多发性硬化症患者和临床医生在使用隐藏症状的认知行为疗法方面的经验:系统性审查和元聚合
Gregory Feng1, Stephanie Posa1, Ashvene Sureshkumar2
1Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Journal of neurology
|January 14, 2024
概括
认知行为疗法 (CBT) 对MS患者 (PwMS) 有好处,但根据他们的需求量身定制干预措施至关重要. 了解利益相关者的经验可以优化CBT,从而在多发性硬化症管理中获得更好的结果.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 认知行为疗法 (CBT) 是管理多发性硬化症 (MS) 患者隐藏症状的标准,包括压力,抑郁和疲劳.
- 当前的CBT格式可能缺乏针对MS患者 (PwMS) 特定需求的定制.
- 了解利益相关者的观点对于优化PwMS的CBT干预至关重要.
研究的目的:
- 系统地审查和综合有关CBT对PwMS利益相关者的观点的定性数据.
- 在PwMS和临床医生中确定有关CBT经验,益处和挑战的关键主题.
主要方法:
- 在五个主要的电子数据库中进行了系统的搜索.
- 质量研究被确定,选,并由两名审查员对质量进行评估.
- 使用乔安娜·布里格斯研究所的数据合成方法进行了元聚合.
主要成果:
- 包括28项研究,涉及653名PwMS和47名临床医生.
- 提取了122个定性结果,并将其分为9个类别,合成为6个关键发现.
- 调查结果涵盖了MS生活的背景,参与的原因,可接受性,好处,挑战和改进建议.
结论:
- 根据干预设计,CBT为PwMS提供心理,社会和生活方式的好处.
- 未来的CBT应该是量身定制的,可能是以小组为基础的或在线的,并由MS熟悉的辅导员提供.
- 建议对最佳的CBT设计和与护理人员和临床医生的接触进行进一步的研究.
相关概念视频
Modeling in Therapy
84
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
84
Cognitive Therapy
153
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
153
Beck's Cognitive Therapy
54
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
54
Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
Psychotherapy
106
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
106
Behavior Therapy
51
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
51


