Mindfulness-Based Cognitive Therapy (MBCT) Reduces the Association Between Depressive Symptoms and Suicidal Cognitions in Patients With a History of Suicidal Depression
Mindfulness-Based Cognitive Therapy (MBCT) Reduces the Association Between Depressive Symptoms and Suicidal Cognitions in Patients With a History of Suicidal Depression
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DOI：
10.1037/ccp0000027
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发表时间：
2015-12-01
影响因子：
5.9
通讯作者：
Williams, J. Mark G.
中科院分区：
文献类型：
--
作者：
Barnhofer, Thorsten;Crane, Catherine;Williams, J. Mark G.
目的：在有自杀抑郁症病史的患者中，抑郁症状的复发容易重新激活自杀想法。在这项研究中，我们调查了旨在帮助患者从消极思维中“离心”的正念训练是否有助于削弱抑郁症状和自杀认知之间的联系。方法：分析是基于最近的随机对照试验的数据，其中以前自杀的患者被分配到基于正念的认知疗法（MBCT），一种积极的控制治疗，认知心理教育（CPE），其中不包括任何冥想练习，或照常治疗（TAU）。在治疗阶段结束后，我们比较了抑郁症状之间的关联，如通过贝克抑郁量表-II（Beck，Steer，& Brown，1996）的自我报告所评估的，和自杀想法之间的关联，如通过自杀认知量表（Rudd et al.，2001年）。结果如下：在评估时有轻微至中度症状的患者中，抑郁症状与自杀认知之间的相关性比较显示，两组之间存在显著差异。虽然在两个对照组中自杀认知与症状水平显著相关，但在MBCT组中没有这种关系。结论：研究结果表明，对于有自杀性抑郁症病史的患者，正念训练可以帮助削弱抑郁症状与自杀想法之间的联系，从而减少自杀性抑郁症复发的重要脆弱性。
Objective: In patients with a history of suicidal depression, recurrence of depressive symptoms can easily reactivate suicidal thinking. In this study, we investigated whether training in mindfulness, which is aimed at helping patients "decenter" from negative thinking, could help weaken the link between depressive symptoms and suicidal cognitions. Method: Analyses were based on data from a recent randomized controlled trial, in which previously suicidal patients were allocated to mindfulness-based cognitive therapy (MBCT), an active control treatment, cognitive psychoeducation (CPE), which did not include any meditation practice, or treatment as usual (TAU). After the end of the treatment phase, we compared the associations between depressive symptoms, as assessed through self-reports on the Beck Depression Inventory-II (Beck, Steer, & Brown, 1996), and suicidal thinking, as assessed through the Suicidal Cognitions Scale (Rudd et al., 2001). Results: In patients with minimal to moderate symptoms at the time of assessment, comparisons of the correlations between depressive symptoms and suicidal cognitions showed significant differences between the groups. Although suicidal cognitions were significantly related to levels of symptoms in the 2 control groups, there was no such relation in the MBCT group. Conclusion: The findings suggest that, in patients with a history of suicidal depression, training in mindfulness can help to weaken the association between depressive symptoms and suicidal thinking, and thus reduce an important vulnerability for relapse to suicidal depression.