认知行为疗法与正念治疗长期悲伤障碍:一项随机临床试验
Richard A Bryant1,2, Suzanna Azevedo1, Srishti Yadav1
1School of Psychology, University of New South Wales, Sydney, New South Wales, Australia.
JAMA psychiatry
|April 24, 2024
概括
与六个月的基于正念的认知行为疗法 (MBCT) 相比,以悲伤为中心的认知行为疗法 (GF-CBT) 在减少长期悲伤障碍 (PGD) 症状和相关抑郁症方面表现出更大的有效性.
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:
- 长期悲伤障碍 (PGD) 显著影响个人,悲伤集中认知行为疗法 (GF-CBT) 是主要的治疗方法.
- 许多患者发现GF-CBT具有挑战性,需要探索基于正念的认知疗法 (MBCT) 等替代疗法.
研究的目的:
- 为了比较GF-CBT和MBCT在减少长期悲伤障碍的严重性方面的疗效.
主要方法:
- 一个单盲并行随机临床试验涉及100名被诊断患有PGD的成年人.
- 参与者每周接受11次90分钟的GF-CBT或MBCT.
- 结果,包括PGD严重程度 (PG-13尺度),抑郁,焦虑和认知,在基线,治疗后1周和6个月被评估.
主要成果:
- 在6个月后,GF-CBT在PG-13分数中显著减少,与MBCT相比显著减少 (平均差异7.1;P=.01).
- 与MBCT相比,GF-CBT还导致抑郁症 (P=.04) 和与悲伤相关的认知 (P=.02) 的减少.
- 在焦虑或生活质量方面没有发现显著差异,也没有报告任何不良事件.
结论:
- 以悲伤为中心的认知行为疗法在6个月的随访中为核心PGD症状和相关问题提供了比基于正念的认知疗法更大的好处.
- 虽然可以考虑两种疗法,但GF-CBT似乎是治疗长期悲伤障碍的更有效选择.
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