認知行為團體治療對憂鬱症之成效：2000-2010年之統合分析

馮瓊儀

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認知行為團體治療對憂鬱症之成效：2000-2010年之統合分析

Meta-analysis of Cognitive-Behavioral Group Therapy for Depression 2000-2010

馮瓊儀 , Masters　　Advisor：周桂如　　

繁體中文

認知行為團體治療；憂鬱症；憂鬱症復發率；統合分析； cognitive-behavioral group therapy；depression；relapse and/or recurrence；Meta-analysis

Abstract │ Reference (259) │ Times Cited (2) │ Altmetrics

Abstract 〈TOP〉

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Objective：This research investigates and understand the comprehensive effects of cognitive-behavior group therapy mainly for depressive disorder on depression and the rate of depression recurrence in recent years. Moreover, the features of cognitive-behavioral group therapy have an impact on effect size is discussed in this thesis as well.
Method：This research gathers a wide range of domestic and foreign quantitative studies that cognitive-behavioral group therapy for depression in English from 2000 to 2010. We screen these study sample that consistent with included criteria, use the technique of meta-analysis to determine an overall effect size of cognitive-behavioral group therapy for depressive disorder on depression and the rate of depression recurrence, the differences and correlation of effect sizes between the features with different levels.
Results：This study included 32 studies, We find overall effect size of cognitive-behavioral group therapy for improving the degree of depression at posttreatment (g =- 0.40) and within 6 months follow-up (g =- 0.38), but no more than 6 months follow-up (g =- 0.06), reducing the recurrence rate of depression over 6 months follow-up (risk difference, RD = 0.16). There are several features with significant differences in the greater effect sizes of depression at posttreatment , such as usual care as a control group, each group for 1 hour or more, with homework exercises. The participants’ HRSD scores of depression at pretest and drop out rate were significant predictors of the effect size of depression at posttreatment. Moreover, participants without residual symptoms was only significant predictor of the effect size of depression within 6 months follow-up.
Conclusion：cognitive-behavioral group therapy for depression had small effect sizes on depression and relapse rate to provides future researchers and clinical workers with useful references for caring patients with depression. It is recommended at least every 6 months to conduct cognitive-behavioral group therapy again for patients with depression to keep treatment effect.

Reference ( 259 ) 〈TOP〉

王秀紅(1999)．統合分析的概念及其在護理的應用．護理研究，7（2），183-192。
連結：
白璐(2003)．實證護理的統合分析．護理雜誌，50(1)，15-20。
連結：
林世華、黃寶園（1998）．柯氏性格量表效度概化之統合分析．師大學報：教育類，43 (2)，21-42。
連結：
林邦傑(1987)．整合分析的理論及其在國內的應用．教育與心理研究，10，1-38。
連結：
邱兆宏(2003)•壓力與健康：整合分析與模式驗證之研究•未發表的碩士論文，高雄︰私立高雄醫學大學行為科學研究所。
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Times Cited (2) 〈TOP〉

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