简短的认知行为疗法的有效性改善症状,功能和治疗的坚持在缓解的双相情感障碍患者:一个随机对照研究
Seema Nambiar1, Manjula Munivenkatappa1, Shyam Sundar Arumugham2
1Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Indian journal of psychiatry
|January 10, 2025
概括
简短的认知行为疗法 (CBT) 有效地减少双相情感障碍 (BD) 患者的残留抑郁和焦虑症状. 需要进一步的研究来证实长期的有效性和对功能的影响.
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
- 心理健康治疗 心理健康治疗
背景情况:
- 在缓解期的双相情感障碍 (BD) 患者中,残留症状很常见,导致严重的痛苦和功能障碍.
- 药物治疗有局限性,对BD的心理治疗干预越来越感兴趣.
- 有限的研究存在于心理治疗对于BD残留症状的有效性.
研究的目的:
- 评估短期认知行为疗法 (CBT) 对双相情感障碍 (BD) 患者残留症状的有效性.
主要方法:
- 一个随机对照试验与两个组:简短的综合性CBT (8-10次) 和常规治疗 (TAU).
- 每组来自第三级精神卫生医院门诊服务的30名患者.
- 评估包括使用经过验证的尺度 (BDI-II,YMRS,BAI) 在前,后和3个月的随访期间进行的间隔症状,功能和治疗坚持.
主要成果:
- 与TAU相比,CBT组显示出抑郁和焦虑症状的显著改善,以及药物坚持.
- 在CBT组中,在功能失调的态度和情绪调节方面观察到显著的变化.
- 在这两组人群中,整体功能没有显著变化;抑郁症严重程度缓和的结果.
结论:
- 简短的CBT在缓解双相情感障碍患者残留症状方面表现出有效性.
- 研究结果表明,CBT是一种可行的辅助治疗方法,用于管理BD的残留症状.
- 建议进行长期后续研究,以验证这些发现并评估持续的影响.
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