Influence of adjuvant mindfulness-based cognitive therapy (MBCT) on symptoms of post-traumatic stress disorder (PTSD) in veterans - results from a randomized control study

被引：49

作者：

Jasbi, Mostafa ^{[1
]}

Bahmani, Dena Sadeghi ^{[2
,3
]}

Karami, Gholamreza ^{[4
]}

Omidbeygi, Maryam ^{[5
]}

Peyravi, Maryam ^{[6
]}

Panahi, Ailin ^{[7
]}

Mirzaee, Jafar ^{[8
]}

Holsboer-Trachsler, Edith ^{[2
]}

Brand, Serge ^{[2
,3
,9
]}

机构：

[1] Islamic Azad Univ, Karaj, Iran

[2] Univ Basel, Ctr Affect Stress & Sleep Disorders ZASS, Psychiat Clin UPK, Basel, Switzerland

[3] KUMS, Sleep Disorders Res Ctr, Dept Psychiat, Kermanshah, Iran

[4] Baqiatollah Univ Med Sci, Tehran, Iran

[5] Kharazmi Univ Tehran, Tehran, Iran

[6] Univ Tehran Med Sci, Researching Sci Unit Tehran, Tehran, Iran

[7] Sadr Psychiat Hosp, Rahmani St,Piroozi Sq,Sadr Highway, Tehran 1939974431, Iran

[8] Univ Tehran Med Sci, JMERC, Tehran, Iran

[9] Univ Basel, Div Sport Sci & Psychosocial Hlth, Dept Sport Exercise & Hlth, Basel, Switzerland

来源：

COGNITIVE BEHAVIOUR THERAPY | 2018年 / 47卷 / 05期

关键词：

Mindfulness-based cognitive therapy; PTSD; veterans; stress; depression; QUALITY-OF-LIFE; RELAPSE PROPHYLAXIS; RECURRENT DEPRESSION; MAJOR DEPRESSION; CLINICAL-TRIAL; FOLLOW-UP; REDUCTION; ANXIETY; METAANALYSIS; PHARMACOTHERAPY;

D O I：

10.1080/16506073.2018.1445773

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Even 30 or more years after the end of a war, veterans can suffer from post-traumatic stress disorder (PTSD). In the present study, we explored the influence on symptoms of PTSD among Iranian veterans of the Iran-Iraq war of mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram. Forty-eight male veterans with PTSD (mean age: 52.97 years) took part in this eight-week intervention study. Standard treatment for all patients consisted of citalopram (30-50 mg/day at therapeutic dosages). Patients were randomly assigned either to the treatment or to the control condition. Treatment involved MBCT delivered in group sessions once a week. Patients in the control condition met at the hospital with the same frequency and duration for socio-therapeutic events. At baseline and at study completion, patients completed questionnaires covering symptoms of PTSD, depression, anxiety, and stress. At study completion after eight weeks, scores for PTSD (re-experiencing events, avoidance, negative mood and cognition, hyperarousal), depression, anxiety, and stress were lower, but more so in the intervention than the control group. Data suggest that, as adjuvant to standard SSRI medication, MBCT is an effective intervention to significantly reduce symptoms of PTSD, depression, anxiety, and stress among veterans.

引用

页码：431 / 446

页数：16