複雑な悲しみの治療:ランダム化制御試験
Katherine Shear1, Ellen Frank, Patricia R Houck
1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pa 15213, USA. shearmk@upmc.edu
JAMA
|June 2, 2005
まとめ
複雑な悲しみの治療は,対人心理療法よりも症状を大幅に改善しました. この新しいアプローチは,複雑な悲しみの個人に,より高い応答率とより速い症状緩和を示しました.
科学分野:
- 精神科医は精神病を患っている.
- 臨床心理学の臨床心理学について
- メンタルヘルス研究 メンタルヘルス研究
背景:
- 複雑な悲しみ (Complicated Grief,CG) は,健康に重大な悪影響を及ぼす重篤な障害である.
- CGの既存の治療法は,残念な結果をもたらしました.
研究 の 目的:
- 標準的な対人心理療法 (IPT) に対して,新しい複雑な悲しみの治療法 (CGT) の有効性を比較する.
主な方法:
- CGの基準を満たした135人の参加者を対象とした前向きなランダム化対照試験です.
- 参加者は,約19週間にわたり,CGTまたはIPTの16回のセッションを受講しました.
- 治療への反応は,臨床全般改善スコアと複合的な悲しみの在庫を使用して評価されました.
主要な成果:
- CGTとIPTの両方がCG症状を改善しました.
- CGTはIPT (28%;P = .02) に比べて,著しく高い応答率 (51%) を示しました.
- 応答までの時間は,CGT (P = .02) でも著しく短く,治療に必要な数は4.3でした.
結論:
- 複雑な悲しみの治療は,対人心理療法よりもCGのためのより効果的な介入です.
- CGTは優れた応答率と,症状の改善の早期発症を提供します.
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