寻求有关抑郁症的知识会产生影响吗?一项检验心理教育干预对非精神病性抑郁症患者疗效的随机研究

A. Gabriel
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引用次数: 0

摘要

目的:本研究的主要目的是评估一个系统的以患者为中心的心理教育项目对非精神病性重度抑郁症患者寻求抑郁症知识和临床结果的疗效。方法:52例经同意诊断为重度抑郁症的患者随机分为两组,一组(n = 32)接受系统化抑郁心理教育,另一组(n = 20)接受标准治疗。干预组接受了系统的教育,包括(i)阅读材料,“抑郁症手册”和(ii)个人或团体教育课程。主要临床结局指标包括临床医师评定抑郁症状快速量表(QIDS-C)和自评抑郁症状快速量表(QIDS-SR)。两组患者均在基线、第4周、第8周和第12周完成QIDS-SR和知识寻求行为量表(KSI)。结果:12周时,干预组和等待组患者的QIDS-CR和QIDS-SR评分均有显著降低(p < 0.01)。但两组间差异有统计学意义,干预组在减轻抑郁症状方面具有优势。以KSI衡量的知识寻求小时数与QIDS-SR和QIDS-CR得分呈负相关。结论:系统化教育可显著减少临床症状,改善求知行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does seeking knowledge of depression make a difference? A randomized study to examine the efficacy of psychoeducational intervention with patients suffering from non-psychotic depression
Aims: The primary objective of the study is to assess the efficacy of a systematic patient-centered psychoeducation program on knowledge seeking of depression and on the clinical outcomes, in patients with non-psychotic major depressive disorder. Method: 52 consenting patients with confirmed diagnosis of major depression were randomly assigned to a group (n = 32) who received systematized psychoeducation for depression, and to a waiting group (n = 20) who received standard care. The intervention group received systematic education consisting of (i) Reading material, "depression manual", and (ii) individual or groups educational sessions. The primary clinical outcome measures included the clinician rated quick inventory of depressive symptomatology (QIDS-C) and the self-rated quick inventory of depressive symptomatology (QIDS-SR). Patients in both groups completed QIDS-SR, and the knowledge seeking behavior instrument (KSI), at baseline, at 4th, 8th and 12th weeks. Results: At 12th week, there was significant (p less than 0.01) reduction in the (QIDS-CR) and the (QIDS-SR) scores in both the intervention and waiting group patients. However, there were significant differences between the two groups, with the superiority for the intervention group in reduction of depressive symptoms. The number of hours spent in knowledge seeking as measured by the (KSI), correlated negatively with the scores of QIDS-SR, and QIDS-CR. Conclusion: Systematized education may lead to significant reduction in clinical symptomatology, and to improved knowledge seeking behavior.
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