months post-intervention. Among 107 participants, 52 were in the EG and 55 were in the CG. The results showed a significant 24% reduction in depression scores in the experimental group, a significant 16% increase in the art of living and a significant 19% increase in life satisfaction, while the CG showed no significant changes. Self-efficacy did not significantly improve in the EG. Follow-up data indicated sustained improvements in depression and art of living for the EG. The limitations of this study include a limited scope, practical constraints, randomization challenges and confounding variables, which are typical for experimental studies. These findings highlight the intervention's potential, suggesting future research focusing on long-term effects, personality factors and disorder-specific applications.
本研究探讨了生活艺术干预在抑郁症团体心理治疗中的影响，重点关注生活满意度、自我效能感和抑郁等构念。精神疾病的患病率往往超过了现有的治疗选择，尤其是在德国，团体心理治疗是一种可行的替代方案。虽然研究较少，但团体治疗能有效改善幸福感，特别是通过人际交流。荟萃分析证实认知行为团体治疗对抑郁症有效，这鼓励了进一步的研究。本研究采用了随机分组的两因素实验设计。对照组（CG）参加为期四周、每周50分钟的课程，而实验组（EG）接受相同的治疗并加上能激发生活思考的问题。在干预前、干预后和干预后三个月测量抑郁、生活艺术、生活满意度和自我效能感。在107名参与者中，52名在实验组，55名在对照组。结果显示，实验组的抑郁得分显著降低了24%，生活艺术显著提高了16%，生活满意度显著提高了19%，而对照组没有显著变化。实验组的自我效能感没有显著提高。随访数据表明，实验组的抑郁和生活艺术持续改善。本研究的局限性包括范围有限、实际限制、随机化挑战和混杂变量，这些在实验研究中很常见。这些发现突出了该干预措施的潜力，建议未来的研究关注长期影响、人格因素和针对特定障碍的应用。
