Всемирная психиатрия. №1 2014

Терапевтическое применение метода сэмплирования переживаний в лечении депрессии: рандомизированное контролируемое исследование

INGRID KRAMER1,2, CLAUDIA J.P. SIMONS1,2, JESSICA A. HARTMANN1,2, CLAUDIA MENNE-LOTHMANN2, WOLFGANG VIECHTBAUER2, FRENK PEETERS2, KOEN SCHRUERS2, ALEX L. VAN BEMMEL1,2, INEZ MYIN-GERMEYS2, PHILIPPE DELESPAUL2,3, JIM VAN OS2,4, MARIEKE WICHERS2

1GGzE, Institute of Mental Health Care Eindhoven and the Kempen, P.O. Box 909, 5600 AX Eindhoven, The Netherlands (Нидерланды); 2Department of Psychiatry and Psychology, Maastricht University Medical Centre, European Graduate School of Neuroscience, SEARCH, P.O. Box 616, 6200 MD Maastricht, The Netherlands (Нидерланды); 3Mondriaan Mental Health Trust, South Limburg, The Netherlands; 4King’s College London, Department of Psychosis Studies, Institute of Psychiatry, London, UK (Великобритания)

Стр. 67-76

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Опубликовано: 11 февраля 2014

Аннотация / Abstract

Перевод: Курсаков А.А. При депрессии способность испытывать позитивные аффективные переживания в повседневной жизни предопределяет выздоровление и снижает частоту рецидивов. Вмешательства на основе метода сэмплирования переживаний (МСП-В) идеально подходят для выявления индивидуальных паттернов позитивного аффекта с учетом ситуационного контекста. Целью данного исследования была оценка целесообразности и эффективности в отношении редукции депрессивной симптоматики дополнительного вмешательства в виде обратной связи на основе МСП в индивидуальных паттернах позитивного аффекта. Принимавшие участие в контролируемом исследовании амбулаторные пациенты с депрессией (n=102), получающие фармакологическое лечение разделялись на три группы: экспериментальная группа, получавшае дополнительную обратную связь на основе МСП, псевдоэкспериментальная группа, применявшая МСП, но не получавшая обратной связи, а также контрольная группа. В отношении экспериментальной группы применялась процедура МСП (3 дня в неделю в течение 6 недель) с использованием карманного компьютера. Эта группа получала еженедельную стандартизированную обратную связь об индивидуальных паттернах позитивного аффекта. До и после вмешательства проводились обследования с помощью Шкалы депрессии Гамильтона-17 (HDRS) и Опросника депрессивных симптомов (IDS). В течение периода наблюдения сроком 6 месяцев обследование с помощью HDRS и IDS проводилось пять раз. Дополнение в виде обратной связи на основе МСП привело к статистически и клинически значимому снижению общего балла HDRS по сравнению с группой контроля (p

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Вход / Регистрация

1. World Health Organization. Depression. A global public health concern. Geneva: World Health Organization,
2012.
2. Dimidjian S, Hollon SD, Dobson KS et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. JConsult ClinP sychol 2006;74:658-70.
3. Fuchs CZ, Rehm LP. A self-control behavior therapy program for depression. J Consult Clin Psychol 1977;45:206-15.
4. Lewinsohn PM. A behavioral approach to depression, In: Friedman RJ, Katz M (eds). The psychology of depression: contemporary theory and research. Oxford: Wiley, 1974:157-78.
5. Koster EHW, De Raedt R, Leyman L et al. Mood-congruent attention and memory bias in dysphoria: exploring the coherence among information-processing biases. Behav Res Ther 2010;48:219-25.
6. Myin-Germeys I, Birchwood M, Kwapil T. From environment to therapy in psychosis: a real-world momentary assessment approach. Schizophr Bull 2011;37:244-7.
7. Csikszentmihalyi M, Larson R. Validity and reliability of the experience-sampling method. J NervMent Dis 1987;175:526-36.
8. aan het Rot M, Hogenelst K, Schoevers RA. Mood disorders in everyday life: a systematic review of experience sampling and ecological momentary assessment studies. ClinPsychol Rev 2012;32:510-23.
9. Myin-Germeys I, Oorschot M, Collip D et al. Experience sampling research in psychopathology: opening the black box of daily life. Psychol Med 2009;39:1533-47.
10. Wichers M, Hartmann JA, Kramer IMA et al. Translating assessments of the film of daily life into person-tailored feedback interventions in depression. Acta Psychiatr Scand 2011;123:402-3.
11. Wichers M, Simons CJP, Kramer IMA et al. Momentary assessment technology as a tool to help patients with depression help themselves. Acta Psychiatr Scand 2011;124:262-72.
12. Trull TJ, Ebner-Priemer U. Ambulatory assessment. Annu Rev Clin Psychol 2013;9:151-76.
13. Trull TJ, Ebner-Priemer UW. Using experience sampling methods/ecological momentary assessment (ESM/EMA) in clinical assessment and clinical research: introduction to the special section. Psychol Assess 2009;21:457-62.
14. Thewissen V, Bentall RP, Oorschot M et al. Emotions, self esteem, and paranoid episodes: an experience sampling study. BrJ Clin Psychol 2011;50:178-95.
15. Heron KE, Smyth JM. Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments. Br J Health Psychol 2010;15:1-39.
16. Wichers MC, Barge-Schaapveld DQCM, Nicolson NA et al. Reduced stress-sensitivity or increased reward experience: the psychological mechanism of response to antidepressant medication. Neuropsychopharmacology 2009;34:
923-31.
17. Wichers M, Peeters F, Geschwind N et al. Unveiling patterns of affective responses in daily life may improve outcome prediction in depression: a momentary assessment study. J Affect Disord2010;124:191-5.
18. Dunn BD. Helping depressed clients reconnect to positive emotion experience: current insights and future directions. Clin Psychol Psychother 2012;19:326-40.
19. Garland EL, Fredrickson B, Kring AM et al. Upward spirals of positive emotions counter downward spirals of negativity: insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology. Clin Psychol Rev 2010;30:849-64.
20. Geschwind N, Nicolson NA, Peeters F et al. Early improvement in positive rather than negative emotion predicts remission from depression after pharmacotherapy. EurNeuropsychopharmacol2011;21:241-7.
21. Dichter GS, Felder JN, Petty C et al. The effects of psychotherapy on neural responses to rewards in major depression. Biol Psychiatry2009;66:886-97.
22. Geschwind N, Peeters F, Drukker M et al. Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized controlled trial. J Consult Clin Psychol 2011;79:618-28.
23. Fredrickson BL, Cohn MA, Coffey KA et al. Open hearts build lives: positive emotions, induced through loving-kindness meditation, build consequential personal resources. J PersSocPsychol2008;95:1045.
24. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56-62.
25. First M, Spitzer R, Gibbon M et al. SCID-I. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Washington: American Psychiatric Press, 1996.
26. Rush AJ, Gullion CM, Basco MR et al. The Inventory of Depressive Symptomatology (IDS): psychometric properties. Psychol Med 1996;26:477-86.
27. Delespaul P. Assessing schizophrenia in daily life: the experience sampling method. Maastricht: University of Limburg, 1995.
28. Wichers M, Myin-Germeys I, Jacobs N et al. Genetic risk of depression and stress-induced negative affect in daily life. Br JPsychiatry 2007:218-23.
29. Myin-Germeys I, van Os J, Schwartz JE et al. Emotional reactivity to daily life stress in psychosis. Arch Gen Psychiatry 2001;58:1137-44.
30. StataCorp. Stata Statistical Software: Release 12. College Station: Statacorp LP, 2011.
31. Hegerl U, Mergl R. The clinical significance of antidepressant treatment effects cannot be derived from placebo-verum response differences. J Psychopharmacol 2010;24:445-8.
32. NICE. Depression: management of depression in primary and secondary care. Clinical practice guideline no. 23. London: National Institute for Clinical Excellence, 2004.
33. Barge-Schaapveld DQ, Nicolson NA. Effects of antidepressant treatment on the quality of daily life: an experience sampling study. J Clin Psychiatry 2002;63:477-85.
34. Palmier-Claus J. The clinical uses of momentary assessment. Acta PsychiatrScand 2011;124:241-2.
35. Ebner-Priemer UW, Trull TJ. Ecological momentary assessment of mood disorders and mood dysregulation. Psychol Assess 2009;21:463-75.
36. Telford C, McCarthy-Jones S, Corcoran R et al. Experience sampling methodology studies of depression: the state of the art. PsycholMed 2011;42:1119-29.
37. Hareva DH, Okada H, Kitawaki T et al. Supportive intervention using a mobile phone in behavior modification. Acta Med Okayama2009;63:113-20.
38. Tryon WW, Tryon GS, Kazlausky T et al. Reducing hyperactivity with a feedback actigraph: initial findings. Clin Child Psychol Psychiatry2006;11:607-17.
39. Newman MG, Kenardy J, Herman S et al. Comparison of palmtop-computer-assisted brief cognitive-behavioral treatment to cognitive-behavioral treatment for panic disorder. J Consult Clin Psychol 1997;65:178-83.
40. Litt MD, Kadden RM, Kabela-Cormier E. Individualized assessment and treatment program for alcohol dependence: results of an initial study to train coping skills. Addiction 2009;104:1837-8.
41. Granholm E, Ben-Zeev D, Link PC et al. Mobile Assessment and Treatment for Schizophrenia (MATS): a pilot trial of an interactive text-messaging intervention for medication adherence, socialization, and auditory hallucinations. Schizophr Bull 2012;38:414-25.
42. Miklowitz DJ, Price J, Holmes EA et al. Facilitated integrated mood management for adults with bipolar disorder. Bipolar Disord2012;14:185-97.
43. Depp CA, Mausbach B, Granholm E et al. Mobile interventions for severe mental illness: design and preliminary data from three approaches. J NervMent Dis 2010;198:715-21.
44. Sorbi MJ, Mak SB, Houtveen JH et al. Mobile web-based monitoring and coaching: feasibility in chronic migraine. J Med InternetRes 2007;9.
45. Zimmerman M, Martinez JH, Friedman M et al. How can we use depression severity to guide treatment selection when measures of depression categorize patients differently? J Clin Psychiatry2012;73:1287-91.
46. American Psychiatric Association Task Force for the Handbook of Psychiatric Measures. Handbook of psychiatric measures. Washington: American Psychiatric Association, 2000.
47. Cuijpers P, de Graaf R, van Dorsselaer S. Minor depression: risk profiles, functional disability, health care use and risk of developing major depression. J Affect Disord 2004;79:71-9.
48. Judd LL, Akiskal HS, Maser JD et al. Major depressive disorder: a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse. J Affect Disord 1998;50:97-108.
49. Rush A, Trivedi M, Wisniewski S et al. Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR* D report. Am J Psychiatry 2006;163:1905-17.
50. Cuijpers P, Vogelzangs N, Twisk J et al. Differential mortality rates in major and sub threshold depression: meta-analysis of studies that measured both. Br J Psychiatry 2013;202:22-7.
51. Cuijpers P, Smit F, Van Straten A. Psychological treatments of subthreshold depression: a meta-analytic review. Acta PsychiatrScand 2007;115:434-41.
52. Ormel J, Petukhova M, Chatterji S et al. Disability and treatment of specific mental and physical disorders across the world. Br JPsychiatry 2008;192:368-75.
53. vanOs J, Delespaul P, Wigman J et al. Beyond DSM and ICD: Introducing "precision diagnosis" for psychiatry using momentary assessment technology. World Psychiatry 2013;12:113-7.
54. Kelly J, Gooding P, Pratt D et al. Intelligent real-time therapy: harnessing the power of machine learning to optimise the delivery of momentary cognitive-behavioural interventions. J Ment Health2012;21:404-14.

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Терапевтическое применение метода сэмплирования переживаний в лечении депрессии: рандомизированное контролируемое исследование

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ИЗДАНИЯ-ПАРТНЕРЫ

Терапевтическое применение метода сэмплирования переживаний в лечении депрессии: рандомизированное контролируемое исследование

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