Nurse-led group cognitive behavioral therapy for major depressive disorder among adults in Japan: a preliminary single-group study
Nurse-led group cognitive behavioral therapy for major depressive disorder among adults in Japan: a preliminary single-group study
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护士主导的针对日本成人重度抑郁症的团体认知行为疗法：一项初步单组研究
DOI：
10.1016/j.ijnss.2018.06.005
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发表时间：
2018
影响因子：
3.8
通讯作者：
Shiraishi Y
中科院分区：
文献类型：
--
作者：
Tanoue H;Yoshinaga N;Kato S;Naono-Nagatomo K;Ishida Y;Shiraishi Y
目的抑郁症疾病的患病率和负担需要在全球范围内提供有效且易于获得的治疗选择。自2016年4月以来，日本国民健康保险已涵盖护士管理的认知行为疗法（CBT）。然而，在亚洲国家，特别是日本，护士主导的CBT治疗抑郁症的实证支持仍然缺乏。这一初步研究旨在探讨的可行性和可接受性，护士为主导的组CBT日本patients with depression.MethodsIn this single-arm study，我们评估了为期6周的组CBT的影响，由训练有素的护士，对患者的抑郁症。主要结局是贝克抑郁量表-II（BDI-II）。在开始和结束的intervention.ResultsOf 25参与者筛选进行评估，23有资格参加这项研究（其中，三个退出试验期间，但被列入分析）。护士引导组的抑郁严重程度（BDI-II，P< 0.001）明显改善。平均总BDI-II评分从23.1（SD= 7.56）改善至12.4（SD= 8.57），治疗前后效应量较大（Cohen'sd= 1.33）。CBT后，45%的参与者被判定为治疗反应，34%符合缓解criteria.ConclusionsOur初步研究结果表明，6周的护士为主导的组CBT产生了良好的治疗结果，个人在日本的临床设置与抑郁症。这项研究的结果可能会鼓励更多的亚洲护士提供CBT作为他们的护理实践的一部分。需要进一步的对照试验来解决本研究的局限性。
ObjectivesThe prevalence and burden of disease of depression necessitates effective and accessible treatment options worldwide. Since April 2016, Japanese national health insurance has covered nurse-administered cognitive behavioral therapy (CBT) for mood disorders. However, empirical support for nurse-led CBT for depression in Asian countries, especially in Japan, is still lacking. This preliminary study aimed to examine the feasibility and acceptability of nurse-led group CBT for Japanese patients with depression.MethodsIn this single-arm study, we evaluated the effects of a 6-week group CBT, led by trained nurses, on patients with major depression. The primary outcome was the Beck Depression Inventory-II (BDI-II). Assessments were conducted at the beginning and end of the intervention.ResultsOf 25 participants screened, 23 were eligible for the study (of these, three dropped out during the trial but were included in the analysis). Nurse-led group CBT led to significant improvements in the severity of depression (BDI-II,P< 0.001). The mean total BDI-II score improved from 23.1 (SD= 7.56) to 12.4 (SD= 8.57), and the pre-to post-effect size was large (Cohen'sd= 1.33). After CBT, 45% of the participants were judged to be treatment responders, and 34% met the remission criteria.ConclusionsOur preliminary findings indicate that 6 weeks of nurse-led group CBT produced a favorable treatment outcome for individuals with major depression in a Japanese clinical setting. The results of this study might encourage more Asian nurses to provide CBT as a part of their nursing practice. Further controlled trials that address the limitations of this study are required.