二极性谱系障碍的认知康复:一个系统的审查
Mahdiye Sarrafe Razavi1, Mazyar Fathi1, Elham Vahednia1
1Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
IBRO neuroscience reports
|April 22, 2024
概括
认知康复 (CR) 显示出改善双相情感障碍 (BD) 中神经认知缺陷的前景. 具体的干预措施,如认知行为疗法 (CBT) 和技能培训,是最有效的提高认知功能和生活质量.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 认知心理学 认知心理学
背景情况:
- 神经认知缺陷显著损害双相情感障碍 (BD) 患者的生活质量,即使在缓解期间.
- 现有的研究主要集中在缓解这些认知挑战的干预措施上.
研究的目的:
- 系统地审查对双相情感障碍患者认知康复 (CR) 的研究.
- 评估CR对神经认知缺陷,认知功能,治疗结果和生活质量的影响.
主要方法:
- 从1950年到2023年,在主要数据库 (PubMed,Google Scholar,Scopus,Embase,PsycINFO) 中进行了全面的文献搜索.
- 遵循PRISMA-P指南,使用与双相情感障碍和认知康复相关的关键词.
- 在对包括和排除标准进行选后,选择了23篇文章,重点关注口头记忆,注意力,执行功能和社会认知.
主要成果:
- 认知康复 (CR) 似乎是双相情感障碍患者的有效策略.
- 结合认知行为治疗 (CBT) 协议,技能培训和结构化家庭作业的干预措施是最有效的.
- 这些干预措施提供了日常结构,社会支持,并促进了应对策略的交流,增强了认知功能.
结论:
- 认知康复 (CR) 可以改善双相情感障碍 (BD) 患者的认知能力,治疗结果和生活质量.
- 包括CBT在内的结构化,基于技能的CR方法特别有益.
- 限制包括缺乏方法严格评估和详细分析特定的CR原则,导致研究异质性.
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