The effects of a telenursing scheduled intervention of brief behavioral activation therapy on depression and anxiety symptoms of patients with mixed depression and anxiety disorder: A randomized controlled trial
Mahsa Sadat Hayati , Jamal Shams , Sara Sadeghipour Meibodi , Amir Hossein Shafighi , Mona Shattell , Fataneh Ghadirian
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Abstract
Background
Although many studies have been conducted on the efficacy of behavioral activation in depression, few studies have evaluated the efficacy of this treatment in patients with mixed depression and anxiety through telecare.
Aim
To determine the effects of a telenursing scheduled intervention of brief behavioral activation therapy on depression and anxiety symptoms of patients with mixed anxiety and depression disorder (MADD).
Design
A randomized controlled trial.
Methods
Thirty subjects with MADD were randomly assigned to an intervention group and a control group. The eight-session person-centered behavioral activation intervention was delivered twice weekly via tele-nursing. Depression and anxiety symptom severity were assessed using the Hamilton Anxiety Rating Scale and the Hamilton Depression Rating Scale at baseline, at the end, and one month after the intervention. Data were analyzed by independent t-tests, chi-square tests, and repeated-measures tests using SPSS version 24.
Results
The results showed that after the implementation of the intervention, the depression score in the intervention group decreased from 19.86 (±8.56) to 17.21 (±6.71). In contrast, depression scores increased from 18.67 (±9.72) to 19.47 (±7.33) in the control group. For anxiety symptoms, there was a clinically significant decrease after the intervention only in the intervention group.
Conclusion
The results showed the effects of brief behavioral activation tele-nursing on a non-significant reduction in depression symptoms and a significant clinical reduction in anxiety symptoms after the intervention in MADD.
Aim To determine the effects of a telenursing scheduled intervention of brief behavioral activation therapy on depression and anxiety symptoms of patients with mixed anxiety and depression disorder (MADD).DesignA randomized controlled trial.Methods将30名MADD患者随机分配到干预组和对照组。以人为中心的行为激活干预为期八节，通过远程护理每周进行两次。抑郁和焦虑症状的严重程度分别在基线、干预结束时和一个月后使用汉密尔顿焦虑评定量表和汉密尔顿抑郁评定量表进行评估。结果表明，实施干预后，干预组的抑郁评分从 19.86（±8.56）分降至 17.21（±6.71）分。相比之下，对照组的抑郁得分从 18.67（±9.72）分升至 19.47（±7.33）分。结论结果表明，在对 MADD 进行干预后，简短行为激活远程护理对抑郁症状的减轻效果不显著，而对焦虑症状的减轻效果显著。
期刊介绍：
Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.
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