催眠症的认知行为疗法:一个随机对照试验
Arthur J Barsky1, David K Ahern
1Department of Psychiatry, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass, USA. abarsky@partners.org
认知行为疗法 (CBT) 显著降低了下症的症状,并改善了功能. 这种简短的干预措施显示了对患有下症的个体的长期益处,提供了一个新的治疗选择.
科学领域:
- 精神病学是一种精神病学.
- 临床心理学 临床心理学
- 行为医学是一种行为医学.
背景情况:
- 缺口症是一种在门诊护理中普遍存在的,慢性和致残的疾病.
- 从历史上看,对阴性二合一症的有效治疗方法是有限的.
研究的目的:
- 为了评估认知行为疗法 (CBT) 干预的疗效,对心脏病的治疗.
主要方法:
- 一个随机对照试验,将个人CBT与通常的医疗保健进行比较.
- 该研究包括初级保健和志愿者中的患者,在医生层面随机化.
- 评估在基线进行,并在治疗后6个月和12个月进行.
主要成果:
- 认知行为疗法 (CBT) 患者在12个月的随访中显示出缺口症症状,信念和态度的统计和临床显著减少.
- CBT改善了与健康相关的焦虑,并减少了社会角色功能和日常活动的损害.
- 没有观察到显著改善的虚体性体质症状.
结论:
- 一个简短的,个别的CBT干预有效地准了缺陷性思维和信念.
- 这种CBT方法表明,它对下痢症症状有显著而持久的积极影响.
- 这些研究结果支持CBT作为对心脏病的有益的长期治疗方法.
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