患有CF的ACT:接受和承诺治疗与囊性纤维化成人支持性心理治疗的随机试验
C Virginia O'Hayer1, Patrick J Smith2, Christopher F Drescher3
1Thomas Jefferson University Hospital - Dept of Psychiatry & Human Behavior, 33 S. 9th St, Suite 210, Philadelphia, PA, 19107 USA.
General hospital psychiatry
|December 3, 2024
概括
与支持性心理治疗相比,接受和承诺疗法 (ACT) 在患有囊性纤维化 (CF) 的成年人中改善了心理功能. 此外,ACT还增强了心理灵活性,这与减少负面影响相关.
科学领域:
- 心理学 心理学 心理学
- 医学心理学 医学心理学
- 健康心理学 心理健康心理学
背景情况:
- 心理困扰,包括焦虑和抑郁症,在患有囊性纤维化 (CF) 的成年人中很普遍.
- 这种痛苦会对CF患者的生活质量,肺功能和医疗保健利用产生负面影响.
- 远程医疗干预为这群人提供心理健康支持的有希望的途径.
研究的目的:
- 评估接受和承诺疗法 (ACT) 与支持性心理治疗 (SP) 相比,在改善CF成年人的心理功能方面的有效性.
- 评估ACT对心理灵活性,认知融合,接受和承诺行动的影响.
- 检查接受远程医疗干预的成年CF患者的二次生物行为结果和治疗负担.
主要方法:
- 这是一项为期3年的,多地点的,随机的远程医疗试验,涉及124名患有CF和高度心理困扰的成年人.
- 参与者被随机分配到6周的ACT或SP,通过Zoom传递.
- 这些措施包括抑郁症 (BDI-II),焦虑 (BAI),认知融合 (CFQ-13),接受 (AAQ-II) 和坚持障碍,以及生物行为结果的EMR数据.
主要成果:
- 与SP相比,ACT在6周 (P=0.017) 和3个月的随访 (P=0.041) 后显示了与SP相比,整体心理功能显著改善.
- 在认知融合 (CFQ-13) 和接受和承诺行动 (AAQ-II) 中,观察到ACT的最大改善.
- 心理灵活性的改善与负面影响的减少密切相关 (B=-0.45,P<0.001). ACT还显示,FEV1/FVC比率较低的个体也可以获得益处.
结论:
- 接受和承诺疗法 (ACT) 优于支持性心理治疗 (SP) 在改善患有CF的成年人的心理功能方面.
- ACT增强了心理灵活性,这是减少负面影响的关键机制.
- 远程医疗提供的ACT有望改善CF成年人的心理健康和潜在的二次生物行为结果,特别是那些医疗负担较大的人.
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