Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study.

Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study.
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DOI:
10.1016/j.brat.2009.01.019
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发表时间:
2009-05
影响因子:
4.1
通讯作者:
Williams JM
Williams JM
中科院分区:
心理学2区
文献类型:
--
作者:
Barnhofer T;Crane C;Hargus E;Amarasinghe M;Winder R;Williams JM

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这项初步研究调查了正念认知疗法(MBCT)在患有慢性复发性抑郁症患者中的有效性,MBCT是一种将正念冥想和来自认知疗法的干预措施相结合的治疗方法。目前有症状的患者,至少有过三次抑郁症发作史且有自杀意念史,被随机分配接受在常规治疗(TAU;N = 14名完成者)基础上增加的MBCT治疗,或仅接受常规治疗(TAU;N = 14名完成者)。在治疗阶段前后对抑郁症状和诊断状况进行了评估。MBCT组自我报告的抑郁症状从重度降至轻度水平,而TAU组没有显著变化。同样,符合抑郁症全部标准的患者数量在MBCT组比在TAU组显著减少得更多。结果与先前的非对照研究一致。尽管基于一个小样本,因此其普遍性有限,但它们提供了进一步的初步证据,表明MBCT可用于成功减轻患有长期病程的该疾病患者的当前症状。
This pilot study investigated the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT), a treatment combining mindfulness meditation and interventions taken from cognitive therapy, in patients suffering from chronic-recurrent depression. Currently symptomatic patients with at least three previous episodes of depression and a history of suicidal ideation were randomly allocated to receive either MBCT delivered in addition to treatment-as-usual (TAU; N = 14 completers) or TAU alone (N = 14 completers). Depressive symptoms and diagnostic status were assessed before and after treatment phase. Self-reported symptoms of depression decreased from severe to mild levels in the MBCT group while there was no significant change in the TAU group. Similarly, numbers of patients meeting full criteria for depression decreased significantly more in the MBCT group than in the TAU group. Results are consistent with previous uncontrolled studies. Although based on a small sample and, therefore, limited in their generalizability, they provide further preliminary evidence that MBCT can be used to successfully reduce current symptoms in patients suffering from a protracted course of the disorder.
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