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在患有早发性心室收缩的患者中,用于症状关注的认知行为疗法:非随机化预测后测试研究

Björn E Liliequist¹, Josefin Särnholm¹, Helga Skúladóttir^2,3

¹Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.

|May 7, 2024

概括

认知行为疗法 (CBT) 显著改善了早发性心室收缩 (PVC) 患者的生活质量,并减少了症状的关注. 这些好处是长期持续的,尽管PVC负担保持不变.

科学领域:

心脏病学心脏病学
精神病学是一个精神病学.
行为科学行为科学

背景情况:

过早心室收缩 (PVC) 是常见的,导致残疾症状和降低生活质量 (QoL).
现有的治疗方法对PVC症状和QoL损伤提供有限的缓解.
症状占据,以恐惧,过度警和回避为特征,与心脏病的残疾有关,是认知行为疗法 (CBT) 的目标.

研究的目的:

评估PVC特异性CBT协议在症状异常PVC患者中的有效性.
评估CBT对该患者群体症状关注和QoL的影响.

主要方法:

19名患有症状性异常性PVC和症状关注的患者通过视频会议接受了为期10周的PVC特异性CBT.
治疗涉及暴露于心脏症状和减少回避行为.
结果包括PVC特异性QOL,症状关注和PVC负担 (通过5天心电图) 在基线,治疗后和3个月和6个月后续评估.

主要成果:

在治疗后观察到PVC特异性 QoL (Cohen d=1.62) 和症状关注度 (Cohen d=1.73) 的显著改善,并在随访期间持续.
自我报告的PVC症状在治疗后和随访时显著减少.
通过心电图测量的PVC负担保持不变;症状关注介导了干预对QOL的影响.

结论:

特定于PVC的CBT显示出作为症状性异常PVC与症状关注的有效治疗的希望.
实质性改善的QoL和症状减少需要在更大的随机对照试验中进一步调查.

关键词:

认知行为疗法:CBT.过早的心室收缩过早的心室收缩人们的生活质量.症状的关注症状的关注

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