抑郁症患者参加网络正念认知治疗的疗效及其抑郁症状与恐惧自我的关系  

Effectiveness of online MBCT for depressed patients and its relationship between their depressive symptoms and its of self

作　　者：刘津君 段维 肖泽萍[1] 吴艳茹[1] LIU Jinjun;DUAN Wei;XIAO Zeping;WU Yanru(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Department of Medical Psychology,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine)

机构地区：[1]上海交通大学医学院附属精神卫生中心,200030 [2]上海交通大学医学院附属新华医院临床心理科

出　　处：《中国健康心理学杂志》2024年第5期641-645,共5页China Journal of Health Psychology

基　　金：国家自然科学基金(编号:81971261);上海市精神卫生中心院级课题(编号:2021-TX-006-3)。

摘　　要：目的:探讨抑郁症患者参加网络正念认知治疗(MBCT)的疗效,重点考察抑郁症患者恐惧自我的特征及其抑郁症状与恐惧自我的关系。方法:采用自身前后对照设计,招募心理咨询门诊抑郁症患者,对其进行为期10周的网络MBCT,采用24项汉密顿抑郁量表(HAMD24)、抑郁自评量表(SDS)、恐惧自我问卷(FSQ)和正念注意觉知量表(MAAS)对患者进行3次评估:网络MBCT开始前一周(T1)、第五周(T2)、第十周(T3)。结果:①64名患者完成研究,抑郁症状显著改善(HAMD24,T2<T1,T3<T1;SDS,T3<T1,均P<0.05)。②在T2,抑郁症状更严重患者的FSQ评分显著高于症状相对不严重的患者(F=4.23,P<0.05)。除了两个相关系数不显著,其余时间点的FSQ与HAMD24显著正相关(r=0.30~0.90,P<0.05)。③T1、T2和T3的SDS可以显著预测对应时间点的HAMD24(调整后R 2=0.07,0.24,0.15;均P<0.05)。结论:网络MBCT显著改善了心理咨询门诊抑郁症患者的抑郁症状,恐惧自我水平对抑郁症状严重程度具有一定的预测性。Objective:To explore the effectiveness of online Mindfulness-Based Cognitive Therapy(MBCT)for depressed patients,with a focus on examining the characteristics of fear of self and the relationship between their depressive symptoms and fear of self.Methods:We recruited depressed patients from psychological counseling clinics and conducted a 10-week online MBCT.The patients were evaluated three times using the Hamilton Depression Scale(HAMD 24),Self-rating Depression Scale(SDS),Fear of Self Questionnaire(FSQ),and Mindful Attention Awareness Scale(MAAS):One week before the start of online MBCT(T1),week 5(T2),and week 10(T3).Results:①64 patients completed the study and showed significant improvement in depressive symptoms(HAMD 24,T2<T1,T3<T1;SDS,T3<T1,all P<0.05).②In T2,patients with more depressive symptoms had significantly higher FSQ scores than those with relatively less symptoms(F=4.23,P<0.05).The FSQ and HAMD24 at most time points were significantly positively correlated(r=0.30~0.90,P<0.05).③The SDS of T1,T2 and T3 could significantly predict HAMD 24 at corresponding time points(adjusted R 2=0.07,0.24,0.15,all P<0.05).Conclusion:Online MBCT significantly improves the depressive symptoms of depressed patients from psychological counseling clinics,and fear of self has a certain predictive ability for the severity of depressive symptoms.

关 键 词：网络正念认知治疗 疗效 抑郁症患者 恐惧自我 

分 类 号：R749.05[医药卫生—神经病学与精神病学] R395.4[医药卫生—临床医学]