Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: a randomized controlled trial
Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: a randomized controlled trial
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DOI：
10.1017/s0033291711001206
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发表时间：
2012-03-01
影响因子：
6.9
通讯作者：
Schreurs, K. M. G.
中科院分区：
文献类型：
--
作者：
Fledderus, M.;Bohlmeijer, E. T.;Schreurs, K. M. G.
背景为了降低抑郁症的高患病率，有必要对有抑郁症风险的人进行早期干预。本研究评估了基于接受和承诺疗法（ACT）的早期指导自助计划对减少抑郁症的有效性。从普通人群中招募轻度至中度抑郁症患者，并随机分配到自助计划与广泛的电子邮件支持（n = 125），自助计划与最低限度的电子邮件支持（n = 125）或候补名单对照组（n = 126）。参与者在干预前后完成了评估抑郁，焦虑，疲劳，经验回避，积极心理健康和正念的措施。实验条件下的参与者也在3个月的随访中完成了这些措施。在实验条件下显着减少抑郁症，焦虑，疲劳，经验回避和改善积极的心理健康和正念被发现，与等待名单的条件相比（科恩的D = 0.51-1.00的效果大小）。这些影响在3个月随访时持续存在。实验条件对结果指标的影响无显著性差异。以ACT为基础的自助计划，最少的电子邮件支持，是有效的人与轻度至中度抑郁症。
Background. In order to reduce the high prevalence of depression, early interventions for people at risk of depression are warranted. This study evaluated the effectiveness of an early guided self-help programme based on acceptance and commitment therapy (ACT) for reducing depressive symptomatology.Method. Participants with mild to moderate depressive symptomatology were recruited from the general population and randomized to the self-help programme with extensive email support (n = 125), the self-help programme with minimal email support (n = 125) or to a waiting list control group (n = 126). Participants completed measures before and after the intervention to assess depression, anxiety, fatigue, experiential avoidance, positive mental health and mindfulness. Participants in the experimental conditions also completed these measures at a 3-month follow-up.Results. In the experimental conditions significant reductions in depression, anxiety, fatigue, experiential avoidance and improvements in positive mental health and mindfulness were found, compared with the waiting list condition (effect sizes Cohen's d = 0.51-1.00). These effects were sustained at the 3-month follow-up. There were no significant differences between the experimental conditions on the outcome measures.Conclusions. The ACT-based self-help programme with minimal email support is effective for people with mild to moderate depressive symptomatology.