Outcome of Cognitive Behavioral Therapy Focused on Distraction : A Randomized Controlled Trial with Patients with Major Depressive Disorder

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  • 気晴らしを中心とした認知行動療法の効果 : うつ病を対象とした無作為化比較試験

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Currently, studies that aim to control negative mood by distraction-the process of diverting an individual's attention or interest-are ongoing. However, opinions vary as to their outcome. Moreover, in Japan, randomized controlled trials are only infrequently conducted as a method for evaluating the outcome of psychotherapy. Therefore, the aim of the present study was to investigate whether any changes in negative rumination or depressive mood could be observed after outpatients at a psychiatric clinic had received cognitive behavioral therapy focused on distraction. Patients with major depressive disorder were randomly divided into a distraction group (n=20) that received cognitive behavioral therapy in which distraction was actively encouraged, and a control group (n=20) that received psychotherapy focused primarily on attentive listening (conventional treatment). A mixed two-factor analysis of variance on measures of negative rumination or depressive mood with time (pre- vs. post-treatment) and treatment (cognitive behavioral therapy vs. control) as within- and between-subject factors revealed a significant interaction between time and treatment, with the distraction group showing significant changes after cognitive behavioral therapy. The results suggest that cognitive behavioral therapy focused on distraction shifted the patients' attention from negative rumination and alleviated their depressive mood.

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