Detached mindfulness reduced both depression and anxiety in elderly women with major depressive disorders

被引:26
作者
Ahmadpanah, Mohammad [1 ]
Akbari, Tayebe [2 ]
Akhondi, Amineh [3 ]
Haghighi, Mohammad [1 ]
Jahangard, Leila [1 ]
Bahmani, Dena Sadeghi [4 ]
Bajoghli, Hafez [5 ]
Holsboer-Trachsler, Edith [4 ]
Brand, Serge [4 ,6 ,7 ]
机构
[1] Hamadan Univ Med Sci, Behav Disorders & Subst Abuse Res Ctr, Hamadan, Iran
[2] White Jasmine Adult Nursing Home, Hamadan, Iran
[3] Minist Educ, Hamadan Educ Org, Hamadan, Iran
[4] Univ Basel, Ctr Affect Stress & Sleep Disorders, Psychiat Clin, Basel, Switzerland
[5] Univ Tehran Med Sci, INCAS, Tehran, Iran
[6] Univ Basel, Div Sport & Psychosocial Hlth, Dept Sport Exercise & Hlth, Basel, Switzerland
[7] Kermanshah Univ Med Sci, Sleep Disorders Res Ctr, Kermanshah, Iran
关键词
Depression; Anxiety; Elderly; Metacognitive detached mindfulness; Healthy controls; COMORBID ANXIETY; OLDER-ADULTS; RESIDUAL SYMPTOMS; DOUBLE-BLIND; EXERCISE; METAANALYSIS; PHARMACOTHERAPY; RECOMMENDATIONS; METACOGNITIONS; PSYCHOTHERAPY;
D O I
10.1016/j.psychres.2017.07.030
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
We investigated the influence of detached mindfulness (DM) in treating symptoms of depression and anxiety among elderly women. Thirty-four elderly females (mean age: 69.23 years) suffering from moderate major depressive disorders (MDD) and treated with a standard medication (citalopram) at therapeutic doses were randomly assigned either to an intervention condition (DM; group treatment, twice weekly) or to a control condition (with leisure activities, twice weekly). At baseline (BL), four weeks later at study completion (SC), and four weeks after that at follow-up (FU), participants completed ratings for symptoms of depression and anxiety; experts blind to patients' group assignments rated patients' symptoms of depression. Symptoms of depression (self and experts' ratings) and anxiety declined significantly over time in the DM, but not in the control condition. Effects remained stable at FU. The pattern of results suggests that, compared to a control condition, a specific psychotherapeutic intervention such as DM can have a beneficial effect in elderly female patients with MDD.
引用
收藏
页码:87 / 94
页数:8
相关论文
共 53 条
[21]   In a randomized, double-blind clinical trial, adjuvant atorvastatin improved symptoms of depression and blood lipid values in patients suffering from severe major depressive disorder [J].
Haghighi, Mohammad ;
Khodakarami, Saeed ;
Jahangard, Leila ;
Ahmadpanah, Mohammad ;
Bajoghli, Hafez ;
Holsboer-Trachsler, Edith ;
Brand, Serge .
JOURNAL OF PSYCHIATRIC RESEARCH, 2014, 58 :109-114
[22]   A REVIEW OF EMPIRICALLY SUPPORTED PSYCHOLOGICAL THERAPIES FOR MOOD DISORDERS IN ADULTS [J].
Hollon, Steven D. ;
Ponniah, Kathryn .
DEPRESSION AND ANXIETY, 2010, 27 (10) :891-932
[23]   Physical exercise intervention in depressive disorders: Meta- analysis and systematic review [J].
Josefsson, T. ;
Lindwall, M. ;
Archer, T. .
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2014, 24 (02) :259-272
[24]   Mindfulness and De-Automatization [J].
Kang, Yoona ;
Gruber, June ;
Gray, Jeremy R. .
EMOTION REVIEW, 2013, 5 (02) :192-201
[25]   THE LONG-TERM EFFICACY OF ACUTE-PHASE PSYCHOTHERAPY FOR DEPRESSION: A META-ANALYSIS OF RANDOMIZED TRIALS [J].
Karyotaki, Eirini ;
Smit, Yolba ;
de Beurs, Derek P. ;
Henningsen, Kirsten Holdt ;
Robays, Jo ;
Huibers, Marcus J. H. ;
Weitz, Erica ;
Cuijpers, Pim .
DEPRESSION AND ANXIETY, 2016, 33 (05) :370-383
[26]  
Kaviani H., 2008, Tehran Univ Med J, V65, P136
[27]   Residual symptoms at remission from depression: impact on long-term outcome [J].
Kennedy, N ;
Paykel, ES .
JOURNAL OF AFFECTIVE DISORDERS, 2004, 80 (2-3) :135-144
[28]   Effects of relaxation interventions on depression and anxiety among older adults: a systematic review [J].
Klainin-Yobas, Piyanee ;
Oo, Win Nuang ;
Yew, Pey Ying Suzanne ;
Lau, Ying .
AGING & MENTAL HEALTH, 2015, 19 (12) :1043-1055
[29]   Exercise as a treatment for depression: A meta-analysis [J].
Kvam, Siri ;
Kleppe, Catrine Lykkedrang ;
Nordhus, Inger Hilde ;
Hovland, Anders .
JOURNAL OF AFFECTIVE DISORDERS, 2016, 202 :67-86
[30]   A Deficit in Psychotherapeutic Care for Older People with Depression and Anxiety [J].
Laidlaw, Ken .
GERONTOLOGY, 2013, 59 (06) :549-556