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在情绪障碍中,对人际和社会节奏疗法的反应的认知预测因素
Samantha J Groves1,2, Katie M Douglas1, Marie T Crowe1
1Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Bipolar disorders
|July 31, 2024
概括
认知功能,特别是注意力和执行功能,会影响情绪障碍 (如双相情绪障碍和重度抑郁障碍) 的治疗结果. 较差的基线认知能力与心理治疗后症状改善较少相关.
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.
- 临床心理学 临床心理学
背景情况:
- 对认知功能在情绪障碍治疗结果中的作用越来越感兴趣.
- 探索认知功能作为双相情感障碍 (BD) 和主要抑郁障碍 (MDD) 中的调节者.
研究的目的:
- 调查基线认知功能与情绪障碍患者治疗结果之间的关系.
- 评估认知补救 (CR) 如何与人际和社会节奏疗法 (IPSRT) 一起影响治疗.
主要方法:
- 58名患者 (BD,n=36;MDD,n=22) 接受了 IPSRT-CR 或 IPSRT.
- 在基线的认知测试和在12个月后续的情绪/功能测量.
- 一般线性建模分析了基线认知与情绪和功能变化之间的关联.
主要成果:
- 较差的基线注意力/执行功能与较少的情绪症状减少有关,特别是抑郁症状.
- 心理运动速度减慢与躁狂症状负担改善的减少有关.
- 主观认知功能和客观/主观认知没有预测功能结果.
结论:
- 客观认知功能方面与情绪障碍的心理治疗结果相关.
- 需要进一步的大规模研究来澄清认知功能在情绪障碍恢复中的作用.
- 由于研究的探索性质,对多次比较没有修正.
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