认知行为疗法和催眠治疗严重抑郁症:一个随机对照试验
Nicolino Ramondo1,2, Carmela F Pestell1, Susan M Byrne3
1School of Psychological Science, University of Western Australia, Perth.
概括
在重大抑郁障碍 (MDD) 的认知行为疗法 (CBT) 中添加催眠疗法显示出了希望. 虽然CBT和CBTH都有效,但CBTH在缓解和响应率方面显示出显著的长期益处.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为医学是一种行为医学.
背景情况:
- 重度抑郁症 (MDD) 是一种普遍存在的心理健康状况,需要有效的治疗策略.
- 认知行为疗法 (CBT) 是对MDD的公认治疗方法.
- 催眠在精神病治疗中的潜在辅助作用需要进行调查.
研究的目的:
- 为了评估CBT (CBTH) 与单独CBT相比,添加催眠治疗MDD的疗效.
- 在多个随访点评估治疗结果,包括缓解和响应率.
- 检查预期,可信度和对催眠的态度对治疗结果的影响.
主要方法:
- 进行了一项双臂,并行治疗,随机对照试验.
- 参与者 (n=66) 每周接受10次基于小组的CBT或CBTH.
- 用匿名自我报告和临床医生盲目评估在治疗后,6个月和12个月的随访时评估结果.
主要成果:
- 发现CBT和CBTH都可能是有效的,在治疗后立即没有显著的差异.
- 在12个月的随访期间,CBTH补充组的缓解和响应率显著提高 (p=.011).
- 对催眠的更高可信度和预期与更好的情绪结果在12个月内显著相关.
结论:
- 催眠可以作为MDD的有益辅助疗法.
- 虽然有希望,但需要更大的样本大小来确定CBTH的优点.
- 这些发现强调了诸如催眠等心理干预措施在改善抑郁症治疗中的潜在作用.
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