社会焦虑障碍和并发性回避性人格障碍患者的群体模式治疗与群体认知行为疗法:随机对照试验
Astrid E Baljé1, Anja Greeven1, Mathijs Deen2
1Department of Anxiety Disorders/Psyq, The Hague, the Netherlands; Institute of Psychology/Leiden University, Leiden, the Netherlands.
Journal of anxiety disorders
|May 7, 2024
概括
方案疗法 (ST) 和群体认知行为疗法 (GCBT) 有效地治疗避免性人格障碍 (AVPD) 的社会焦虑障碍 (SAD). ST显示了更高的患者保留率,这表明这种复杂的并发症可以更好地接受.
科学领域:
- 精神病学是一种精神病学.
- 临床心理学 临床心理学
- 心理健康治疗 心理健康治疗
背景情况:
- 社会焦虑障碍 (SAD) 和回避性人格障碍 (AVPD) 经常同时发生,导致患者严重受损.
- 群体认知行为疗法 (GCBT) 已为SAD建立,但对伴随性SAD和AVPD的最佳治疗方法需要进一步调查.
- 方案疗法 (ST),旨在治疗慢性精神健康状况,为这个患者群体提供了潜在的治疗途径.
研究的目的:
- 为了比较群组方案疗法 (GST) 与GCBT的有效性和可接受性,用于同伴SAD和AVPD患者.
- 评估治疗结果的社会焦虑和回避性人格障碍症状,以及抑郁症状和生活质量.
主要方法:
- 一项随机对照试验与154名诊断患有SAD和AVPD的门诊患者进行.
- 参与者被分配到GST或GCBT,结果使用利博维茨社会焦虑量表和回避性人格障碍严重程度指数进行评估.
- 随访评估发生在治疗后3个月和一年的随访后.
主要成果:
- 无论是GST还是GCBT,在3个月和一年的随访后,都显示出SAD和AVPD症状的显著和实质性的改善,在两组之间没有显著的差异.
- 在治疗抑郁症状或生活质量之间没有发现显著差异.
- 与GCBT相比,GST的治疗完成率明显更高,这表明患者保留率更高.
结论:
- GST和GCBT都是对患有SAD和AVPD并发症的个人有效的治疗方法.
- 对于患者来说,GST似乎比GCBT更容易接受,这可以通过更高的保留率来证明.
- 未来的研究应该旨在增强治疗效果,并改善患者在这一群体中保持GCBT.
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