在一项随机临床试验中,治疗响应者是否保持了他们的收益,比较基于接受的行为疗法与通用焦虑症的应用放松?
Sarah A Hayes-Skelton1, Lizabeth Roemer1, Susan M Orsillo2
1Department of Psychology, University of Massachusetts Boston, Boston, MA, USA.
Cognitive behaviour therapy
|October 23, 2024
概括
基于接受的行为疗法 (ABBT) 和应用放松 (AR) 显示,在两年内,对泛性焦虑症 (GAD) 的治疗收益持续. 大多数参与者保持了改善,但担忧和压力略有增加.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
背景情况:
- 通用焦虑症 (GAD) 是一种慢性疾病,需要有效的长期治疗.
- 以前的研究表明,基于接受的行为疗法 (ABBT) 和应用放松 (AR) 都是对GAD有效的急性治疗方法.
研究的目的:
- 调查长期 (12和24个月) 维持 ABBT 和 AR 在 GAD 成人的治疗收益.
- 为了评估治疗后达到的高终端状态的持久性.
主要方法:
- 一个随机对照试验 (RCT) 的二次分析,涉及46名患有GAD的成年人.
- 获得高终端状态功能的参与者在治疗后12个月和24个月被重新评估.
- 结果措施包括临床医生严重性评级 (CSR),汉密尔顿焦虑,宾夕法尼亚州的担忧问卷 (PSWQ),DASS-压力和STAI.
主要成果:
- 在12个月后观察到高维护率 (ABBT为93.8%,AR为95.5%).
- 24个月后,ABBT的维护率为71.4%,AR的维护率为83.3%.
- 虽然PSWQ和DASS-Stress得分随着时间的推移而增加,但这种增加在疾病之间没有显著差异,这表明症状稳定.
结论:
- 在24个月的随访期间,ABBT和AR似乎都促进了GAD患者的持续性症状减轻和功能改善.
- 长期维持收益是有希望的,尽管一些增加的担忧和压力需要进一步调查.
- 研究结果表明,这些疗法为患有泛性焦虑症的人提供了持续的益处.
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