Preliminary long-term follow-up of Mindfulness-based cognitive therapy-induced remission of depression.
Preliminary long-term follow-up of Mindfulness-based cognitive therapy-induced remission of depression.
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DOI：
10.1007/s12671-012-0135-0
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发表时间：
2013-12-01
期刊：
影响因子：
3.6
通讯作者：
Delucchi, Kevin
中科院分区：
文献类型：
--
作者：
Munshi, Krishna;Eisendrath, Stuart;Delucchi, Kevin
重度抑郁症（MDD）通常是慢性的，其特征是复发和复发，尽管成功的治疗诱导缓解。基于正念的认知疗法（MBCT）被开发为使用认知干预预防缓解期个体复发的手段。此外，MBCT已初步发现可用于治疗活动性抑郁症。目前的研究是唯一的，在评估个人的长期结果与活动性抑郁症谁实现缓解与MBCT。18名在8周MBCT组后达到缓解的参与者在完成治疗后平均随访间隔48.7个月（SD=10.2）进行评估。目前的研究表明，在这些参与者中，初始治疗后取得的收益包括抑郁缓解，减少反刍，减少焦虑和增加正念持续长达58.9个月的随访。这些数据表明，所有水平的抑郁症，从较少复发和轻度到更多复发和严重的MBCT反应。在我们的队列中，每周持续练习的平均分钟数为210分钟，但练习的分钟数与抑郁症的结果无关。正念认知疗法的效果可能更多地与练习的规律性有关，而不是与具体的量有关。这项研究提供了一个初步的探索MBCT的长期影响，这可以帮助未来的研究与典型的慢性疾病。
Major depressive disorder (MDD) is often chronic and characterized by relapse and recurrence despite successful treatments to induce remission. Mindfulness-based cognitive therapy (MBCT) was developed as a means of preventing relapse for individuals in remission using cognitive interventions. In addition, MBCT has preliminarily been found to be useful in treating active depression. This current investigation is unique in evaluating the long-term outcome of individuals with active depression who achieved remission with MBCT. 18 participants who achieved remission after an 8-week MBCT group were seen for evaluation at a mean follow-up interval of 48.7 months (SD=10.2) after completing treatment. The current study shows that in these participants, the gains achieved after the initial treatment including remission of depression, decreased rumination, decreased anxiety, and increased mindfulness continued for up to 58.9 months of follow-up. The data suggests that all levels of depression from less recurrent and mild to more recurrent and severe were responsive to MBCT. The average number of minutes per week of continued practice in our cohort was 210, but the number of minutes of practice did not correlate with depression outcomes. MBCT’s effects may be more related to regularity of practice than specific quantity. This study provides a preliminary exploration of MBCT’s long-term effects, which can aid in future research with a typically chronic illness.
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