在fMRI中诱导反任务:以反为重点的认知行为疗法和青少年稳定的反效应
Mindy Westlund Schreiner1, Anna M Jacobsen2, Brian W Farstead3
1Behavioral Health, Nationwide Children's Hospital, Columbus, OH, USA; Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, OH, USA; Department of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, UT, USA.
Journal of affective disorders
|December 19, 2024
概括
以反为重点的认知行为疗法 (RF-CBT) 在有缓解性严重抑郁症 (MDD) 的青少年中改变了反任务期间的大脑活动. 这种疗法破坏了反诱导任务 (RIT) 的可靠性,同时显示了治疗效应.
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:
- 化是主要抑郁症 (MDD) 发病和持续的一个关键因素.
- 以反为中心的认知行为疗法 (RF-CBT) 是一种有效的针对反的干预措施.
- 以前的研究表明,RF-CBT可能会改变大脑连接和激活模式.
研究的目的:
- 在RF-CBT后缓解MDD的青少年进行反诱导任务 (RIT) 期间调查大脑激活的变化.
- 为了评估RIT在通常治疗 (TAU) 期间的可靠性 (稳定性).
主要方法:
- 55名青少年 (年龄14-17岁) 经过缓解的MDD在基线进行了RIT.
- 参与者被随机分配到RF-CBT (n=30) 或TAU (n=25) 进行10-14次会议.
- RIT涉及回忆负面记忆,沉浸在这些记忆中,以及分心;激活变化通过对联t测试和可靠性通过类内相关系数 (ICCs) 进行评估.
主要成果:
- 射频CBT导致在负面记忆回忆过程中左前肌的激活增加,并在反提示过程中左角和上时旋转 (p < .01).
- 射频-CBT组从基线到治疗后表现出较差的RIT稳定性 (M=0.21).
- 在TAU组中,RIT的稳定性相当至优异 (M=0.52).
结论:
- 在诱导状态期间,RF-CBT调节了与反有关的神经回路,这表明了新的治疗策略的潜力.
- 在没有接受特定反治疗的个体中,RIT表现出良好的稳定性.
- 已经证明RF-CBT会破坏RIT的稳定性,这表明治疗对与任务相关的神经处理有影响.
相关概念视频
Rational Emotive Behavior Therapy
43
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
43
Cognitive Therapy
144
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
144
Beck's Cognitive Therapy
38
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
38
Modeling in Therapy
46
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
46


