범불안장애 혹은 공황장애 환자에서 Mindfulness에 기반한 인지치료의 장기치료 효과:1년 추적관찰
1-Year Follow-Up of Mindfulness-Based Cognitive Therapy in Patients with Generalized Anxiety Disorder or Panic Disorder
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참고문헌
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초록
결론적으로 MBCT는 프로그램 1년 후에도 불안 우울증상의 효과적일 수 있음을 시사한다. 그러나 많은 숫자를 대상으로 한 대조군 연구를 통해 효과가 입증되어야 환자군에게 적용시킬 수 있을 것으로 사료된다.
Abstract
Objectives: Mindfulness-base cognitive therapy (MBCT) has been used to treat patients with depression to prevent relapse. The purpose of this study was to examine the effectiveness of Mindfulness-Base Cognitive Therapy for patients who suffer with generalized anxiety disorder or panic disorder for 1 year. Methods: 19 patients with generalized anxiety disorder or panic disorder were assigned to receive MBCT for a period of 8 weeks. The Hamilton Anxiety Rating Scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI) were used at 0 weeks, 8 weeks and 1 year to assess the results. Results: MBCT demonstrated significantly decreases on all the anxiety scale scores (HAM-A, p=0.00;BAI, p=0.00) and depressive scale scores (HAM-D, p=0.00;BDI, p=0.00). The patients who received 8-week of MBCT showed a higher remission rate (15/19, 78%) during the 1-year followup period. Conclusion: MBCT may be effective at relieving the anxiety and depressive symptoms of patients who suffer with generalized anxiety disorder or panic disorder for 1 year. However, further well-designed controlled trials are needed to assess the value of MBCT.
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