Benefits of group compassion-focused therapy for treatment-resistant depression: A pilot randomized controlled trial

被引:4
作者
Asano, Kenichi [1 ,2 ]
Tsuchiya, Masao [3 ]
Okamoto, Yoko [4 ]
Ohtani, Toshiyuki [5 ]
Sensui, Toshihiko [6 ]
Masuyama, Akihiro [7 ]
Isato, Ayako [6 ]
Shoji, Masami [1 ]
Shiraishi, Tetsuya [8 ]
Shimizu, Eiji [4 ]
Irons, Chris [9 ]
Gilbert, Paul [10 ,11 ]
机构
[1] Mejiro Univ, Fac Psychol, Dept Psychol Counseling, Tokyo, Japan
[2] Japanese Ctr Compassionate Mind Res & Training, Tokyo, Japan
[3] Advantage Risk Management Co Ltd, Meguro-ku, Tokyo, Japan
[4] Chiba Univ, Res Ctr Child Mental Dev, Chiba, Japan
[5] Chiba Univ, Safety & Hlth Org, Chiba, Japan
[6] Saitama Gakuen Univ, Fac Humanities, Dept Psychol, Saitama, Japan
[7] Iryo Sosei Univ, Fac Psychol, Fukushima, Japan
[8] Kokoronomori Clin, Dept Psychiat, Chiba, Japan
[9] Balanced Minds, London, England
[10] Univ Derby, Coll Hlth Psychol & Social Care, Ctr Compass Res & Training, Derby, England
[11] Compassionate Mind Fdn, Derby, England
来源
FRONTIERS IN PSYCHOLOGY | 2022年 / 13卷
关键词
compassion focused therapy (CFT); treatment-resistant depression; self-compassion; randomized controlled trial (RCT); compassion; group psychotherapy; COGNITIVE-BEHAVIORAL THERAPY; SELF-COMPASSION; ADULT DEPRESSION; METAANALYSIS; SHAME; PHARMACOTHERAPY; PSYCHOTHERAPY; ASSOCIATION; RELIABILITY; CRITICISM;
D O I
10.3389/fpsyg.2022.903842
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Major depression is one of the most common mental health problems worldwide. More than one-third of patients suffer from treatment-resistant depression (TRD). In this study, we explored the feasibility of group compassion-focused therapy (CFT) for TRD using a randomized controlled trial with two parallel groups. Eighteen participants were randomly allocated to the intervention group (CFT and usual care) and control group (usual care alone) and a participant in each group withdrew. Participants in the intervention group received a 1.5-h session every week for 12 weeks. The effects of the intervention on the participants' scores were calculated using a linear mixed model. There was a larger reduction in their depressive symptoms and fears of compassion for self and a greater increase in their compassion for self compared to the control group participants. The reliable clinical indices showed that in the CFT (intervention) group, three of nine participants recovered (33%), two improved (22%), two recovered but non-reliably (22%), and the condition of two remained unchanged (22%). These findings indicate adequate feasibility of group CFT for TRD in Japanese clinical settings.
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页数:12
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