身体形障碍治疗的反应时间:认知行为疗法和支持性心理治疗的比较
Susanne S Hoeppner1, Margaret D Hall1, Marc Hiranandani1
1Massachusetts General Hospital and Harvard Medical School.
Behavior therapy
|January 12, 2024
概括
对于身体形障碍 (BDD) 的认知行为疗法 (CBT) 显示出比支持性心理治疗 (SPT) 更快的反应时间. 大多数患者需要超过11次治疗,以获得最初的BDD症状改善,而CBT通常需要大约21次治疗.
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
背景情况:
- 身体形障碍 (BDD) 是一种精神健康状况,其特点是对外观的缺陷有着强迫性关注.
- 心理治疗是BDD的既定治疗方法,但对反应速度的比较数据有限.
研究的目的:
- 为了比较BDD患者的认知行为疗法 (CBT) 和支持性心理治疗 (SPT) 之间的时间到第一个治疗反应.
- 根据治疗方式和研究地点分析反应时间.
主要方法:
- 一项随机对照试验,涉及120名BDD患者,每周分配CBT或SPT.
- 二次数据分析的重点是109名患者,至少有一次基线后评估.
- 应答被定义为BDD症状严重程度减少30%或更多.
主要成果:
- 与SPT (88天) 相比,CBT (76天) 的第一个反应的中位时间显著更短.
- 由于响应率低,SPT的响应时间在任何一个地点都无法估计.
- 预计CBT的第75百分点反应时间为1部位148天,2部位134天.
结论:
- 认知行为疗法 (CBT) 与支持性心理治疗 (SPT) 相比,对BDD症状的初始反应更快.
- 临床医生和患者应该预计,显著的改善可能需要超过11次会议,潜在的CBT约21次会议.
- 对于BDD患者来说,CBT可能是最有效的第一线治疗方法.
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