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自我同情在抑郁症干预中的应用(综述)OACHSSCD

A review of application of self-compassion in depression interventions

中文摘要英文摘要

本文系统回顾了2020-2025 年间发表的自我同情干预在抑郁症患者中应用的研究.现有干预疗法主要包括同情聚焦疗法(CFT)、正念自我同情训练(MSC)和慈心冥想(LKM),均能有效改善抑郁症患者的抑郁症状.CFT适用于具有高度自我批评和羞耻感的抑郁症患者,MSC在青少年抑郁症患者效果突出且国内已有初步研究验证,LKM则多与其他疗法结合应用于抑郁症患者.尽管自我同情干预显示出良好的临床潜力,但目前研究多为小样本、短期随访,且干预对象范围有限.未来应开展多中心、大样本、长期随访的随机对照试验,探索不同人群与不同临床亚型的适用性,并结合数字化技术以提升可及性与成本效益.

This review synthesizes studies published between 2020 and 2025 on self-compassion interven-tions for patients with depression.The primary approaches include Compassion-Focused Therapy(CFT),Mindful Self-Compassion(MSC),and Loving-Kindness Meditation(LKM),all of which are effective in improving the de-pressive symptoms.CFT is applied to depressed patients with high self-criticism and shame,MSC has outstanding effects in adolescent depressed patients and has been validated by preliminary studies in China,and LKM is mostly applied to depressed patients in combination with other psychotherapies.Despite their promise,current studies are mostly limited by small sample sizes,short follow-up periods,and narrow target populations.Future research should involve multi-center,large-scale randomized controlled trials with long-term follow-up,examine applicability across diverse age groups and clinical subtypes,and explore integration with digital delivery methods to improve accessibil-ity and cost-effectiveness.

潘梦圆;秦春香;曾利红;王瑶菡;李欢;黄友霞;唐琴

中南大学湘雅三医院护理部,长沙 410013||吉首大学医学院,湖南吉首 416000中南大学湘雅三医院护理部,长沙 410013中南大学湘雅护理学院,长沙 410013中南大学湘雅护理学院,长沙 410013吉首大学医学院,湖南吉首 416000吉首大学医学院,湖南吉首 416000中南大学湘雅三医院产科,长沙 410013

医药卫生

自我同情抑郁症干预措施综述

self-compassiondepressioninterventionreview

《中国心理卫生杂志》 2026 (4)

305-309,5

国家自然科学基金面上项目"面向大数据医疗的胎儿畸形围引产期抑郁智能管理体系研究"(72074225),湖南省哲学社会科学基金一般项目"女性围引产期远程管理APP的构建及效果验证"(22YBA004),湖南省哲学社会科学基金一般项目"胎儿畸形围引产期抑郁症状智能管理平台研究"(23YBA011)

10.3969/j.issn.1000-6729.2026.04.05

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