评估成人中度抑郁症精神治疗干预的可行性：一项随机对照试验。

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-01-27 DOI:10.1016/j.ctim.2025.103133

Trine Stub , Anne Helen Hansen , Audun Campell Irgens , Olav Knudsen-Baas , Agnete E. Kristoffersen

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引用次数: 0

摘要

背景：许多抑郁症患者探索补充和替代药物，包括精神治疗。本试点随机对照试验（RCT）旨在评估一项研究的可行性，将精神治疗与标准治疗相结合，与标准治疗单独治疗中度抑郁症的成人进行比较。方法：在这项有两个平行组的先导随机对照试验中，28名成年抑郁症患者被随机分为两组，一组接受精神治疗，另一组接受常规治疗（n=14），另一组接受常规治疗（n=14）。治疗过程是高度个性化的。治疗师将她的手放在病人身体的各个部位（头部、胸部、膝盖、臀部和脚），意图调整病人体内的能量流。通过干预前和干预后贝克初级保健抑郁量表（BDI）评分的变化来测量结果。通过半结构化访谈探讨参与者的精神治疗经历，并使用直接内容分析对数据进行分析。结果：BDI评分反映了抑郁严重程度的显著变化，干预组从基线（BDI 23.0）到第16周（BDI 14.9）的平均差异最大，而对照组从基线（BDI 24.2）到第16周（BDI 26.7）的平均差异最大。此外，参与者对研究的组成部分和程序表示满意，并在指定时间完成了问卷调查。从临床实践中招募被证明是不理想的，因为与初级保健医生的时间表冲突，导致研究参与者少于计划。减少后续损失的措施是有效的。结论：精神治疗对中度抑郁症患者可能是一个有益的选择。本研究的参与者对精神疗愈治疗满意，且依从率高。未来的随机对照试验应考虑通过不同的途径招募参与者，以提高研究的可行性，减轻家庭护理医生办公室的负担。

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Assessing the feasibility of a spiritual healing intervention for adults with moderate depression: A pilot randomized controlled trial

Background

Many individuals with depression explore complementary and alternative medicine, including spiritual healing. This pilot randomized controlled trial (RCT) aimed to assess the feasibility of a study that integrated spiritual healing with standard care versus standard care alone for adults with moderate depression.

Method

In this pilot RCT with two parallel groups, 28 adult patients with depression were randomized to receive either spiritual healing alongside usual care (n = 14) or usual care alone (n = 14). The healing session was highly individualized. The healer positioned her hands over various areas of the client's body (head, chest, knee, hip, and feet) intending to adjust the energy flow within the client. Outcomes were measured by changes in the Beck Depression Inventory for Primary Care (BDI) scores pre-and post-intervention. Participants' experiences with spiritual healing were explored through a process evaluation. .

Results

The BDI scores captured significant changes in depression severity, with the intervention group showing the greatest mean difference from baseline (BDI 23.0) to week 16 (BDI 14.9), compared to the control group which worsened from baseline (BDI 24.2) to week 16 (BDI 26.7). In addition, participants expressed satisfaction with the study components and procedures, and all completed the questionnaires at designated times. Recruiting from clinical practice proved suboptimal due to conflicts with primary care physicians' schedules leading to fewer participants in the study than planned. Measures to minimize loss to follow-up were effective.

Conclusion

Spiritual healing may be a beneficial option for individuals who suffer from moderate depression. The participants in this study were satisfied with the spiritual healing treatment, and adherence rates were high. Future RCTs should consider recruiting participants through different avenues to enhance research feasibility to alleviate the burden on family care physicians' offices.

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.