亚历克西西米亚的心理治疗:系统性审查
Kanako Tsubaki1, Eiji Shimizu1
1Research Center for Child Mental Development, Chiba University, Chiba 260-8670, Japan.
Behavioral sciences (Basel, Switzerland)
|January 8, 2025
概括
心理治疗,特别是认知行为疗法 (CBT),有效地减少了alexithymia的症状. 本综述综合了RCT,突出了CBT.
科学领域:
- 心理学 心理学 心理学
- 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:
- 亚历克西西米亚的特点是情绪抑制,与抑郁症,焦虑症和其他心理健康障碍有关.
- 它影响着很大一部分人口 (10%的一般患者,25%的精神病患者),但干预研究是有限的.
- 现有的评论缺乏对最近的alexithymia心理治疗疗效的全面综合.
研究的目的:
- 系统地审查和综合最近随机对照试验 (RCT) 对alexithymia的心理干预的发现.
- 评估各种心理治疗的疗效,重点是认知行为疗法 (CBT) 和其子类型.
- 为了确定alexithymia干预的当前研究格局的趋势和差距.
主要方法:
- 2010-2024年间发表的RCT的系统审查,用英语,来自同行评审期刊.
- 用原始数据进行基线和结果测量时需要TAS-20的纳入标准;排除了正念和DBT研究.
- 搜索了PubMed,PsycInfo和谷歌学者,确定了18个RCT (21个手臂,1251名参与者).
主要成果:
- 认知行为疗法 (CBT) 和其亚型 (ACT,BA,Schema,CFT) 是研究最多的干预措施 (14支).
- 大多数心理干预表明,alexithymia显著减少,通过TAS-20得分测量.
- 干预措施之间的效果大小差异很大 (组内范围:0.4113.25),表明不同的治疗影响.
结论:
- 心理干预,特别是基于CBT的方法,在减少alexithymia症状方面显示出希望.
- 研究之间的异质性限制了干预措施的最终标准化.
- 需要进一步进行高质量的RCT,采用更大的样本和一致的方法,以建立强大的,基于证据的alexithymia治疗方法.
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