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痴迷强迫症的认知训练:一个系统的审查
Mahashweta Bhattacharya1,2,3, Himani Kashyap1,2, Y C Janardhan Reddy2,3,4
1Dept. of Clinical Psychology, National Institute of Mental health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Indian journal of psychological medicine
|May 10, 2024
概括
认知训练 (CT) 显示出改善强迫症障碍 (OCD) 的认知缺陷的前景. 然而,有限的受控试验意味着需要更多的研究来证实它对临床症状的有效性.
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:
- 认知训练 (CT) 在精神疾病中的神经心理缺陷方面得到了探索.
- 最近对CT治疗强迫症 (OCD) 的兴趣越来越大.
- 了解影响强迫症CT疗效的因素仍然有限.
研究的目的:
- 批判性地审查现有关于强迫症障碍认知训练的研究.
- 要总结当前的CT对强迫症的研究格局.
- 确定未来研究的方法考虑因素.
主要方法:
- 系统审查遵循系统审查和元分析协议项目优先报告的系统审查.
- 包括使用任何形式的强迫症患者认知补救的经验研究.
主要成果:
- 八篇文章符合纳入标准:5个随机对照试验,2个病例系列,1个开放试验.
- 研究主要表明,训练有素的认知功能有所改善.
- 仅在两项研究中观察到对未经训练的领域 (临床症状,社会职业功能) 的概括.
结论:
- 对于强迫症治疗的CT中,对受控试验的稀缺性限制了关于疗效的最终结论.
- 目前的研究提供了该领域的总结,并突出了关键的方法论挑战.
- 未来的研究应该解决已识别的局限性,以便更好地了解强迫症中CT.
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