The efficacy of cognitive-behavioral education and self-management on the recurrent or deterioration of depression
10.3760/cma.j.issn.1674-6554.2012.12.013
- VernacularTitle:认知行为教育和自我管理预防抑郁症复发恶化的效果
- Author:
Zuowei WANG
;
Yaguang WANG
;
Fang FANG
;
Zhiping LU
;
Ping WANG
;
Yiru FANG
- Publication Type:Journal Article
- Keywords:
Depression;
Group therapy;
Self-management;
Survival analysis
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2012;(12):1095-1097
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of antidepressants plus cognitive-behavioral education and self-management preventing the recurrent or deterioration of depression.Methods Outpatients with non-episode depression,Hamilton Rating Scales of Depression 17 items (HAMD17 ≥3),entered openly intervention group (n =30) and control group (n =30),and were followed up one year.Patients in intervention group received intervention,including treatment as usual,group education of cognitive behavior,self-help group attendance and self-management of depressive mood.Patients in control group only received treatment as usual.The primary outcome was time to recurrent or deterioration of depression.Kaplan-Meier methodology was used to evaluate differences of survival curves between two different groups.Results There were significant differences for risk of recurrent or deterioration (x2 =5.70,P ＜ 0.05) and one-year rate of recurrent or deterioration (intervention group 27％ (8/30),control group 53％ (16/30),x2 =4.44,P ＜ 0.05) between two groups,but not for average time of recurrent or deterioration (intervention group (4.75 ± 2.49) months,control group (6.63 ± 3.10) months,t =-1.48,P ＞0.05).There were no significant differences for risk of drop-out (x2 =1.66,P ＞ 0.05),one-year rate of drop-out (intervention group 13％ (4/30),control group 23％ (7/30),x2 =1.00,P ＞ 0.05) and average time of drop-out (intervention group (7.25 ± 3.78) months,control group (4.00 ± 2.58) months,t =1.71,P ＞ 0.05) between two groups.Conclusion Antidepressants plus cognitive-behavioral education and self-management can effectively prevent the recurrent or deterioration of depression.
