Cognitive Behavior Therapy vs Mindfulness in Treatment of Prolonged Grief Disorder

注意 哀伤反应 心理学 悲伤 临床心理学 创伤性悲伤 认知 认知疗法 随机对照试验 精神科 苦恼 心理治疗师 医学 内科学
作者
Richard A. Bryant,Suzanna Azevedo,Srishti Yadav,Catherine Cahill,Lucy Kenny,Fiona Maccallum,Jenny Tran,Jasmine Choi‐Christou,Natasha Rawson,Julia Tockar,Benjamin D. Garber,Dharani Keyan,Katie Dawson
出处
期刊:JAMA Psychiatry [American Medical Association]
卷期号:81 (7): 646-646 被引量:8
标识
DOI:10.1001/jamapsychiatry.2024.0432
摘要

Importance Although grief-focused cognitive behavior therapies are the most empirically supported treatment for prolonged grief disorder, many people find this treatment difficult. A viable alternative for treatment is mindfulness-based cognitive therapy. Objective To examine the relative efficacies of grief-focused cognitive behavior therapy and mindfulness-based cognitive therapy to reduce prolonged grief disorder severity. Design, Setting, and Participants A single-blind, parallel, randomized clinical trial was conducted among adults aged 18 to 70 years with prolonged grief disorder, as defined in the International Classification of Diseases , 11th Revision , and assessed by clinical interview based on the Prolonged Grief−13 (PG-13) scale. Those with severe suicidal risk, presence of psychosis, or substance dependence were excluded. Between November 2012 and November 2022, eligible participants were randomized 1:1 to eleven 90-minute sessions of grief-focused cognitive behavior therapy or mindfulness-based cognitive therapy at a traumatic stress clinic in Sydney, Australia, with follow-up through 6 months. Interventions Both groups received once-weekly 90-minute individual sessions for 11 weeks. Grief-focused cognitive behavior therapy comprised 5 sessions of recalling memories of the deceased, plus cognitive restructuring and planning future social and positive activities. Mindfulness-based cognitive therapy comprised mindfulness exercises adapted to tolerate grief-related distress. Main Outcomes and Measures The primary outcome was change in prolonged grief disorder severity measured by the PG-13 scale assessed at baseline, 1 week posttreatment, and 6 months after treatment (primary outcome time point), as well as secondary outcome measures of depression, anxiety, grief-related cognition, and quality of life. Results The trial included 100 participants (mean [SD] age, 47.3 [13.4] years; 87 [87.0%] female), 50 in the grief-focused cognitive behavior therapy condition and 50 in the mindfulness-based cognitive therapy condition. Linear mixed models indicated that at the 6-month assessment, participants in the grief-focused cognitive behavior therapy group showed greater reduction in PG-13 scale score relative to those in the mindfulness-based cognitive therapy group (mean difference, 7.1; 95% CI, 1.6-12.5; P = .01), with a large between-group effect size (0.8; 95% CI, 0.2-1.3). Participants in the grief-focused cognitive behavior therapy group also demonstrated greater reductions in depression as measured on the Beck Depression Inventory than those in the mindfulness-based cognitive therapy group (mean difference, 6.6; 95% CI, 0.5-12.9; P = .04) and grief-related cognition (mean difference, 14.4; 95% CI, 2.8-25.9; P = .02). There were no other significant differences between treatment groups and no reported adverse events. Conclusions and Relevance In this study, grief-focused cognitive behavior therapy conferred more benefit for core prolonged grief disorder symptoms and associated problems 6 months after treatment than mindfulness-based cognitive therapy. Although both treatments may be considered for prolonged grief disorder, grief-focused cognitive behavior therapy might be the more effective choice, taking all factors into consideration. Trial Registration anzctr.org.au Identifier: ACTRN12612000307808
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
醉熏的鑫发布了新的文献求助10
1秒前
迅速海云完成签到,获得积分10
1秒前
1秒前
栗子的小母牛完成签到,获得积分10
2秒前
dh完成签到,获得积分10
5秒前
岩墩墩完成签到,获得积分10
6秒前
克姑美完成签到 ,获得积分10
9秒前
pangao完成签到,获得积分10
9秒前
ysssbq完成签到,获得积分10
11秒前
12秒前
上好佳完成签到 ,获得积分10
12秒前
大模型应助Yeong采纳,获得10
13秒前
量子星尘发布了新的文献求助30
13秒前
14秒前
123完成签到,获得积分10
14秒前
谢陈完成签到 ,获得积分10
15秒前
lilili完成签到,获得积分10
16秒前
17秒前
xiaoying发布了新的文献求助10
17秒前
SciGPT应助Eric_Liuzy采纳,获得10
18秒前
liu完成签到 ,获得积分10
18秒前
qixiaoqi发布了新的文献求助10
19秒前
20秒前
A溶大美噶发布了新的文献求助10
20秒前
21秒前
21秒前
22秒前
23秒前
24秒前
kevin发布了新的文献求助10
24秒前
满意的初南完成签到 ,获得积分10
25秒前
橙橙橙发布了新的文献求助10
25秒前
万能图书馆应助EVEN采纳,获得10
25秒前
25秒前
Yeong发布了新的文献求助10
26秒前
范先生发布了新的文献求助10
27秒前
disciple完成签到,获得积分10
28秒前
沉默凌寒完成签到,获得积分10
28秒前
cc完成签到,获得积分10
28秒前
29秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038569
求助须知:如何正确求助?哪些是违规求助? 3576279
关于积分的说明 11374944
捐赠科研通 3305979
什么是DOI,文献DOI怎么找? 1819354
邀请新用户注册赠送积分活动 892698
科研通“疑难数据库(出版商)”最低求助积分说明 815048