对患有体形疾病的患者进行认知行为疗法:试点初步随机对照试验
Jia Luo1,2,3, Peng-Chong Wang1,2, Fan-Qiang Meng1,2
1The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, People's Republic of China.
概括
认知行为疗法 (CBT) 与通常治疗相比,在中国患者中显著改善了体形疾病症状. 这项研究强调了CBT.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 体形疾病 (SFD) 在全球普遍存在,但在不同的文化背景下治疗的有效性仍未得到充分研究.
- 西方治疗模式,如认知行为疗法 (CBT),可能需要对中国人群进行文化适应.
- 目前在中国对SFD的CBT的研究有限,需要进行文化相关的疗效研究.
研究的目的:
- 评估CBT与常规治疗 (TAU) 相结合的疗效,与TAU单独相比,对中国被诊断患有SFD的患者.
- 评估CBT对中国人群体质症状严重程度,焦虑,抑郁和生活质量的影响.
- 为CBT在中国医疗保健系统内的SFD管理中的文化适用性和有效性提供初步证据.
主要方法:
- 一项随机对照试验,涉及70名SFD患者,分别接受CBT+TAU或单独TAU.
- 认知治疗组每周接受12次单独会议,而两组在基线,第6周,12周和第24周进行了评估.
- 标准化结果措施包括体质症状自我查问卷 (SQSS),惠特利指数 (WI),汉密尔顿抑郁症评分表 (HAMD-17) 等.
主要成果:
- 与TAU组相比,CBT + TAU组在24周后的SQSS得分显著降低 (LSM差异: -9.18分,P=0.0068).
- 对于WI,HAMD,患者健康问卷-15 (PHQ-15),家庭负担面试时间表 (FBIS) 和希恩残疾量表 (SDS) 的得分,观察到有利于CBT + TAU的显著群体间差异.
- 24周后,SQSS的效果大小为0.63,组间的退学率相似 (22.9%对19.3%).
结论:
- 初步发现表明,CBT是一种潜在的有效干预措施,可以改善中国SFD患者的症状.
- CBT可能提供一种文化适应的治疗选择,解决体质症状,心理困扰和功能障碍.
- 需要使用更大的样本大小进行进一步的研究来证实这些发现并探索长期结果.
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