认知行为疗法与药物治疗多动症和持续症状的成年人接受教育支持的放松治疗:随机对照试验
Steven A Safren1, Susan Sprich, Matthew J Mimiaga
1Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA. ssafren@partners.org
JAMA
|August 26, 2010
概括
在一项随机试验中,认知行为疗法显著改善了成年ADHD症状. 这些收益维持了12个月,提供了有价值的心理社会治疗选择.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 成年注意力缺陷/多动症障碍 (ADHD) 是一种常见且损害性疾病.
- 药物治疗本身往往不足以解决ADHD症状.
- 针对成人多动症的基于证据的心理社会治疗方法有限.
研究的目的:
- 评估ADHD成年人的认知行为疗法 (CBT) 的疗效.
- 在已经接受药物治疗但症状持续的患者中评估CBT.
主要方法:
- 一项随机对照试验涉及86名患有症状的ADHD成年人,他们正在服用药物.
- 参与者接受了12个单独的CBT或放松/教育控制的会议.
- 使用盲目ADHD评分尺度和临床全球印象在基线,治疗后和6-12个月的随访测量结果.
主要成果:
- 与对照组相比,CBT在治疗后的临床全球印象和ADHD评分尺度上显著降低了ADHD症状.
- 自我报告的ADHD症状通过CBT显著改善.
- 在CBT组 (53-67%) 和对照组 (23-33%) 中观察到更高的反应率,在12个月内持续增长.
结论:
- 认知行为疗法是一种有效的心理社会干预,适用于患有持续多动症症状的成年人.
- 认知认知治疗 (CBT) 提高了已在药物治疗中ADHD成年人的治疗结果.
- 通过CBT获得的症状改善是持久的,持续至干预后12个月.
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