The effect of cognitive behavior therapy-based psychotherapy applied in a forest environment on physiological changes and remission of major depressive disorder.
The effect of cognitive behavior therapy-based psychotherapy applied in a forest environment on physiological changes and remission of major depressive disorder.
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DOI：
10.4306/pi.2009.6.4.245
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发表时间：
2009-12
影响因子：
2.7
通讯作者：
Woo JM
中科院分区：
文献类型：
--
作者：
Kim W;Lim SK;Chung EJ;Woo JM
心理干预结合药物治疗有助于抑郁障碍的缓解。我们开发并测试了基于认知行为疗法(CBT)的心理疗法在森林环境中应用于严重抑郁障碍的效果。在药物治疗期间，我们对患有严重抑郁症的患者进行了4次疗程(3小时/疗程)，为期4周。对于森林组，会议在森林进行；对于医院组，会议在医院进行。对照组采用常规门诊管理。共有63名患者完成了这项研究：森林组23人，医院组19人，对照组21人。与对照组相比，4次治疗后，森林组的汉密尔顿抑郁量表(HRSD)得分显著降低。森林组患者的Montgomery-Asberg抑郁量表(MADRS)评分明显低于医院组和对照组。森林组缓解率(HRSD为7以下)为61%(14/23)，显著高于医院组(21%，4/19)和对照组(5%，1/21)。在心率变异性(HRV)分析中，代表心率变异性和副交感神经张力的一些指标在4次训练后在森林组增加。森林组小鼠唾液皮质醇水平明显降低。在森林环境中应用CBT心理治疗有助于抑郁症的缓解，其效果优于医院心理治疗和常规门诊管理。良好的环境，如森林，有助于提高心理治疗干预的效果，因为它包括治疗抑郁症的各种自然工具和促进器。
Psychotherapeutic intervention combined with pharmacotherapy is helpful for achieving remission of depressive disorder. We developed and tested the effect of cognitive behavior therapy (CBT)-based psychotherapy applied in a forest environment on major depressive disorder. We performed 4 sessions during 4 weeks (3 hours/session) in patients with major depressive disorder during pharmacotherapy. For the forest group, sessions were performed in the forest; for the hospital group, sessions were performed in the hospital. The control group was treated with the usual outpatient management. A total of 63 patients completed the study: 23 in the forest group, 19 in the hospital group, and 21 in the control group. Hamilton Rating Scales for Depression (HRSD) scores of the forest group were significantly decreased after 4 sessions compared with controls. Montgomery-Asberg Depression Rating Scales (MADRS) scores of the forest group were significantly decreased compared with both the hospital group and the controls. The remission rate (7 and below in HRSD) of the forest group was 61% (14/23), significantly higher than both the hospital group (21%, 4/19) and the controls (5%, 1/21). In heart rate variability (HRV) analysis, some measurements representing HRV and parasympathetic nerve tone were increased in the forest group after 4 sessions. The salivary cortisol levels of the forest group were significantly decreased. CBT-based psychotherapy applied in the forest environment was helpful in the achievement of depression remission, and its effect was superior to that of psychotherapy performed in the hospital and the usual outpatient management. A good environment such as a forest helps improve the effect of psychotherapeutic intervention because it includes various natural instruments and facilitators in the treatment of depression.
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影响因子：
9.1
作者：
Chang, Chun-Yen;Hammitt, William E.;Su, Wei-Chia
通讯作者：
Su, Wei-Chia
影响因子：
5.9
作者：
Jacobson, NS;Dobson, KS;Prince, SE
通讯作者：
Prince, SE
影响因子：
--
作者：
Judd, LL;Akiskal, HS;Keller, MB
通讯作者：
Keller, MB
影响因子：
4.3
作者：
Boerner, RJ;Möller, HJ
通讯作者：
Möller, HJ
影响因子：
6.4
作者：
Gathright, John;Yamada, Yozo;Morita, Miyako
通讯作者：
Morita, Miyako