A pilot-study to assess the effectiveness and feasibility of internet-based structured group cognitive behavior therapy in patients with mild depressive disorder
10.3760/cma.j.issn.1006-7884.2020.01.007
- VernacularTitle:线上结构式团体认知行为治疗对轻症抑郁患者的有效性和可行性探索
- Author:
Linya CHANG
1
;
Fei DING
;
Weihong LU
;
Chenyu YE
;
Lili XUE
;
Yu WANG
;
Rui SONG
;
Yan WANG
;
Yi ZHU
;
Hua TAO
;
Huiming ZHOU
;
Yiru FANG
;
Chengmei YUAN
Author Information
1. 上海交通大学医学院附属精神卫生中心 200030
- Publication Type:Journal Article
- Keywords:
Cognitive therapy;
Group structure;
Depression;
Evaluation studies;
Feasibility studies
- From:
Chinese Journal of Psychiatry
2020;53(1):35-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness and feasibility of internet-based structured group cognitive behavior therapy (I-GCBT) in patients with mild depressive disorder.Methods In this randomized controlled trial,based on a random number table which was generated from spss20.0,96 patients with mild depressive disorder were randomized to I-GCBT(n=64) and face-to-face group cognitive behavior therapy(GCBT,n=32).I-GCBT and GCBT patients were assessed by HAMD17,HAMA,Global Assessment of Functioning Scale,GAF and 16 Items Quick Inventory of Depressive Symptomatology-Self Report,QIDS-SR16 at baseline,4th week,8th week and 12th week.The differences between I-GCBT and GCBT were analyzed by repetitive measure analysis of variance and chi-square test.Results (1)There was no significant difference between I-GCBT and GCBT on demographics,duration of past depression history,baseline of HAMD17,GAF and QIDS-SR16,but a significantly higher HAMA seen in GCBT (t=-2.08,P=0.04).(2) The interaction of times and groups was significant in GAF (F=4.09,P＜0.01) but not in HAMD17,HAMA and QIDS-SR16 (F=0.69,P＞0.05;F=0.95,P＞0.05;F=0.64,P＞0.05).In all measurement scales,Time main effects were significant (HAMD17∶ F=32.81,P＜0.01;HAMA∶ F=20.86,P＜0.01;GAF∶ F=105.98,P＜0.01;QIDS-SR16∶ F=25.27,P＜0.01).The symptoms remission rate of the overall patients was 62％ (43/69) after 12 weeks treatment,lower in I-GCBT (57％,25/44) and higher in GCBT (72％,18/25).There was no significant difference between two groups (x2=1.57,P=0.21).(3) The overall dropout rate was 26％ during the 12-weeks treatment specifically 29％(15/51) in I-GCBT and 20％(6/30) in GCBT without significant difference in-between (x2=0.87,P=0.35).97％(58/60) patients rated the treatment as acceptable (I-GCBT∶ 97％(35/36),GCBT∶ 96％ (23/24)),and the difference of acceptability between two groups was not significant (x2=0.09,P=0.78).Conclusion The effectiveness and feasibility of I-GCBT are comparable to GCBT for mild depressive disorder.And the treatment adherence of I-GCBT seems good.
