思考认知补救疗法的未来重新审视:在患者获得治疗之前还需要解决什么问题?
Til Wykes1,2, Christopher R Bowie3, Matteo Cella1,2
1Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, UK.
Schizophrenia bulletin
|May 23, 2024
概括
认知补救疗法是一种整体方法,显示出好处,但面临实施挑战. 在公众和卫生专业人员之间增加理解对于在心理健康服务中更广泛采用至关重要.
科学领域:
- 心理健康 心理健康
- 神经科学是一个神经科学.
- 心理治疗 心理治疗
背景情况:
- 十多年前,认知补救疗法 (CRT) 预计将被广泛实施,但获取仍然有限.
- 现有的治疗指南呈现的证据不一致,造成混乱和忽视实施障碍.
研究的目的:
- 重新审视认知补救实施的议程.
- 识别克服的挑战和那些持续存在的挑战.
- 强调需要理解基于配方的方法的特定和非特定效应.
主要方法:
- 审查先前的工作和认知补救实施的现状.
- 对实证数据的分析,探索治疗机制.
- 讨论CRT的整体性质,包括治疗师参与和元认知策略.
主要成果:
- 尽管有好处,成本和节省的证据,但广泛使用CRT的机会仍然很少.
- 在CRT实施方面仍然存在挑战,尽管已经解决了一些问题.
- CRT被理解为一种整体疗法,而不仅仅是"大脑训练",涉及到积极的治疗师支持和元认知策略的开发.
结论:
- 需要进一步的研究,但公众和卫生专业人员对CRT的益处的更好理解至关重要.
- 基于配方的CRT方法需要了解其特定和非特定的影响.
- 为了有效的心理健康护理,需要提高对CRT的认识,并将CRT纳入治疗方案.
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