悲伤特定的认知行为疗法与以现在为中心的疗法:一项随机临床试验
Rita Rosner1, Jörn Rau2, Anette Kersting3
1Department of Psychology, Clinical and Biological Psychology, Catholic University Eichstätt-Ingolstadt, Germany.
JAMA psychiatry
|November 13, 2024
概括
长期悲伤的综合性认知行为疗法 (PG-CBT) 在减少长期悲伤障碍 (PGD) 症状和并发性疾病方面表现出优于以现在为中心的疗法 (PCT). 这两种疗法都对PGD患者有效且可接受.
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
- 心理治疗研究 心理治疗研究
背景情况:
- 长期悲伤障碍 (PGD) 是国际分类系统中新认可的诊断.
- 认知行为疗法 (CBT) 模型对PGD有效,但与主动对照治疗的比较有限.
- 需要评估针对PGD的特定CBT方法与替代疗法的疗效.
研究的目的:
- 为了比较综合性认知行为疗法 (PG-CBT) 对长期悲伤 (PG-CBT) 与以现在为中心的治疗 (PCT) 的疗效.
- 为了确定PG-CBT在治疗长期悲伤障碍方面是否优于PCT.
主要方法:
- 进行了一项评估者盲目的多中心随机临床试验.
- 18-75岁的PGD参与者 (n=212) 被随机分配到PG-CBT或PCT.
- 评估包括PG-13严重程度得分,以及在基线,治疗后和12个月后期自我报告的抑郁,体质和精神病理症状.
主要成果:
- 无论是PG-CBT还是PCT都显著降低了PGD的严重程度.
- 与PCT相比,PG-CBT在治疗后立即显示出PGD严重程度的显著降低.
- 在12个月的随访中,PG-CBT显示了更大的PGD严重性减轻和显著减少抑郁和一般精神病理症状的趋势.
结论:
- 长期悲伤的综合性认知行为疗法 (PG-CBT) 在减少并发症症状方面优于以现在为中心的疗法 (PCT).
- 无论是PG-CBT还是PCT都是长期悲伤障碍的有效和可接受的治疗方法.
- 这些发现支持PG-CBT的传播,并为患者提供了更多的治疗选择.
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