分离性发作的认知行为疗法是如何工作的? 对CODES试验的调解分析
T Chalder1, S Landau2, J Stone3
1Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Psychological medicine
|January 10, 2024
概括
分离性发作特定的认知行为疗法 (DS-CBT) 通过减少回避,焦虑和抑郁改善了结果. 这些因素调解了治疗对发作频率和生活质量的积极影响.
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
- 神经学 神经学
背景情况:
- 一项随机对照试验将分离性特定认知行为疗法 (DS-CBT) 加上标准化医疗保健 (SMC) 与单独的SMC进行了比较.
- 在12个月后,DS-CBT在二次措施上表现出更好的结果.
研究的目的:
- 评估DS-CBT在患有分离性的患者中的治疗机制.
- 确定通过DS-CBT发挥其治疗效果的介质.
主要方法:
- 涉及368名参与者的CODES试验的二次调解分析.
- 评估了16个调解假设,将DS-CBT与6个月后的结果 (发作频率,WSAS,SF-12v2 PCS/MCS) 通过调解者 (关于情绪,避免,焦虑,抑郁的信念) 联系起来.
主要成果:
- DS-CBT改善了回避行为,焦虑和抑郁,但没有改善关于情绪的信念.
- 避开行为,焦虑和抑郁症调解了DS-CBT对分离性发作,WSAS和SF-12v2 MCS分数的影响.
- 避免行为独特地调解了SF-12v2 PCS分数的影响.
结论:
- 这些发现支持CBT在分离性发作中的逻辑模型.
- 未来的干预措施可以针对关于情绪的信念,以潜在地提高治疗结果.
相关概念视频
Dissociative Disorders
118
Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
118
Dissociative Identity Disorder
117
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
117
Dissociative Amnesia
112
Dissociative amnesia is a complex psychological condition that manifests as an inability to recall personal information, often tied to traumatic or stressful events. Unlike general amnesia, individuals with this condition retain the ability to perform routine activities and procedural tasks, such as operating a phone or navigating public transportation, yet experience profound gaps in autobiographical memory. These lapses may encompass significant life events, such as suicide attempts or...
112
Cognitive Theories: Lazarus Mediational Theory of Emotion
850
Richard Lazarus' cognitive mediational theory highlights the pivotal role of cognitive appraisal in shaping emotional responses. According to this theory, the evaluation of a stimulus — based on personal values, goals, beliefs, and expectations — mediates the emotional response. This appraisal process is immediate and often occurs unconsciously, influencing the intensity and nature of the resulting emotion.
Cognitive Appraisal and Emotional Response
Lazarus proposed that...
Cognitive Appraisal and Emotional Response
Lazarus proposed that...
850


