Effect of Mindfulness Training (Body Scan) on the Five-item Brief Symptom Rating Scale of Depressive Inpatients of Military Personnel: A Pilot Study

住院憂鬱個案正念訓練對自殺風險之初探研究：以軍人族群為例

戴月明(Yueh-Ming Tai) ； 楊斯年(Szu-Nian Yang) ； 鄭淑利(Shu-Li Cheng)

《台灣精神醫學》 32卷4期 (2018/12) Pp. 306-313+ii

摘要

Objectives: We conducted the study to examine the beneficial effect of mindfulness training (body scan) on improving suicide risk of depressive military psychiatry inpatients, and to understand how other psychiatry factors can mediate it. Methods: We recruited 28 military psychiatry inpatients with depressive symptoms (male: female = 22: 6) and divided them into groups A and B of their own will. The former group received a mindfulness body-scan training following a 10-minute coaching video, and the latter took their original regular treatment during the first week and then received the treatment during following week. The latter group, in reverse, received regular treatment during the first week and the above-noted mindfulness training during the following week. We measured participants' states of depression, anxiety, and suicide risk at baseline (time 1), the end of the first week (time 2), and the second week (time 3). Results: This study revealed a significant decreased suicide risks (BSRS-5) of both groups (p ＜ 0.001) even after adjusting effects of sex, age, time periods of services, depression (measured by Beck's Depression Inventory, BDI), anxiety (measured by Beck's Anxiety Inventory, BAI) and interpersonal needs (measured by Interpersonal Need Questionnaire, INQ), namely, thwarted belongingness and perceived burdensomeness. Anxiety was the only significant factor existed in this relationship (p ＜ 0.05). Conclusion: Our study confirms the beneficial effects of short-term mindfulness (body scan) training on suicide risk (BSRS-5) of military personnel with depression. And the effect of anxiety is parallel to the above-noted effect. The longer training and further following studies of mindfulness in the future are warranted.

關鍵字

mindfulness ； depression ； military service ； suicide risk

並列摘要

目的：鑑於近年精神科對正念的注意增加及正念治療的蓬勃發展，本研究目的在探討正念訓練（身體掃描）是否對因憂鬱症狀住院軍病人之自殺風險有所影響，並了解其他心理因子（如人際關係需求）所扮演之角色。方法：本研究收集28名軍中因憂鬱症狀住院病人（男：女＝22：6），依其意願分為兩組（組A及組B），前組第一週接受每日一次身體正念訓練（十分鐘教學影片），後組則接受一般常規治療；第二週兩組交換。兩組分別於研究開始、第一週及第二週結束時接受憂鬱(BDI)、焦慮(BAI)及自殺風險(BSRS-5)量表測驗。結果：兩組於三次測量均有差異的憂鬱、焦慮及自殺風險下降，但僅有BSRS-5達統計顯著差異(p ＜ 0.001)。在GEE統計分析結果中，正念訓練有減少自殺風險效果（依BSRS-5結果），且伴隨有焦慮之顯著影響(p ＜ 0.05)。討論：本研究證實短期正念訓練確可減少軍中憂鬱病人之自殺風險（依BSRS-5結果），且此一效果與焦慮症狀改變同時發生。

並列關鍵字

正念 ； 身體掃描 ； 憂鬱 ； 自殺風險

參考文獻

Kuehn BM: Soldier suicide rates continue to rise: military, scientists work to stem the tide. JAMA 2009; 301: 1111-3.

Kapur N, While D, Blatchley N, et al.: Suicide after leaving the UK Armed Forces‒a cohort study. PLoS Med 2009; 6: e0001-9.

Ma CC, Tai YM: Cut-off values of five-item brief symptom rating scale in evaluating suicidality among military recruits. Taiwanese Journal of Psychiatry (Taipei) 2014; 28: 109-20.

Prinstein MJ, Boergers J, Sirito A, et al.: Peer functioning, family dysfunction, and psychological symptoms in a risk factor model for adolescent inpatients’ suicidal ideation severity. J Clin Child Psychol 2000; 29: 392-405.

Roush JF, Mitchell S M, Cukrosicz KC, et al.: Thwarted interpersonal needs mediate the relation between facets of mindfulness and suicide ideation among psychiatric inpatients. Psychiatry Res 2018; 265: 167-73.