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针对COPD焦虑或抑郁的量身定制心理干预 (TANDEM):一种随机对照试验

Stephanie J C Taylor^1,2, Ratna Sohanpal^3,2, Liz Steed³

¹Wolfson Institute of Population Health, Queen Mary University of London, London, UK s.j.c.taylor@qmul.ac.uk.

The European respiratory journal

|August 24, 2023

概括

量身定制的认知行为干预措施并没有改善晚期COPD患者的焦虑或抑郁. 这种心理干预对患有慢性阻塞性肺病和精神健康症状的患者没有益处.

科学领域:

呼吸系统医学呼吸系统医学
心理学心理学心理学
临床试验临床试验

背景情况:

慢性阻塞性肺病 (COPD) 通常伴随着焦虑和抑郁.
心理干预可能有助于管理这些并发症.

研究的目的:

为了评估针对COPD患者的焦虑/抑郁症量身定制的认知行为干预.
在随机对照试验中,将干预与通常护理进行比较.

主要方法:

进行了一项多中心,实用,随机对照试验 (TANDEM).
患有COPD和焦虑/抑郁症的参与者被随机分配到干预或常规护理.
结果包括6个月的焦虑和抑郁分数 (HADS-A,HADS-D).

主要成果:

干预措施在6个月后没有显著改善焦虑或抑郁的得分.
在次要结局,完成肺部康复或医疗资源使用方面没有观察到任何改善.
干预组中发现死亡率较高,但与干预无关.

结论:

由呼吸专业人员提供的认知行为干预措施没有改善晚期COPD的心理并发症.
这种干预不太可能具有成本效益,并且对这个患者群体没有任何好处.

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