...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychiatry Investigation >The Effect of Cognitive Behavior Therapy-Based Psychotherapy Applied in a Forest Environment on Physiological Changes and Remission of Major Depressive Disorder
【24h】

The Effect of Cognitive Behavior Therapy-Based Psychotherapy Applied in a Forest Environment on Physiological Changes and Remission of Major Depressive Disorder

机译：在森林环境中应用基于认知行为疗法的心理疗法对重度抑郁症的生理变化和缓解的影响

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective Psychotherapeutic intervention combined with pharmacotherapy is helpful for achieving remission of depressive disorder. We developed and tested the effect of cognitive behavior therapy (CBT)-based psychotherapy applied in a forest environment on major depressive disorder. Methods We performed 4 sessions during 4 weeks (3 hours/session) in patients with major depressive disorder during pharmacotherapy. For the forest group, sessions were performed in the forest; for the hospital group, sessions were performed in the hospital. The control group was treated with the usual outpatient management. Results A total of 63 patients completed the study: 23 in the forest group, 19 in the hospital group, and 21 in the control group. Hamilton Rating Scales for Depression (HRSD) scores of the forest group were significantly decreased after 4 sessions compared with controls. Montgomery-Asberg Depression Rating Scales (MADRS) scores of the forest group were significantly decreased compared with both the hospital group and the controls. The remission rate (7 and below in HRSD) of the forest group was 61% (14/23), significantly higher than both the hospital group (21%, 4/19) and the controls (5%, 1/21). In heart rate variability (HRV) analysis, some measurements representing HRV and parasympathetic nerve tone were increased in the forest group after 4 sessions. The salivary cortisol levels of the forest group were significantly decreased. Conclusion CBT-based psychotherapy applied in the forest environment was helpful in the achievement of depression remission, and its effect was superior to that of psychotherapy performed in the hospital and the usual outpatient management. A good environment such as a forest helps improve the effect of psychotherapeutic intervention because it includes various natural instruments and facilitators in the treatment of depression.
机译：目的心理治疗与药物治疗相结合，有助于缓解抑郁症。我们开发并测试了在森林环境中应用基于认知行为疗法（CBT）的心理疗法对重度抑郁症的效果。方法在药物治疗期间，我们对重度抑郁症患者在4周内进行了4次疗程（每疗程3小时）。对于森林小组，会议在森林中进行;对于医院小组，会议在医院进行。对照组接受常规门诊治疗。结果共有63位患者完成了研究：森林组23位，医院组19位，对照组21位。与对照组相比，森林组的汉密尔顿抑郁量表（HRSD）评分在4个疗程后显着降低。与医院组和对照组相比，森林组的蒙哥马利-阿斯伯格抑郁量表（MADRS）得分明显降低。森林组的缓解率（HRSD为7及以下）为61％（14/23），显着高于医院组（21％，4/19）和对照组（5％，1/21）。在心率变异性（HRV）分析中，经过4个疗程后，森林组中代表HRV和副交感神经张力的一些测量值增加了。森林组的唾液皮质醇水平显着降低。结论在森林环境中应用基于CBT的心理治疗有助于抑郁症的缓解，其效果优于在医院和常规门诊管理中进行的心理治疗。诸如森林之类的良好环境有助于改善心理治疗干预的效果，因为它包括治疗抑郁症的各种自然手段和促进者。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号