对于患有分离性的成年人进行的CODES试验的反思:我们发现什么以及对未来研究的考虑
Laura H Goldstein1, Jon Stone2, Markus Reuber3
1Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
BMJ neurology open
|June 11, 2024
概括
认知行为疗法 (CBT) 对离散性非发作有效. 这项大型试验证明了CBT.
科学领域:
- 精神病学是一个精神病学.
- 神经学 神经学
- 心理治疗 心理治疗
背景情况:
- 分离性非发作 (DNES) 是一个重大的临床挑战.
- 标准化医疗护理对DNES的有效性有限.
- 心理治疗干预需要对DNES治疗进行严格的评估.
研究的目的:
- 评估认知行为疗法 (CBT) 的临床效果和成本效益,与 DNES 的成年人标准化医疗保健相比.
- 确定DNES患者治疗结果的预测因素和调节因素.
- 探索DNES在CBT中的变化机制.
主要方法:
- 一个大型的,功能齐全的,多中心的随机对照试验 (RCT).
- 将CBT干预与标准化医疗保健进行比较.
- 包括嵌套的定性研究来探索患者体验和治疗机制.
主要成果:
- 认知行为疗法 (CBT) 在患有分裂性非发作 (DNES) 的成年人中表现出显著的临床和成本效益.
- 治疗结果的预测者和调节者被确定,为个性化治疗方法提供信息.
- 阐明了CBT内的变化机制,提供了对治疗过程的洞察力.
结论:
- 认知认知治疗是DNES成年人推的干预措施,提供了更好的结果和成本效益.
- 试验和嵌套定性研究的结果为临床实践和功能神经系统疾病的未来研究提供了宝贵的见解.
- 该研究为在DNES管理中整合心理治疗提供了强有力的证据基础.
关键词:
随机化试验是指随机化的试验.更多相关视频
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