快乐的变化是否与认知行为治疗结果有关? 检查一个新兴的治疗目标
Daniella Spencer-Laitt1, Laura J Long1, Lauren S Woodard1
1Department of Psychological and Brain Sciences, Center for Anxiety and Related Disorders, Boston University.
Psychotherapy (Chicago, Ill.)
|August 14, 2023
概括
认知行为疗法 (CBT) 有效地增加了积极的影响,特别是快乐,并减少了负面影响. 积极情绪的改善与减少焦虑和抑郁症状相关.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 对认知行为疗法 (CBT) 对积极情绪的影响的研究正在增长.
- 积极和消极影响表扩展形式 (PANAS-X) 的Joviality子尺度捕捉了喜乐和兴奋等积极情绪.
- 关于Joviality子尺度及其与治疗结果的关系的研究有限.
研究的目的:
- 探讨CBT,包括统一议定书 (UP) 如何增加欢乐.
- 调查快乐度变化与并发症状变化之间的关联.
- 为了比较接受CBT与等候名单对照患者的影响概况.
主要方法:
- 利用了随机等效试验的数据,将UP (跨诊断CBT) 与单个障碍协议 (SDP) 和等候名单控制进行比较.
- 根据基线和治疗后的积极影响 (PA) 和消极影响 (NA) 评分生成影响概况.
- 检查了PANAS-X快乐度子表及其与焦虑和抑郁症状变化的相关性.
主要成果:
- 大多数接受CBT (UP或SDP) 的患者从高NA/低PA转向低NA/高PA,比等候名单对照患者更多.
- 增加的快乐与减少的焦虑 (B = -0.81,p = .00) 和抑郁症 (B = -0.94,p = .00) 症状显著相关.
- 在那些有更严重的焦虑症,但没有严重的抑郁症的个体中,欢乐性增加得更快.
结论:
- CBT有效地增强了积极的情绪,特别是快乐,同时减少了负面的情绪.
- 欢乐的改善是治疗焦虑和抑郁症成功的潜在指标.
- 未来的治疗创新可以专注于增加积极影响,特别是快乐度,以补充减轻症状.
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