Feeling connected again: Interventions that increase social identification reduce depression symptoms in community and clinical settings

Feeling connected again: Interventions that increase social identification reduce depression symptoms in community and clinical settings
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DOI:
10.1016/j.jad.2014.02.019
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发表时间:
2014-04-01
影响因子:
6.6
通讯作者:
Oei, Tian P. S.
Oei, Tian P. S.
中科院分区:
医学2区
文献类型:
--
作者:
Cruwys, Tegan;Haslam, S. Alexander;Oei, Tian P. S.

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背景资料:临床抑郁症通常发生在社交退缩之前,然而,有限的研究已经检查了增加社交接触的干预措施是否会减轻抑郁症状。特别是,没有研究调查是否社会认同(作为一个群体的一部分的感觉)缓和的社会interventions.Method的影响:我们测试这两个纵向干预研究。在研究1(N=52),参与者在抑郁症的风险加入了社区娱乐组;在研究2(N=92)诊断为抑郁症的成年人加入了临床psychotherapygroup.Results:在这两项研究中,社会认同预测抑郁症的恢复后,控制初始抑郁症的严重程度,频率出席,和组类型。在研究2中,社会认同对抑郁症状的益处大于对焦虑症状或生活质量的益处。局限性:社会认同是主观的和心理的,因此参与者不能被随机分配到高和低社会认同条件。研究结果对临床和社区环境中的卫生从业人员有影响,这表明促进社会参与在治疗抑郁症方面是有效和具有成本效益的。(C)2014爱思唯尔有限公司版权所有。
Background: Clinical depression is often preceded by social withdrawal, however, limited research has examined whether depressive symptoms are alleviated by interventions that increase social contact. In particular, no research has investigated whether social identification (the sense of being part of a group) moderates the impact of social interventions.Method: We test this in two longitudinal intervention studies. In Study 1 (N=52), participants at risk of depression joined a community recreation group; in Study 2 (N=92) adults with diagnosed depression joined a clinical psychotherapy group.Results: In both the studies, social identification predicted recovery from depression after controlling for initial depression severity, frequency of attendance, and group type. In Study 2, benefits of social identification were larger for depression symptoms than for anxiety symptoms or quality of life.Limitation: Social identification is subjective and psychological, and therefore participants could not be randomly assigned to high and low social identification conditions.Conclusions: Findings have implications for health practitioners in clinical and community settings, suggesting that facilitating social participation is effective and cost-effective in treating depression. (C) 2014 Elsevier B.V. All rights reserved.