{"title":"Perceived Social Support and Depression Among Occupational Therapists in Hong Kong During COVID-19 Pandemic.","authors":"M H Chan, A T C Lee","doi":"10.12809/eaap2205","DOIUrl":"https://doi.org/10.12809/eaap2205","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the prevalence of depression and the level of perceived social support among occupational therapists during the pandemic, and to identify any associations between depression and perceived social support.</p><p><strong>Methods: </strong>Using convenience and snowball sampling, occupational therapists aged ≥18 years who were working in Hong Kong and able to read and understand Chinese were invited to participate in a survey between January 2021 and April 2021 (during the fourth wave of COVID-19 pandemic). Data collected included age, sex, education level, employment status, marital status, living status, level of perceived social support (measured by the Multidimensional Scale of Perceived Social Support [MSPSS-C]) and level of depression (measured by the Patient Health Questionnaire-9 [PHQ-9]).</p><p><strong>Results: </strong>87 occupational therapists completed the survey. The mean MSPSS-C score was 67.87; 88.5% of participants had a high level of perceived social support. The mean PHQ-9 score was 4.67; 59.8% of participants had no or minimal depression and 11.5% of participants had clinical depression. The MSPSS-C score negatively correlated with the PHQ-9 score (r<sub>s</sub> = -0.401, p < 0.001). In regression analysis, the MSPSS-C score was associated with the PHQ-9 score (F(1, 85) = 44.846, <i>r</i> = 0.588, p < 0.001). About 34.5% of the variance of the PHQ-9 score was accounted for by the MSPSS-C score.</p><p><strong>Conclusion: </strong>Higher level of perceived social support is associated with lower level of depression. Social support might serve as a protective factor for depression among occupational therapists in Hong Kong during the pandemic.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"32 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40326803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M S C Chow, S H L Poon, K L Lui, C C Y Chan, W W T Lam
{"title":"Alcohol Consumption and Depression Among University Students and Their Perception of Alcohol Use.","authors":"M S C Chow, S H L Poon, K L Lui, C C Y Chan, W W T Lam","doi":"10.12809/eaap20108","DOIUrl":"https://doi.org/10.12809/eaap20108","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between alcohol use and depression among university students in Hong Kong, their stress-coping methods, and their knowledge and perception of the effects of alcohol on health.</p><p><strong>Methods: </strong>345 full-time undergraduate students from The University of Hong Kong were invited to complete a questionnaire to assess their alcohol consumption (Alcohol Use Disorders Identification Test, CAGE questionnaire), depressive symptoms (Patient Health Questionnaire-9), and stress-coping methods (Coping Orientation to Problems Experienced Inventory), as well as knowledge and perception of alcohol consumption on health. Multiple linear regression was used to determine significant variables associated with depressive symptoms. Multinominal logistic regression was used to determine the effect of such variables on depressive symptom caseness and AUDIT drinking risk groups.</p><p><strong>Results: </strong>43.2% of respondents were moderate- to high-risk drinkers, but only 23.2% were self-reported as moderate- to high-level drinkers. 57.9% of respondents had mild to severe depressive symptoms. Probable depression was more likely to occur in female students, those with higher general stress, those who do not use social support for stress-coping, and those who smoke. High-risk drinkers were more likely to occur in older students, smokers, those with higher household income, and those with higher general stress levels. Students with higher levels of depressive symptoms and higher risk of alcohol consumption were more likely to use avoidance for stress-coping. 89.5% of students considered alcohol consumption moderately to very harmful to health, but students demonstrated only moderate knowledge levels of alcohol consumption on health.</p><p><strong>Conclusion: </strong>Alcohol consumption and depressive symptoms are prevalent among university students in Hong Kong. The use of avoidance for stress-coping is common in those with higher levels of depressive symptoms and higher-risk drinkers. Students tend to avoid seeking help for depressive symptoms and potentially take up drinking as a coping strategy. Context-specific approaches should be used when providing counselling services for student wellbeing in university settings. Further education of university students on knowledge and perception of alcohol consumption on health should be provided.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 4","pages":"87-96"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39789423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S C S Shih, A S M Chan, E Y Y Yeung, A M Y Tsang, R L P Chiu, M H W Chu, M Y C Poon
{"title":"Psychometric Properties of Chinese Version of Work and Social Adjustment Scale for Outpatients With Common Mental Disorders: Classical Test Theory and Rasch Analysis.","authors":"S C S Shih, A S M Chan, E Y Y Yeung, A M Y Tsang, R L P Chiu, M H W Chu, M Y C Poon","doi":"10.12809/eaap20101","DOIUrl":"https://doi.org/10.12809/eaap20101","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the psychometric properties of the Chinese version of the work and social adjustment scale (CWSAS) in outpatients with common mental disorders, and to evaluate the correlations of CWSAS with Physical Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7), World Health Organization Five Well-being Index (WHO-5), and Chinese version of the Perceived Stress Scale-10 (CPSS-10).</p><p><strong>Methods: </strong>Forward and backward translations of the CWSAS was performed. Between October 2018 and March 2020, 252 outpatients with a common mental disorder who had a job or a job plan were recruited from two psychiatric centres in Hong Kong. Participants were asked to complete the CWSAS, PHQ-9, GAD-7, WHO-5, and CPSS-10. Classical test theory and Rasch analysis were undertaken to determine the psychometric properties of the CWSAS and its correlations with other tools.</p><p><strong>Results: </strong>Principal component analysis revealed that the CWSAS was a one-factor structure and showed adequate convergent and discriminant validities, internal consistency, item-total correlation, and inter-item correlation. There was a significant group difference in terms of employment status. CPSS-10 and PHQ-9 were predictors for CWSAS score. The CWSAS was a distinct factor among other outcome measures. Rasch analysis indicated that the CWSAS was well-targeted and unidimensional. The CWSAS had an adequate person separation index, item separation index, person reliability, and item reliability. No categorical disordering was found, whereas inadequate adjacent threshold distance was reported. The item of ability to work indicated a noticeable differential item functioning in employment status and main source of finance.</p><p><strong>Conclusion: </strong>The CWSAS is psychometrically appropriate to measure functional outcomes in outpatients with common mental disorders.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 4","pages":"97-104"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39789424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychometric Properties of Persian Version of Short Schema Mode Inventory.","authors":"S Ghahari, F Veisy, M K Atef Vahid, M Zarghami","doi":"10.12809/eaap2018","DOIUrl":"https://doi.org/10.12809/eaap2018","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the psychometric properties of the Persian version of the short Schema Mode Inventory (SMI).</p><p><strong>Methods: </strong>The short SMI was translated into Persian by three clinical psychology professors and then back-translated into English by two professors in English language. Between 2017 and 2018, patients from Iran Psychiatric Hospital and Rasoul Akram Hospital who were diagnosed with personality disorder in Axis II by a psychiatrist and had minimum education of middle school were included. Controls included students and staff of the Iran Medical Sciences University who had minimum education of middle school. All participants were asked to complete the short SMI and the Young Schema Questionnaire - Short Form (YSQ-SF). Internal consistency (Cronbach's alpha), test-retest reliability, confirmatory factor analysis, internal correlation of schema mode subscales, and correlation between short SMI and YSQ-SF were assessed.</p><p><strong>Results: </strong>Of 406 participants, 205 (50.7%) were patients and 201 (49.3%) were controls. The fitness indices indicated that the 14-factor model was reliable, with χ<sup>2</sup> = 12917.97, p < 0.001, df = 5795, χ<sup>2</sup>/df = 2.23, CFI = 0.96, NNFI = 0.96 SRMR = 0.08, and RMSEA = 0.05. The internal consistency of the short SMI was satisfactory (M = 0.94). Among 34 participants in the control group who completed the short SMI again after 2 weeks, test-retest reliability was high (Pearson correlation coefficient = 0.88, p < 0.001). The short SMI and YSQ-SF correlated strongly in terms of the overall scale and most subscales. The patient and control groups differed significantly in most subscales.</p><p><strong>Conclusions: </strong>Psychometric properties of the Persian version of the short SMI showed good validity and reliability. It can be used in clinical and research settings.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 4","pages":"105-111"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39789425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J Ping, J Zhang, J Wan, A Banerjee, C Huang, J Yu, T Jiang, B Du
{"title":"Correlation of Four Single Nucleotide Polymorphisms of the <i>RELN</i> Gene With Schizophrenia.","authors":"J Ping, J Zhang, J Wan, A Banerjee, C Huang, J Yu, T Jiang, B Du","doi":"10.12809/eaap2168","DOIUrl":"https://doi.org/10.12809/eaap2168","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the association between single-nucleotide polymorphisms (SNPs) of the <i>RELN</i> gene and schizophrenia.</p><p><strong>Methods: </strong>134 patients aged 16 to 58 (mean, 38.0) years who were diagnosed with acute or chronic schizophrenia at the Zhongshan Third People's Hospital between January 2018 and April 2020 were recruited, as were 64 healthy controls aged 22 to 59 (mean, 45.6) years who matched with the age and sex of the patients. MassARRAY mass spectrometry genotyping technology was used to determine the genotypes of four SNPs of <i>RELN</i> (rs2073559, rs2229864, rs362691, and rs736707).</p><p><strong>Results: </strong>There were no significant between-group or between-sex differences in terms of genotype, allele frequency, or haplotype frequency of the SNPs (all p > 0.05). In the association analysis between genotypes and quantitative traits in the Positive and Negative Syndrome Scale, rs2229864 and rs736707 were associated with the scores for items P3 (hallucinatory behaviour) and G11 (attention disorder), and rs362691 was associated with G10 (disorientation). However, the associations did not remain significant after Bonferroni correction.</p><p><strong>Conclusion: </strong>Multiple pathogenic polymorphisms of <i>RELN</i> might be associated with hallucinatory behaviour and attention disorder in Chinese patients with schizophrenia.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 4","pages":"112-118"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39789426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lurasidone-Induced Manic Switch in an Adolescent with Bipolar I Disorder: a Case Report.","authors":"S S Nair, C J M Chua, D C L Teo","doi":"10.12809/eaap2040","DOIUrl":"https://doi.org/10.12809/eaap2040","url":null,"abstract":"<p><p>Lurasidone is used for treatment of bipolar depression in adults and adolescents. Lurasidone-associated manic switch has been reported in adults but not yet in adolescents. We report a case of lurasidone-induced manic switch in a male adolescent treated for bipolar I depression. Five days after adding lurasidone to his regimen (sodium valproate and olanzapine), our patient became manic with psychotic features. After discontinuation of lurasidone, he was stabilised with electroconvulsive therapy, and the medication was switched to a lithium-quetiapine combination. This case highlights the potential risk of lurasidone-induced manic switch in adolescents with bipolar depression.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 3","pages":"81-83"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39469452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Computer-Assisted Cognitive Training for Patients with Severe Mental Illness: a Retrospective Study.","authors":"C M Lau, W K Tang","doi":"10.12809/eaap2097","DOIUrl":"https://doi.org/10.12809/eaap2097","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effectiveness of eight 45-minute sessions of computer-assisted cognitive training programme (CCTP) on improving the cognitive and functional performance of patients with Severe Mental Illness (SMI).</p><p><strong>Methods: </strong>Medical records of 16 women and 13 men aged 26 to 62 (mean, 46.34) years who participated a CCTP were reviewed. The CCTP lasted a total of 6 hours in eight sessions over 8 weeks and comprised a series of mobile applications customised to patients' specific impaired cognitive domains. Pre- and post-test performance of cognition and functioning were assessed using the Montreal Cognitive Assessment Hong Kong version (HK-MoCA) and the Brief Assessment of Prospective Memory (BAPM), respectively.</p><p><strong>Results: </strong>After the CCTP, the mean HK-MoCA score increased significantly (23.62 ± 5.34 vs 25.48 ± 3.75, d = 0.403, p = 0.001), with a significant increase in delayed recall (3.14 ± 1.75 vs 3.93 ± 1.44, d = 0.493, p = 0.003), and the mean BAPM score decreased significantly (1.44 ± 0.47 vs 1.26 ± 0.23, d = 0.486, p = 0.012). The improvement was greater in participants with primary-level education than in participants with secondary- or tertiary-level education in terms of the HK-MoCA score (3.83 ± 3.06 vs 1.35 ± 2.12, d = 0.942, p = 0.046) and the BAPM scores (-0.49 ± 0.43 vs -0.10 ± 0.29, d = 1.063, p = 0.035).</p><p><strong>Conclusion: </strong>Our shortened CCTP effectively enhanced the cognitive performance and daily functioning of patients with SMI. Verbal episodic memory showed the most improvement. The improvement was greater in those with primary-level education than in those with secondary- or tertiary-level education.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 3","pages":"71-80"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39469451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y L Wong, C P W Cheng, C S M Wong, S N Wong, H L Wong, S Tse, G H Y Wong, W C Chan
{"title":"Cognitive Stimulation for Persons with Dementia: a Systematic Review and Meta-Analysis.","authors":"Y L Wong, C P W Cheng, C S M Wong, S N Wong, H L Wong, S Tse, G H Y Wong, W C Chan","doi":"10.12809/eaap2102","DOIUrl":"https://doi.org/10.12809/eaap2102","url":null,"abstract":"<p><strong>Objective: </strong>We aim to provide an up-to-date systematic review and meta-analysis of the effects of cognitive stimulation (CS) on cognition, depressive symptoms, and quality of life in persons with dementia. Factors affecting the treatment effect were examined.</p><p><strong>Methods: </strong>A literature search was performed on databases of MEDLINE, EMBASE, PsycINFO, CINAHL Plus, and Cochrane Library up to 7 March 2019. Only randomised controlled trials investigating the effects of CS in persons with dementia were included. The outcome measures were cognitive function, depressive symptoms, and quality of life.</p><p><strong>Results: </strong>20 randomised controlled trials with a total of 1251 participants (intervention group: 674; control group: 577) were included for meta-analysis. Most participants had mild to moderate dementia. CS had a significant positive small-to-moderate effect on cognition (Hedges's g = 0.313, p < 0.001). Heterogeneity of CS was low to moderate (Q=30.5854, df=19, p < 0.05, I2 = 37.877%). Inconclusive results were found for depressive symptoms and quality of life.</p><p><strong>Conclusion: </strong>CS has a significant positive effect on cognitive function, but its effect on depressive symptoms and quality of life was inconclusive. Future studies with more robust methodology establishing evidence of its efficacy are required.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 3","pages":"55-66"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39472498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M M C Wong, P F Pang, C F Chan, M S Lau, W Y Tse, L C W Lam, S K L Lee, J Tsoh, C T Y Yan
{"title":"Wilson Sims Fall Risk Assessment Tool Versus Morse Fall Scale in Psychogeriatric Inpatients: a Multicentre Study.","authors":"M M C Wong, P F Pang, C F Chan, M S Lau, W Y Tse, L C W Lam, S K L Lee, J Tsoh, C T Y Yan","doi":"10.12809/eaap2113","DOIUrl":"https://doi.org/10.12809/eaap2113","url":null,"abstract":"<p><strong>Objective: </strong>To compare predictive validity of the Wilson Sims Fall Risk Assessment Tool (WSFRAT) with that of the Morse Fall Scale (MFS) in psychogeriatric inpatients.</p><p><strong>Methods: </strong>Psychogeriatric patients from Shatin Hospital, Tai Po Hospital, Castle Peak Hospital, and United Christian Hospital who had fall incident between April 2019 and April 2020 were identified. Their fall risks were assessed by the WSFRAT and the MFS, and their falls incidents during hospitalisation were recorded. Patients were classified as having high fall risk when their MFS score was ≥45 and when their WSFRAT score was ≥7. Sensitivity, specificity, and positive and negative predictive values of the two scales were calculated.</p><p><strong>Results: </strong>We identified 183 (90 male and 93 female) psychogeriatric patients aged ≥65 years who had fall incident and were assessed by both the WSFRAT and the MFS during the study period. Among the 183 patients, four sustained a fall during hospital stay, giving a prevalence of 2.19%. All four patients were classified as having high risk of fall by WSFRAT, but only two of them were classified so by MFS. The sensitivity of WSFRAT was 100%, which was higher than the 50% by MFS, but specificity of MFS was higher than that of WSFRAT (45.81% vs 54.75%).</p><p><strong>Conclusion: </strong>WSFRAT is a better fall risk assessment scale for psychiatric inpatients than MFS, because of higher sensitivity (100% vs 50%). It has items specific to psychiatric patients and should replace MFS in psychiatric settings.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 3","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39472499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V W Y Shih, W C Chan, O K Tai, H L Wong, C P W Cheng, C S M Wong
{"title":"Mindfulness-Based Cognitive Therapy for Late-Life Depression: a Randomised Controlled Trial.","authors":"V W Y Shih, W C Chan, O K Tai, H L Wong, C P W Cheng, C S M Wong","doi":"10.12809/eaap2075","DOIUrl":"https://doi.org/10.12809/eaap2075","url":null,"abstract":"<p><strong>Background: </strong>Rumination and overgeneral autobiographical memory are dysfunctional cognitions commonly found in older adults with depression. The theoretical underpinnings of mindfulness-based cognitive therapy (MBCT) address the ruminative tendencies and the non-specific retrieval of autobiographical memories. This study aims to examine the efficacy and cognitive mechanisms of MBCT in older adults with active depressive symptoms.</p><p><strong>Methods: </strong>57 older adults (mean age, 70 years) with normal cognition and mild to moderate depressive symptoms were randomly allocated to either the MBCT group or the active control group for 8 weeks. The MBCT group consisted of eight 2-hour weekly sessions and a 7-hour full-day retreat, with different themes for each class, guided mindfulness exercises, feedback and discussion, homework review, and psychoeducation. The active control group comprised a 1-hour physical exercise and a standardised health education of the specific theme with group discussion (eg fall prevention, chronic pain). Participants were assessed before and after the 8-week intervention for four outcome measures: the Hamilton Depression Rating Scale (HAMD), the Ruminative Response Scale (RRS), the Autobiographical Memory Test (AMT), and the Mindful Attention Awareness Scale (MAAS).</p><p><strong>Results: </strong>There was a significant reduction in severity of depressive symptoms (HAMD score) in both the MBCT group (F(1, 27) = 35.9, p < 0.001, η<sup>2</sup> = 0.57) and the active control group (F(1, 28) = 9.29, p < 0.01, η<sup>2</sup> = 0.24), but only the MBCT group showed substantial improvements in autobiographical memory specificity (AMT score), rumination (RRS score), and mindfulness (MAAS score).</p><p><strong>Conclusion: </strong>Although both MBCT and active control programme decrease the severity of depressive symptoms in older adults, only MBCT improves AMS, rumination, and mindfulness. Our findings provide empirical support for the theoretical underpinnings of MBCT. Older adults with more severe depression and more severe dysfunctional cognition may benefit more from the specific therapeutic effects of MBCT.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"31 2","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39787503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}