认知行为疗法被添加到对第一次发作和最近发作的精神病的标准护理中
Susanna Franziska Mayer1, Ciaran Corcoran2, Liam Kennedy3
1Section for Evidence-Based Medicine in Psychiatry and Psychotherapy, TUM School of Medicine and Health, Technical University of Munich, München, Germany.
The Cochrane database of systematic reviews
|March 12, 2024
概括
认知行为疗法 (CBT) 添加到标准护理中,显著减少了第一发精神病的整体,正面,负面和抑郁症状. 这种干预也改善了整体状态和功能,为早期精神病的治疗提供了宝贵的补充.
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
- 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) 对于精神分裂症是有效的,但其在第一发精神病的实用性是不确定的.
- 第一次发作或最近出现的精神病代表了干预的关键窗口.
研究的目的:
- 评估将CBT添加到标准护理中的有效性,用于经历首次发作或最近发作的精神病患者.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在2022年3月之前,在多个数据库中进行了搜索.
- 包括RCT比较CBT加标准护理与标准护理单独在任何年龄组的第一发精神病.
主要成果:
- 包括28项研究,共有2407名参与者.
- 补充CBT显示,整体,正面,负面和抑郁症状的显著减少.
- 在整体状态和功能方面也观察到改善,对功能证据的确定性中等.
结论:
- 作为标准护理的辅助,CBT有利于患有第一次发作或最近发作的精神病的人.
- 有证据支持其用于减轻症状和改善功能.
- 需要进一步的研究来完善这个患者群体的定义.
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