Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects
Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects
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DOI：
10.1037/0022-006x.72.1.31
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发表时间：
2004-02-01
影响因子：
5.9
通讯作者：
Teasdale, JD
中科院分区：
文献类型：
--
作者：
Ma, SH;Teasdale, JD
康复的复发性抑郁症患者被随机分为照常治疗(TAU)或TAU加正念认知疗法(MBCT)。重复以前的发现，MBCT将55名既往有3次或更多发作的患者的复发率从78%降低到36%；但在仅有2次(最近)发作的IS患者中，相应的数字分别为20%和50%。MBCT在预防未发生生活事件的复发方面最为有效。在2集组中，复发更多地与重大生活事件有关。与3次或更多次发作的组相比，这组人报告的童年逆境和较晚的首次抑郁发作也更少，这表明这些组代表着不同的人群。MBCT是预防有3次或3次以上病史的恢复期抑郁症患者复发的有效方法。
Recovered recurrently depressed patients were randomized to treatment as usual (TAU) or TAU plus mindfulness-based cognitive therapy (MBCT). Replicating previous findings, MBCT reduced relapse from 78% to 36% in 55 patients with 3 or more previous episodes; but in IS patients with only 2 (recent) episodes corresponding figures were 20% and 50%. MBCT was most effective in preventing relapses not preceded by life events. Relapses were more often associated with significant life events in the 2-episode group. This group also reported less childhood adversity and later first depression onset than the 3-or-more-episode group, suggesting that these groups represented distinct populations. MBCT is an effective and efficient way to prevent relapse/recurrence in recovered depressed patients with 3 or more previous episodes.