Gratitude diary for the management of suicidal inpatients: A randomized controlled trial
Gratitude diary for the management of suicidal inpatients: A randomized controlled trial
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DOI：
10.1002/da.22877
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发表时间：
2019-05-01
影响因子：
7.4
通讯作者：
Olie, Emilie
中科院分区：
文献类型：
--
作者：
Ducasse, Deborah;Dassa, Deborah;Olie, Emilie
背景自杀危机的管理仍然是临床医生的一个主要问题，推动了新策略的发展。方法对因自杀意念或企图自杀而住院的成年人进行为期7天的随机对照试验：感恩日记（干预）与食物日记（对照）。主要疗效指标是7天干预开始和结束时，当前心理疼痛平均变化的组间差异。我们测量了7天干预期间和结束后自杀意念、绝望和乐观、抑郁和焦虑的平均变化的组间差异。我们比较了每日日记完成前后当前心理疼痛、自杀意念、绝望和乐观情绪的平均变化。结果共纳入201名受试者，随机分组。治疗前与治疗后：两组间自杀意念严重程度和强度的平均变化无显著差异。当前心理疼痛平均变化组间差异有趋势（P = 0.05）。干预组抑郁、焦虑和乐观的平均变化显著高于对照组。在完成每日日记之前和之后：在所有结果（心理疼痛、自杀意念、绝望和乐观）方面，组间差异更倾向于感恩（vs.食物）日记；P < 10(-3))。参与者发现这种干预比食物日记更有用。结论通过感恩日记是一种非常直接的干预方法，可以作为自杀患者的辅助策略。
Background The management of suicidal crisis remains a major issue for clinicians, driving the development of new strategies. Methods We conducted a randomized controlled trial based on a 7-day add-on positive psychology program: gratitude diary (intervention) versus food diary (control) in adults hospitalized for current suicidal ideation or a suicide attempt. The primary effectiveness outcome was between-group differences for mean change of current psychological pain, between the beginning and the end of the 7-day intervention. We measured between-group differences for mean change of suicidal ideation, hopelessness and optimism, and depression and anxiety between inclusion and after the completion of the 7-day intervention. We compared mean change of current psychological pain, suicidal ideation, and hopelessness and optimism between immediate pre and post daily journal completion. Results Two hundred and one participants were enrolled and randomized. Between pretherapy and posttherapy: There were no significant between-group differences for mean change of severity and intensity of suicidal ideation and current hopelessness. Between-group difference for mean change of current psychological pain was trending (P = 0.05). Mean change of depression, anxiety, and optimism was significantly higher in the intervention than in the control group. Between immediate pre and post daily journal completion: Between-group differences favored gratitude (vs. food) diary for all outcomes (psychological pain, suicidal ideation, and hopelessness and optimism; P < 10(-3)). Participants found the intervention to be more useful than the food diary. Conclusions Through gratitude diary appears a very straightforward intervention that could be developed as an adjunctive strategy for suicidal patients.