一项随机对照试验研究,旨在评估人际心理疗法对抑郁症患者减轻症状和预防复发的效果。

IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Indian journal of public health Pub Date : 2024-01-01 Epub Date: 2024-04-04 DOI:10.4103/ijph.ijph_26_22
Sivasankari Varadharasu
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引用次数: 0

摘要

背景:抑郁症是一种严重的疾病,约有 40%-60% 的患者会复发,复发风险最高可达 90%。人际心理治疗(IPT)是减少抑郁症状和复发的有效方法:这项随机对照试验研究旨在评估人际心理治疗对减轻抑郁症状和预防复发的效果:通过简单随机抽样技术从印度 UP 省一家选定的精神病院招募了 300 名抑郁症患者,并通过掷硬币的方式将 150 名参与者随机分配到实验组,150 名分配到对照组。抑郁症状采用汉密尔顿抑郁量表进行评估,该量表共有 17 个项目。试验第二天,实验组接受综合治疗。它帮助参与者认识到自己的情绪并敦促自己表达情绪,这两点都对他们的悲伤情绪产生了直接的积极影响。4 周干预结束后进行了 IPT 疗效评估,4 个月后进行了预防复发评估。对照组保留了实际的治疗方法和心理教育课程,其评估方法与实验组相同:结果:研究结果表明,实验组的抑郁症状减轻率(t = 33.61)(P = 0.0000)和复发预防率(t = 2.7484)(P = 0.0067)分别显著。此外,症状减轻和预防复发与一些人口统计学数据有关,P < 0.05,0.001:IPT是减少抑郁症状和预防复发的有效干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Randomized Control Trial Study to Assess the Effectiveness of Interpersonal Psychotherapy on Symptom Reduction and Relapse Prevention for Depression among the Depression Patients.

Background: Depression is a serious illness; approximately 40%-60% of patients develop relapse, and this risk increases up to 90%. Interpersonal psychotherapy (IPT) is an effective method to minimize depressive symptoms and relapse.

Objectives: This randomized control trial study is designed to assess the effectiveness of IPT on depression symptom reduction and relapse prevention.

Materials and methods: Three hundred depressed patients from a selected psychiatric hospital in UP, India, were recruited by a simple random sampling technique that randomly allocated 150 participants to the experimental group and 150 to the control group by tossing a coin. Depressive symptoms were assessed using the Hamilton Depression Rating Scale, which has 17 items. On the 2nd day of the trial, the experimental group received IPT. It helped the participants recognize their emotions and urge themselves to express them, both of which had a direct positive impact on their sad mood. The IPT efficacy assessment was done at the end of the 4 weeks of the intervention, and the relapse prevention assessment was undertaken 4 months later. The control group was kept with the actual treatment modalities and psychoeducation sessions, and they were assessed in the same way as the experimental group.

Results: Findings illustrated that the reduction of depressive symptoms with (t = 33.61) (P = 0.0000) and relapse prevention with (t = 2.7484) (P = 0.0067) are significant, respectively. Furthermore, symptom reduction and relapse prevention had an association with some demographical data at P < 0.05, 0.001.

Conclusion: IPT is an effective intervention for reducing depressive symptoms and preventing relapse.

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来源期刊
Indian journal of public health
Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
0.00%
发文量
92
审稿时长
21 weeks
期刊介绍: Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.
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