Development and Evaluation of a Cognitive Behavioral Therapy Program for Reducing Rumination

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K19781
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Kobe Tokiwa University
• Principal Investigator: Eguchi Miki 神戸常盤大学, 保健科学部, 講師 (40631718)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: マインドフルネス / 反すう / 認知行動療法 / 看護 / 精神障害

Outline of Final Research Achievements

The number of depressed patients has nearly doubled in the past decade. Rumination has gained attention as a major factor in depression. The purpose of this study was to investigate a method for reducing rumination in people with mental illness and to evaluate its effectiveness. Twenty people with mild depression who scored 6 or higher on the QIDS-J were enrolled in a program using mindfulness techniques, and the effectiveness of the program was compared with that of a control group(n=17). Results showed reductions in rumination and cognitive bias, and no adverse events were reported. The results also suggested that the program enabled participants to understand and sustain mindfulness, and was useful in reducing the distressing experiences caused by rumination.

Free Research Field

精神看護

Academic Significance and Societal Importance of the Research Achievements

これまで精神疾患をもつ人を対象としたマインドフルネスは，慎重に行うべきであるという見解が主流であったため，安全な実施に関するエビデンスは稀少であった．本研究で取り上げたプログラムは，精神障害者が安全にマインドフルネスの技法を学び実践できること，そしてこれらの実践が反すうや認知バイアスの軽減に有用であることを示唆するエビデンスの蓄積に貢献したと考えられる．