Mindfulness-Based Cognitive Therapy: A Case Study on Experiences of Healthy Behaviors by Clients in Psychiatric Care

The aim of the study was for the first time to investigate patients’ own experiences of developing healthy behavior in connection with their participation in Mindfulness-Based Cognitive Therapy (MBCT). Healthy behaviors were defined as those which aimed to improve the individual’s well-being and physical function. Two women, diagnosed with bipolar illness or depressive episodes, were recruited from a group of clients in psychiatric care who both had been treated according to MBCT. The two clients shared their views of what changes they experienced during the treatment in semi structured interviews. Data analysis was performed according to the Empirical Phenomenological Psychological (EPP) method. The analysis generated five main themes which were shown to create a causal chain where paths to healthy behavior contributed to a process of change which was mirrored in comprehensive distancing, which in turn facilitated a reduced tendency of illness-identity and the acquiring of new proficiencies which could be generalized to different situations in daily life which led to insights about healthier behavior.

Mindfulness-based cognitive therapy in the intervention of psychiatric disorders: A review

Mindfulness-based cognitive therapy(MBCT)is frequently used for psychiatric disorders.Despite MBCT’s considerable potential for improving psychological health for patients,there is little empirical evidence to support its practical application in Chinese.This review will define meditation and mindfulness,provide an overview of the development of MBCT,identify the evidence for the effectiveness of MBCT,and offer recommendations to medical personnels on how to provide support for patients receiving mindfulness intervention.

Empathetic nursing with mindful cognitive therapy for fatigue,depression,and negative emotions in leukemia patients undergoing long-term chemotherapy

BACKGROUND Leukemia is a broad term for blood cell cancer.Leukemia is divided into acute or chronic,depending on cell differentiation.Leukemia patients are prone to adverse reactions during chemotherapy,such as anxiety,depression,and even suicide,affecting prognosis.As a nursing model developed by three well-known cognitive psychologists,empathetic nursing with mindfulness cognitive therapy(ENMCT)can effectively reduce anxiety and depression and improve the quality of life in patients with chronic disease.AIM To explore the effect of ENMCT on cancer-induced fatigue,hope level,and negative emotions in patients with long-term leukemia chemotherapy.METHODS A total of 103 patients with long-term leukemia chemotherapy diagnosed and treated in our hospital from July 2017 to October 2019 were enrolled and randomly assigned to observation and control groups using the random number table approach.Fifty-one patients in the control group received routine nursing,while 52 patients in the observation group received empathic nursing with mindfulness cognitive therapy.After three months of nursing care,cancerinduced fatigue was measured with the Piper Fatigue Scale(PFS),hope level with the Herth Hope Index(HHI),and negative emotion with the Hamilton Anxiety Scale(HAMA)/Hamilton Depression Scale(HAMD).Self-management(Chinese Strategies Used by People to Promote Health)was also recorded.RESULTS The observation group’s total scores in behavior,cognition,emotion,feeling,and PFS were lower than the control group after the intervention(P<0.05).Keeping close contact with others,the attitude of taking positive actions,the attitude toward reality and future,and the total HHI score were higher in the observation group than the control group(P<0.05).The observation group’s HAMA and HAMD scores were lower than the control group(P<0.05).The observation group’s positive attitude,self-decision,and self-relief scores were greater than the control group(P<0.05).CONCLUSION Empathetic nursing with cognitive mindfulness therapy is beneficial in improving cancer-related fatigue,negative emotions,expectation level,and self-management ability in patients with longterm leukemia chemotherapy.

正念禅修在心理治疗和医学领域中的应用

正念禅修渊源于南传佛教中的毗婆舍那禅修传统,指透过如实观察身心变化实相而达至烦恼解脱的禅修方法,于20世纪80年代初被引入心理治疗和医学领域后,其临床应用和相关研究日益增多。本文主要介绍了其中最为突出的正念减压疗法(MBSR)、正念认知行为治疗(MBCT)、辩证行为治疗(DBT),以及正念在创伤治疗中的应用情况;并综述了正念疗法在医疗保健和心理治疗领域的应用、疗效、作用机制等方面的相关研究。

健康焦虑的研究现状

健康焦虑是一种由轻到重的连续性的症状谱,它的极端形式被称之为疑病症。关于健康焦虑的流行病学数据很少,发病的机制和原因也不清楚,但大多数的研究证实健康焦虑与焦虑障碍有相同的认知过程。疑病症的临床表现为疾病观念、躯体症状、歪曲信念和行为,健康焦虑只是在程度上轻于疑病症,并没有发生质的改变。在健康焦虑的治疗中最受关注的应属正念认知疗法,它在很多方面都优于传统的认知行为疗法,当然其他治疗方法也能起到一定的辅助作用。健康焦虑带来的危害是巨大的,因此社会将面临重大挑战。

基于健康科普助手的正念认知疗法在小细胞肺癌同步放化疗病人中的应用

目的:探讨基于健康科普助手(HEALS)的正念认知疗法对小细胞肺癌同步放化疗病人负性情绪、心理痛苦程度及自我感受负担的影响。方法:选择2019年1月—2019年11月在青岛大学附属医院接受同步放化疗的104例小细胞肺癌病人,随机分为对照组和试验组,各52例。对照组给予常规护理,试验组在常规护理的基础上接受基于HEALS的正念认知疗法心理护理。分别于病人入院时、治疗结束时、治疗结束后3个月应用广泛性焦虑障碍量表(GAD-7)、病人健康问卷(PHQ-9)、心理痛苦温度计(DT)、自我感受负担量表(SPBS)进行问卷调查。结果:治疗结束时及治疗3个月后,两组焦虑、抑郁、自我感受负担总分比较,差异均有统计学意义(P<0.05)。试验组心理痛苦程度低于对照组,差异有统计学意义(P<0.05)。结论:基于HEALS助手的正念认知疗法有助于降低小细胞肺癌同步放化疗病人负性情绪,缓解心理痛苦程度,降低自我感受负担。

抑郁障碍正念认知治疗中心理弹性的作用

目的:评价对药物干预后尚残留症状的抑郁障碍患者开展正念认知治疗(MBCT)的增效作用,并探索心理弹性在MBCT的增效作用中的影响。方法:采用自身前后对照设计,纳入药物治疗半年以上仍存在残留症状的48例抑郁障碍患者,开展为期8周的MBCT治疗,于干预前后进行汉密顿抑郁量表17条目(HAMD-17)、汉密顿焦虑量表(HAMA)、五因素正念量表(FFMQ)、大五人格量表(NEOFFI)、心理弹性量表(CD-RISC)评估。对干预前后评分差值进行回归分析。结果:在4周末和8周末,HAMD-17、HAMA总分均较基线下降(均P<0.01),FFMQ总分较基线升高(均P<0.01);8周末NEOFFI的神经质因子分升高、外向性因子分降低(均P<0.05),CD-RISC评分较基线增升高(均P<0.01)。回归分析显示:FFMQ总分差值与HAMA总分差值(β=-0.23)、CD-RISC的力量性因子分差值均呈线性相关(β=0.18)。结论:MBCT改善了抑郁障碍患者经药物干预后的残留症状,而心理弹性的提升可能是MBCT促进抑郁障碍进一步改善的机制。

团体正念认知疗法对肝郁气滞型晚期胰腺癌患者的抑郁情况及生活质量的临床研究

目的 研究团体正念认知疗法对肝郁气滞型晚期胰腺癌患者抑郁情况及生活质量的影响.方法 选取2017年10月-2019年10月我院收治的60例肝郁气滞型晚期胰腺癌患者作为研究对象,采用随机数字表法分组,对照组30例行常规护理干预,试验组30例行团体正念认知疗法干预,分析效果.结果 干预前,两组患者GAD-7、PHQ-9评分、PSQI及生活质量评分差异无统计学意义(P>0.05);干预后,试验组患者GAD-7、PHQ-9评分、PSQI低于对照组,功能子量表和总体健康子量表得分高于对照组,症状子量表得分低于对照组,差异有统计学意义(P<0.05).试验组患者疼痛缓解率(93.33%)显著高于对照组,差异有统计学意义(P<0.05).结论 对肝郁气滞型晚期胰腺癌患者实施团体正念认知疗法,可有效改善患者抑郁情况,提高患者生活质量,值得借鉴.