BJPsych：正念疗法在治疗抑郁症和焦虑症上同行为认知疗法一样有效

  来自瑞典隆德大学研究人员近日的一项研究结果表明，正念治疗对于抑郁症及焦虑症患者的治疗同行为认知疗法（CBT）一样有效，相关研究刊登于国际杂志The British Journal of Psychiatry上。
  研究者Jan Sundquist表示，本文研究是一项随机性研究，来比较群体性正念疗法和个体的行为认知疗法对抑郁症和焦虑症治疗的效果差异；我们在瑞典南部一个名叫Skane的县城的16个初级卫生保健中心进行了相关研究，从不同职业群体的个体中训练了两名正念疗法的指导者，并且在每一个初级卫生保健中心进行为期6天的培训过程。
  2012年春天研究者将抑郁症、焦虑症或对严重压力产生反应的个体随机分为正念治疗组和认知行为疗法组，大约10人为一组进行对比研究；同时这些患者接受私人培训计划并且被要求记录下他们每天的锻炼日志，疗法持续8周。
  这项研究中共包括215名患者，在疗法进行前和进行后，进行两种治疗方法的病人均填写了调查问卷，以此来估计其抑郁症和焦虑症的严重程度；在8周的疗法期间两组研究对象抑郁症和焦虑症的自我报告的症状均发生了降低，两种疗法对患者病情的减轻程度并无统计学差异。
  最后研究者Jan Sundquist说道，本文研究揭示，正念疗法和个体的行为认知疗法在治疗抑郁症和焦虑症上同样有效，这就意味着群体性的正念疗法可以用以替代个体的精神疗法，尤其是对于那些不能提供个体行为认知疗法的初级卫生保健中心。（转化医学网360zhyx.com）
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转化医学网推荐的原文摘要：

Mindfulness group therapy in primary care patients with depression, anxiety and stress and adjustment disorders: randomised controlled trial 
The British Journal of Psychiatry     doi: 10.1192/bjp.bp.114.150243 
Jan Sundquist, Åsa Lilja, Karolina Palmér, Ashfaque A. Memon, Xiao Wang, Leena Maria Johansson and Kristina Sundquist 
Background
Individual-based cognitive–behavioural therapy (CBT) is in short supply and expensive.
Aims
The aim of this randomised controlled trial (RCT) was to compare mindfulness-based group therapy with treatment as usual (primarily individual-based CBT) in primary care patients with depressive, anxiety or stress and adjustment disorders. 
Method
This 8-week RCT (ClinicalTrials.gov ID: NCT01476371) was conducted during spring 2012 at 16 general practices in Southern Sweden. Eligible patients (aged 20–64 years) scored ⩾10 on the Patient Health Questionnaire-9, ⩾7 on the Hospital Anxiety and Depression Scale or 13–34 on the Montgomery–Åsberg Depression Rating Scale (self-rated version). The power calculations were based on non-inferiority. In total, 215 patients were randomised. Ordinal mixed models were used for the analysis. 
Results
For all scales and in both groups, the scores decreased significantly. There were no significant differences between the mindfulness and control groups. 
Conclusions
Mindfulness-based group therapy was non-inferior to treatment as usual for patients with depressive, anxiety or stress and adjustment disorders.