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IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-02-05 DOI:10.1002/cpp.70035

Andrea Dickmeyer, Jordan J. Smith, Sean Halpin, Stacey McMullen, Ryan Drew, Philip Morgan, Sarah Valkenborghs, Frances Kay-Lambkin, Myles D. Young

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引用次数: 0

摘要

虽然心理治疗对治疗抑郁症很有效，但与女性相比，男性参加心理治疗的可能性较低，而且更有可能放弃治疗。因此需要研究其他治疗方法对男性的价值。在这项随机试点试验中，我们研究了室外 "边走边说 "疗法与传统室内疗法的可行性和初步疗效，37 名男性情绪低落者（平均[标码] PHQ-9 评分 = 11.4 [5.0]；平均[标码] 年龄 = 44.1 [15.8]岁）接受了该疗法。在纽卡斯尔大学的 6 周时间里，参与者每周接受 60 分钟的治疗：(i) 在校园内沿着 4 公里长的路线步行；(ii) 在室内的心理诊所，由临时心理学家采用非指导性支持咨询的方式进行治疗。结果包括抑郁、焦虑、压力和整体心理困扰、男性型抑郁、心理健康、行为激活和治疗联盟的验证测量。在干预后，所有预先登记的可行性基准都得到了超越，包括招募能力、保留率（89%）、平均出勤率（步行和谈话：91%，室内：89%）、在预期环境中进行的疗程比例（步行和谈话：100%，室内：98%）以及治疗的总体可接受性（步行和谈话：4.4/5，室内：4.2/5，其中 1 = 差，5 = 卓越）。线性混合模型分析表明，两组在抑郁症状（d = -0.02）方面的改善程度相似，但步行和谈话组在总体心理困扰（d = -0.5）、焦虑（d = -0.4）和压力（d = -0.7）方面的改善程度更大。相比之下，传统室内组的男性抑郁症改善幅度更大（d = 0.6）。其他结果在各组之间不相上下。结果表明，散步和谈话疗法对男性抑郁症患者来说是可以接受且有效的。有必要进行一项有动力的试验，以检验这些效果并确定效果的调节因素。试验注册：澳大利亚-新西兰临床试验注册号：ACTRN12622001318774。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Walk-and-Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study

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Walk-and-Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study

While psychotherapy is effective for treating depression, men are less likely than women to attend and more likely to drop out. The value of alternative therapeutic approaches for men needs to be investigated. In this randomised pilot trial, we investigated the feasibility and preliminary efficacy of outdoor ‘walk-and-talk’ therapy compared to conventional indoor therapy for 37 men with low mood (mean [SD] PHQ-9 score = 11.4 [5.0]; mean [SD] age = 44.1 [15.8] years). Over 6 weeks at the University of Newcastle participants received weekly 60-min sessions delivered (i) while walking along a 4-km route on campus or (ii) indoors in a psychology clinic, delivered by provisional psychologists using non-directive supportive counselling. Outcomes included validated measures of depression, anxiety, stress and overall psychological distress, male-type depression, mental well-being, behavioural activation and therapeutic alliance. At post-intervention, all pre-registered feasibility benchmarks were exceeded including recruitment capability, retention (89%), average attendance (walk-and-talk: 91%, indoor: 89%), proportion of sessions delivered in intended setting (walk-and-talk: 100%, indoor: 98%) and overall perceived acceptability of the therapy (walk-and-talk: 4.4/5, indoor: 4.2/5, where 1 = poor and 5 = excellent). Linear mixed model analysis demonstrated both groups achieved similar improvements in depressive symptoms (d = −0.02), but the walk-and-talk group reported greater improvements in overall psychological distress (d = −0.5), anxiety (d = −0.4) and stress (d = −0.7). In contrast, male-type depression improved more in the conventional indoor group (d = 0.6). Other outcomes were comparable between groups. Results indicate that walk-and-talk therapy may be acceptable and effective for men with depression. A powered trial to interrogate these effects and identify moderators of effectiveness is warranted.

Trial Registration: Australian New Zealand Clinical Trials Registry number: ACTRN12622001318774.

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.