中国心理卫生杂志2024,Vol.38Issue(9) :759-765.DOI:10.3969/j.issn.1000-6729.2024.09.004

线上接纳承诺疗法对抑郁症康复期患者心理灵活性疗效的随机对照试验

A randomized controlled trial of effect of online acceptance and commitment therapy on psychological flexibility in patients in recovery phase of depression

蔡恬 刘健 沈欣欣
中国心理卫生杂志2024,Vol.38Issue(9) :759-765.DOI:10.3969/j.issn.1000-6729.2024.09.004

线上接纳承诺疗法对抑郁症康复期患者心理灵活性疗效的随机对照试验

A randomized controlled trial of effect of online acceptance and commitment therapy on psychological flexibility in patients in recovery phase of depression

蔡恬 1刘健 2沈欣欣1
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作者信息

  • 1. 浙江理工大学心理学系,杭州 310018
  • 2. 浙江理工大学心理学系,杭州 310018;杭州市第七人民医院科教部,杭州 310013;安徽医科大学精神卫生与心理科学学院,合肥 230032
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摘要

目的:探讨线上接纳承诺疗法(ACT)干预抑郁症康复期患者心理灵活性的效果.方法:选取抑郁症康复期患者58例,随机分为线上ACT干预组(n=27)和等待对照组(n=31).干预组进行为期20d的线上ACT干预,对照组保持等待.在基线、20 d干预后和干预结束后1个月追踪时采用心理灵活性综合问卷(CompACT)、9条目病人健康问卷抑郁量表(PHQ-9)、五因素正念问卷(FFMQ)和简式心理健康连续体量表(MHC-SF)评估.结果:干预组20d干预后和追踪时的CompACT得分和MHC-SF得分均低于对照组(均P<0.05);干预组20 d干预后和追踪时的CompACT得分、PHQ-9得分、FFMQ得分和MHC-SF得分均低于基线(P<0.001或P<0.01).结论:线上接纳承诺疗法可以提高抑郁症康复期患者的心理灵活性、正念和心理健康水平,降低其抑郁水平.

Abstract

Objective:To explore the effect of online acceptance and commitment therapy(ACT)on the psy-chological flexibility in patients with depression during recovery.Methods:A total of 58 patients with depression during the recovery period were randomly divided into the online ACT intervention group(n=27)and the waiting control group(n=31).The intervention group received 20-day online ACT intervention,while the control group re-mained waiting.The Comprehensive Assessment of Acceptance and Commitment Therapy(CompACT),Patient Health Questionnaire-9(PHQ-9),Five-Factor Mindfulness Questionnaire(FFMQ)and Mental Health Continuum Short Form(MHC-SF)were used to evaluate the two groups at the baseline,at the end of the 20-day intervention and 1 month after the intervention.Results:The scores of CompACT and MHC-SF were lower in the intervention group than in the control group at the end of the 20-day intervention and 1 month after the intervention(Ps<0.05).The scores of CompACT,PHQ-9,FFMQ and MHC-SF in the intervention group were lower at the end of the 20-day intervention and 1 month after the intervention than at the baseline(Ps<0.01).Conclusion:Online ac-ceptance and commitment therapy could improve the level of psychological flexibility,mindfulness and mental health of patients with depression during recovery period,and reduce their depression level.

关键词

接纳承诺疗法/线上干预/抑郁症/康复期/心理灵活性

Key words

acceptance and commitment therapy/online intervention/depression/recovery phase/psycho-logical flexibility

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基金项目

杭州市医药卫生科技计划项目(2023KY979)

出版年

2024
中国心理卫生杂志
中国心理卫生协会

中国心理卫生杂志

CSTPCDCHSSCD北大核心
影响因子:2.088
ISSN:1000-6729
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