症状困扰和心理社会功能在焦虑障碍的认知行为治疗期间双向改善
1Anxiety Disorders Center, Institute of Living, Hartford, USA.
Journal of anxiety disorders
|February 4, 2024
概括
认知行为疗法 (CBT) 可以改善焦虑症状和心理社会功能. 减少症状预示着更好的功能,而改善的功能也有助于减少治疗期间的症状.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 认知行为疗法 (CBT) 对焦虑障碍有效.
- 在CBT期间减轻症状和心理社会功能之间的时间关系是研究不足的.
研究的目的:
- 调查在焦虑障碍的CBT期间症状痛苦和心理社会功能之间的时间关联.
- 检查症状缓解和改善社会和人际功能之间的双向关系.
主要方法:
- 288名患有焦虑障碍的门诊患者接受了CBT.
- 结果问卷-45评估了症状痛苦,社会角色和人际功能在基线和每周.
- 交叉滞后分析检查了症状痛苦和功能之间的时间先行性.
主要成果:
- 症状困扰和心理社会功能在25个CBT会话中都存在强烈的联系.
- 症状困扰的减少预测了随后心理社会功能的改善,反之亦然.
- 症状困扰与功能之间的关联具有更大的效果大小;严重程度和抑郁症减轻了这种联系.
结论:
- 在CBT期间,焦虑症状和心理社会功能双向改善.
- 治疗同时解决症状和功能可能是最有效的.
- 研究结果强调了症状减轻和功能恢复在焦虑治疗中的相互联系.
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