由于持续的非创伤性压力而导致的疲劳的心理治疗:一个范围的审查
Jakob Clason van de Leur1,2, Filip Jovicic3,4, Andreas Åhslund4
1Department of Psychology, Uppsala University, Box 1225, 751 42, Uppsala, Sweden. jakob.clason-vandeleur@psyk.uu.se.
International journal of behavioral medicine
|June 12, 2023
概括
由于持续的非创伤性压力 (ENTS) 而导致的疲劳是一个日益严重的健康问题. 虽然认知行为疗法 (CBT) 是有前途的,但仍然需要对ENTS诊断和治疗采取统一的方法,有利于基于过程的干预措施.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 临床研究 临床研究
背景情况:
- 由于持续的非创伤性压力 (ENTS) 造成的疲劳带来了重大的个人,社会和经济挑战.
- 在诊断和治疗ENTS方面缺乏国际共识.
- 本综述绘制了心理ENTS干预中的定义,诊断,治疗和结果.
研究的目的:
- 在心理学研究中涵盖ENTS的定义,诊断和治疗.
- 评估ENTS干预的质量.
- 在ENTS处理中识别变化过程.
主要方法:
- 进行了PRISMA指导的范围审查.
- 这些研究来源于PubMed,PsycINFO和CINAHL.
- 重点是临床环境中对ENTS的心理治疗.
主要成果:
- 包括60项研究,主要来自欧洲 (87%).
- 倦怠和疲劳障碍是常见的术语/诊断.
- 认知行为疗法 (CBT) 是最常见的治疗方法 (68%).
- 65%的研究报告了与ENTS相关的显著结果 (效果大小为0.13-1.80).
- 高质量的治疗包括28%的干预措施.
- 关键的变化过程包括睡眠,避免,行为激活和认知因素.
结论:
- 基于CBT的治疗方法显示了ENTS的潜力.
- 没有为ENTS建立统一的方法,理论模型和变更流程.
- 建议在ENTS治疗中采用以过程为基础的方法,而不是单因或生物减少主义的观点.
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