认知行为疗法 (CBT) 治疗非个性化脱现障碍 (DDD):对等待名单和积极治疗的自我控制交叉研究
Elaine C M Hunter1, Cheuk Lon Malcolm Wong2, Rafael Gafoor1
1Department of Academic Psychiatry, University College London, London, UK.
Cognitive behaviour therapy
|September 15, 2023
概括
适应非个性化-非个性化障碍 (DDD) 的认知行为疗法 (CBT) 在改善症状方面显示了中等效果. 这项临床审计表明,CBT可能对慢性DDD有效,尽管需要进一步的随机研究.
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
- 心理健康 心理健康
背景情况:
- 脱人格化-脱人格化障碍 (DDD) 影响大约1%的人口.
- DDD通常是未被认可的,并且对传统的医疗治疗反应有限.
- 需要对慢性DDD进行有效的治疗干预.
研究的目的:
- 为了审计认知行为疗法 (CBT) 的有效性,该疗法专门适用于非个性化-非个性化障碍 (DDD).
- 评估慢性DDD患者接受适应性CBT的非个性化,抑郁和焦虑症状的变化.
- 评估CBT作为DDD治疗的潜力.
主要方法:
- 一项临床审计,对36名患有慢性DDD的参与者进行了临床审计,这些参与者来自NHS专业诊所.
- 参与者在自然主义,自我控制,交叉设计中完成了适应的CBT.
- 测量结果包括剑桥非个性化量表 (CDS),贝克抑郁 inventory (BDI) 和贝克焦虑 inventory (BAI) 在基线,中期治疗和治疗结束时.
主要成果:
- 所有评估的结果得分 (CDS,BDI,BAI) 在CBT治疗期间都显示出改善.
- 在非个性化,抑郁和焦虑症状中观察到的改善显示了中等效果大小.
- 层次的纵向分析表明,按个人分类的患者水平的积极结果.
结论:
- 适应非个性化-非个性化障碍 (DDD) 的认知行为疗法 (CBT) 似乎是一个有效的治疗选择.
- 这项研究提供了初步证据,支持CBT在减少DDD症状方面的有效性.
- 建议进行进一步的研究,包括随机对照试验,以确认CBT对DDD的疗效.
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