对双相情感障碍的认知行为疗法的有效性:系统性审查
1Instituto Peruano para el Estudio y Abordaje Integral de la Personalidad, Lima, Peru; Servicio de Psiquiatría, Hospital de Emergencias Villa El Salvador, Lima, Peru.
Revista Colombiana de psiquiatria (English ed.)
|October 22, 2023
概括
认知行为疗法 (CBT) 对双相情感障碍 (BD) 显示出有希望的结果,减少抑郁症,躁狂症,改善功能. 需要进一步的研究才能充分确定其在治疗这种慢性精神疾病方面的长期益处.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康 心理健康
背景情况:
- 双极性障碍 (BD) 是一种慢性精神疾病,影响人口的1-1.5%,其特点是经常出现躁狂和抑郁症.
- 虽然药物和心理治疗方法已经存在,但需要更多关于认知行为疗法 (CBT) 等特定干预措施有效性的临床数据.
研究的目的:
- 系统地审查和确定CBT的疗效,作为独立或辅助治疗,对于被诊断患有双相情感障碍的人.
主要方法:
- 进行了对17篇文章的系统审查,搜索了PubMed,PsycINFO和Web of Science数据库.
- 纳入标准集中在BD患者 (18-65岁) 的CBT定量/定性研究上,不包括综述和混合诊断的研究.
- 搜索策略结合了"双极性障碍"和"认知行为疗法".
主要成果:
- 该审查包括1531名患者,研究显示8-30次会议的结果可变.
- 认知认知疗法在抑郁和躁狂水平上有所改善,功能性增强,焦虑和失眠减少.
- 观察到的好处包括双相情绪发作复发和复发的减少.
结论:
- 认知行为疗法 (CBT) 在双相情感障碍管理方面呈现出有希望的结果,无论是作为单一疗法还是作为药物辅助.
- 用CBT治疗导致抑郁和躁狂症状减少,复发较少,心理社会功能得到改善.
- 建议进行进一步的研究,以巩固这些发现并探索长期结果.
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