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相关概念视频

Cognitive Therapy01:25

Cognitive Therapy

152
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...
152
Negative and Cognitive Symptoms of Schizophrenia01:30

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,...
48
Rational Emotive Behavior Therapy01:24

Rational Emotive Behavior Therapy

51
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
51
Beck's Cognitive Therapy01:25

Beck's Cognitive Therapy

51
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...
51
Behavior Therapy01:22

Behavior Therapy

50
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...
50
Treatment Strategies for Psychological Disorders01:24

Treatment Strategies for Psychological Disorders

132
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
132

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相关实验视频

Updated: Jul 4, 2025

Development of a Virtual Reality Assessment of Everyday Living Skills
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认知行为疗法没有治疗精神分裂症的药物.

Irene Bighelli1,2, Oğulcan Çıray3, Nurul Husna Salahuddin1

  • 1Section for Evidence-Based Medicine in Psychiatry and Psychotherapy, School of Medicine and Health, Technical University of Munich, Munich, Germany.

The Cochrane database of systematic reviews
|February 7, 2024
PubMed
概括

对精神分裂症的认知行为疗法 (CBT) 在不使用抗精神病药物时显示出潜在的益处,尽管证据有限. 需要进一步的研究来证实其安全性和有效性.

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科学领域:

  • 精神病学和心理健康 精神病学和心理健康
  • 临床心理学 临床心理学
  • 基于证据的医学基于证据的医学.

背景情况:

  • 认知行为疗法 (CBT) 在与抗精神病药物结合治疗精神分裂症时是有效的.
  • 作为一种独立治疗精神分裂症的CBT的有效性和安全性,没有抗精神病药物,仍然不清楚.

研究的目的:

  • 为了研究CBT对精神分裂症的作用,当没有同时服用抗精神病药物时.

主要方法:

  • 在多个数据库 (如CENTRAL,MEDLINE,Embase) 系统搜索随机对照试验 (RCT).
  • 纳入标准:与标准护理比较无抗精神病药物的CBT,无抗精神病药物的标准护理,或与抗精神病药物的CBT的RCT.
  • 使用Cochrane的RoB 2工具进行数据提取和偏差风险评估;主要结局是一般心理状态.

主要成果:

  • 包括300名参与者的四项研究;所有结果的证据确定性低至非常低.
  • 没有抗精神病药物的CBT显示出与没有特定治疗相比,在减少整体和负面症状方面具有潜在的长期益处.
  • 在没有抗精神病药物和单独抗精神病药物的CBT之间没有发现显著差异,但没有抗精神病药物的CBT对积极症状的有效性低于联合治疗.

结论:

  • 这次审查是第一个系统地综合了关于CBT没有抗精神病药物治疗精神分裂症的证据.
  • 有限的研究和证据的低确定性阻止了强有力的结论;在"没有药物"组中,很大一部分参与者接受了抗精神病药物.
  • 需要进一步的高质量的RCT来确定CBT作为精神分裂症单一治疗的可行性和有效性.