基于手机应用的 "接纳与承诺疗法 "随机对照试验对大学生抑郁症状和过程变量的影响--关注接纳和认知化解的中介效应

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Narae Jeong , Eunjung Kim , Jonghoon Chun
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引用次数: 0

摘要

随着抑郁症发病率的上升导致社会成本的增加,人们越来越重视具有成本效益和以证据为基础的心理治疗方法。接受与承诺疗法(ACT)治疗抑郁症是一种有效的方法,它能减轻抑郁症状,并通过增强心理灵活性来预防抑郁症复发。本研究开发了一种基于手机应用的 ACT,并测试了其对患有抑郁症的大学生的疗效。80 名患有抑郁症的大学生被随机分配到治疗组(41 人)或对照组(39 人)。治疗组接受为期 4 周的基于手机应用的 ACT 治疗,对照组不接受治疗。两组的治疗前、治疗后和随访评估得分进行了比较。结果发现,在抑郁和焦虑症状方面,以及在治疗过程变量(如接受、不灵活、化解、价值观、承诺和正念)方面,时间和组别之间存在显著的交互效应。在基于手机应用的 ACT 对抑郁症的影响中,接受和认知化解成为重要的中介因素。基于移动应用程序的 ACT 有效减少了抑郁,改善了治疗过程变量,证明了其成本效益。本研究还讨论了其意义、局限性和未来研究方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of a randomized controlled trial of mobile app-based Acceptance and Commitment Therapy on depressive symptoms and process variables in college students - Focusing on the mediating effects of acceptance and cognitive defusion-
As social costs rise due to the increasing prevalence of depression, there is a growing emphasis on cost-effective and evidence-based psychotherapeutic methods. Acceptance and Commitment Therapy (ACT) for depression is an effective approach that reduces depressive symptoms and helps prevent recurrence by enhancing psychological flexibility. This study developed a mobile app-based ACT and tested its effectiveness for college students with depression. Eighty college students with depression were randomly assigned to either a treatment group (n = 41) or a control group (n = 39). The treatment group received mobile app-based ACT for 4 weeks, the control group waited without treatment. The scores from pre, post, and follow-up assessments were compared between the two groups. Significant interaction effects of time and group were found for depression and anxiety symptoms, as well as for treatment process variables such as acceptance, inflexibility, defusion, values, commitment, and mindfulness. Acceptance and cognitive defusion emerged as significant mediators in the impact of mobile app-based ACT on depression. The mobile app-based ACT effectively reduced depression and improved treatment process variables, demonstrating its cost-effectiveness. The study also discusses the implications, limitations, and directions for future research.
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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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