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An Uncontrolled Open Trial of a Brief Behavioural Activation Treatment for Depression in Patients with Chronic Spontaneous Urticaria
BEHAVIOUR CHANGE ( IF 1.5 ) Pub Date : 2019-02-26 , DOI: 10.1017/bec.2019.5
Matthew T. Tull , Claire B. Rosenblatt , Christopher R. Berghoff , Laura J. Dixon , Evan Ciarloni , Denise D. Montgomery , Linnie E. Wheeless , Gailen D. Marshall

Chronic spontaneous urticaria (CSU) has been associated with depression and can have an impact on quality of life. Therefore, researchers have suggested the potential utility of psychological interventions for targeting depression among CSU patients. Psychological interventions that may hold the most promise are those that are brief and easily transportable, such as brief behavioural activation treatment for depression. We report results of a preliminary investigation of an uncontrolled open trial of a one-session behavioural activation treatment for depression designed for patients with CSU (BATD-CSU) at a university-based allergy and immunology clinic. Participants were 11 females with chronic, poorly controlled urticaria and symptoms of depression. Following the completion of pretreatment questionnaires, participants were administered BATD-CSU primarily by non-mental health professionals trained and supervised in its delivery. One month post-BATD-CSU, participants completed follow-up questionnaires. Participants exhibited significant reductions in depression severity, avoidance/rumination, and work/school impairment. BATD-CSU was also associated with improvements in urticaria control one month post-treatment. Moreover, five of nine patients reported reliable and clinically significant improvement on at least one outcome. Results demonstrate that BATD-CSU may have benefits for CSU patients even when consisting of one session and delivered by professionals with limited background in psychological interventions, thus speaking to its feasibility and transportability.

中文翻译:

一项针对慢性自发性荨麻疹患者抑郁症的简短行为激活治疗的非对照开放试验

慢性自发性荨麻疹 (CSU) 与抑郁症有关,并可能对生活质量产生影响。因此,研究人员提出了针对 CSU 患者抑郁症的心理干预的潜在效用。可能最有希望的心理干预是那些简短且易于携带的心理干预,例如抑郁症的简短行为激活治疗。我们报告了在大学过敏和免疫学诊所为 CSU (BATD-CSU) 患者设计的抑郁症单次行为激活治疗的无对照公开试验的初步调查结果。参与者是 11 名患有慢性、控制不佳的荨麻疹和抑郁症状的女性。在完成预处理问卷后,参与者主要由受过培训和监督的非心理健康专业人员管理 BATD-CSU。BATD-CSU 后一个月,参与者完成了后续问卷调查。参与者表现出抑郁严重程度、回避/反刍和工作/学习障碍的显着降低。BATD-CSU 还与治疗后一个月荨麻疹控制的改善有关。此外,九名患者中有五名报告了至少一项结果的可靠和临床显着改善。结果表明,BATD-CSU 可能对 CSU 患者有好处,即使只由一次会议组成,并且由心理干预背景有限的专业人员提供,因此说明了它的可行性和可移植性。BATD-CSU 后一个月,参与者完成了后续问卷调查。参与者表现出抑郁严重程度、回避/反刍和工作/学习障碍的显着降低。BATD-CSU 还与治疗后一个月荨麻疹控制的改善有关。此外,九名患者中有五名报告了至少一项结果的可靠和临床显着改善。结果表明,BATD-CSU 可能对 CSU 患者有好处,即使只由一次会议组成,并且由心理干预背景有限的专业人员提供,因此说明了它的可行性和可移植性。BATD-CSU 后一个月,参与者完成了后续问卷调查。参与者表现出抑郁严重程度、回避/反刍和工作/学习障碍的显着降低。BATD-CSU 还与治疗后一个月荨麻疹控制的改善有关。此外,九名患者中有五名报告了至少一项结果的可靠和临床显着改善。结果表明,BATD-CSU 可能对 CSU 患者有好处,即使只由一次会议组成,并且由心理干预背景有限的专业人员提供,因此说明了它的可行性和可移植性。BATD-CSU 还与治疗后一个月荨麻疹控制的改善有关。此外,九名患者中有五名报告了至少一项结果的可靠和临床显着改善。结果表明,BATD-CSU 可能对 CSU 患者有好处,即使只由一次会议组成,并且由心理干预背景有限的专业人员提供,因此说明了它的可行性和可移植性。BATD-CSU 还与治疗后一个月荨麻疹控制的改善有关。此外,九名患者中有五名报告了至少一项结果的可靠和临床显着改善。结果表明,BATD-CSU 可能对 CSU 患者有好处,即使只由一次会议组成,并且由心理干预背景有限的专业人员提供,因此说明了它的可行性和可移植性。
更新日期:2019-02-26
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