中国临床心理学杂志

觉知抗抑郁训练对参与者抑郁情绪干预初探

单位：1. 首都师范大学心理系北京市学习与认知重点实验室北京 100089
2. 香港中文大学心理学系香港
3. 大连理工大学神经信息学研究所

关键词：抑郁觉知训练

分类号：R395.5

出版年,卷(期):页码：2010,18(6):813-816

摘要：

目的:探讨觉知抗抑郁训练对参与者抑郁情绪的干预效果。方法:选出贝克抑郁量表(BDI)得分≥14分的7名参与者,实施为期八周的觉知训练。在训练前后及三个月追踪期均采用贝克抑郁量表(BDI)、状态-特质焦虑问卷(STAI)、正性负性情绪量表(PANAS)、效果评估量表(OQ45)和五因素觉知度量表(FFMQ)进行评测。结果:训练后,参与者在BDI、STAI、PANAS中的负性情绪及OQ45上的后测得分显著降低;在FFMQ的描述、有觉知地行动因子上后测得分显著增加;干预效果在三个月追踪期得到维持。结论:八周觉知抗抑郁训练方案,可以有效的降低参与者的抑郁情绪,提高其心理健康水平。

Objective:To investigate the effect of the mindfulness-based anti-depression intervention in participants.Methods:Seven subjects who scored 14 or above in the Beck Depression Inventory attended the eight-week mindfulness-based training.Subjects completed the Beck Depression Inventory(BDI),State-Trait Anxiety Inventory(STAI),Positive and Negative Affect Scale(PANAS),Outcome Questionnaire 45(OQ45) and Five Facet Mindfulness Questionnaire(FFMQ) before and after the training as well as in the three-month follow-up.Results:After the eight-week training,subjects' scores in BDI,STAI,the negative affect in the PANAS and OQ45 reduced significantly.For FFMQ,significant post-training improvements were observed in self-description and awareness.The beneficial effects of the training maintained in three-month follow-up.Conclusion:The eight-week mindfulness-based training program could effectively lower the participants' depressive mood and improve their mental health.

基金项目：

国家自然科学基金项目(30900411);北京市优秀人才培养资助项目(2009D005016000012);北京市属高等学校人才强教深化计划“学术创新团队建设计划”项目支持

作者简介：

参考文献：

[1] Mali GS,Ivanvski B. The psychological and neurophysiolog-ical concomitants of mindfulness forms of meditation[J].Acta Neuropsychiatrica,2007,(02):76-91.
[2] Segal ZV,Williams JMG,Teasdale JD,刘兴华. 抑郁症的内观认知疗法[M].北京:世界图书出版公司北京公司,2008.
[3] Eisendrath SJ,Delucchi K,Bitner R. Mindfulness -based cognitive therapy for treatment-resistant depression:A pilot study[J].Psychotherapy and Psychosomatics,2008,(05):319-320.doi:10.1159/000142525.
[4] Kenny MA,Williams JM. Treatment-resistant depressed patients show a good response to Mindfulness-based Cognitive Therapy[J].Behaviour Research and Therapy,2007,(03):617-625.doi:10.1016/j.brat.2006.04.008.
[5] National institute for clinical excellence. Depression:Management of depression in primary and secondary care[M].Clinical Guideline,2004.23.
[6] 刘兴华,楚玉琴. 觉知疗法对1例肾移植患者情绪困忧的干预[J].中国心理卫生杂志,2010.
[7] 谭钧文,吴和鸣. 正念训练治疗抑郁症案例报告[J].安徽卫生职业技术学院学报,2009,(01):99-100.doi:10.3969/j.issn.1671-8054.2009.01.055.
[8] 施慎逊,张明园,吴文源. 抑郁症与焦虑障碍共病临床特征研究[J].上海精神医学,2009,(04):198-202.doi:10.3969/j.issn.1002-0829.2009.04.002.
[9] 黄丽,杨廷忠,季忠民. 正性负性情绪量表的中国人群适用性研究[J].中国心理卫生杂志,2003,(01):54-56.doi:10.3321/j.issn:1000-6729.2003.01.018.
[10] 张雨新,王燕,钱铭怡. Beck抑郁量表的信度和效度[J].中国心理卫生杂志,1990,(04):164-168.
[11] 李文利,钱铭怡. 状态特质焦虑量表中国大学生常模修订[J].北京大学学报（自然科学版）,1995,(01):108-112.
[12] 李珏,静骆宏. 心理咨询效果评估量表的信度和效度[J].中国心理卫生杂志,2009,(02):105-107.doi:10.3969/j.issn.1000-6729.2009.02.006.
[13] Baer RA,Smith GT,Hopkins J. Using self-report assessment methods to explore facets of mindfulness[J].Assessment,2006,(01):27-4t5.doi:10.1177/1073191105283504.
[14] Beck AT. The evolution of the cognitive model of depression and its neurobiological correlates[J].American Journal of Psychiatry,2008,(08):969-977.doi:10.1176/appi.ajp.2008.08050721.
[15] 蔡伟雄,杨德森. 应激与海马[J].法医学杂志,2002,(01):48-51.doi:10.3969/j.issn.1004-5619.2002.01.032.
[16] 陈辰,徐维平,魏伟. 抑郁症的神经内分泌学研究进展[J].山东医药,2008,(37):110-111.doi:10.3969/j.issn.1002-266X.2008.37.069.
[17] 华珺. 抑郁症患者神经内分泌免疫学的研究现状即运动干预的作用[J].中国临床康复杂志,2003,(24):3406-3407.doi:10.3321/j.issn:1673-8225.2003.24.097.
[18] 蒋长好,赵仑,郭德俊. 悲伤和抑郁的脑机制[J].中国临床康复杂志,2006,(02):141-143.doi:10.3321/j.issn:1673-8225.2006.02.056.
[19] Davidson RJ,Pizzagalli D,Nitschke JB. Depression:Perspectives from affective neuroscience[J].Annual Review of Psychology,2002.545-574.doi:10.1146/annurev.psych.53.100901.135148.
[20] 刘宏艳,胡治国,彭聃龄. 情绪神经回路的可塑性[J].心理科学进展,2006,(05):682-688.doi:10.3969/j.issn.1671-3710.2006.05.006.
[21] 孙奕,张志珺. 海马神经元再生及可塑性与抑郁症[J].国际精神病学杂志,2007,(03):144-147.
[22] Cohen J. Statistical power analysis for the behavioral sciences[M].Hillsdale,NJ:Earlbaum,1988.
[23] Collard P,Avny N,Boniwell I. Teaching mindfulness based cognitive therapy to students:The effects of MBCT on the levels of mindfulness and subjective well-being[J].Counselling Psychology Quarterly,2008,(04):323-326.doi:10.1080/09515070802602112.

服务与反馈：

【文章下载】【加入收藏】