对长期悲伤障碍的心理治疗干预的有效性:系统性审查
Tara Srivastava1, Keegan Lee1, Rebecca Ehrenkranz2
1University of Virginia, Department of Psychiatry & Neurobehavioral Sciences, Division of Perceptual Studies, P.O. Box 800152, Charlottesville, VA 22908-0152, United States of America.
Journal of affective disorders
|April 3, 2025
概括
认知行为疗法 (CBT) 是治疗长期悲伤障碍 (PGD) 的最有效的心理治疗方法,这是对严重丧失的反应. 这份对30项试验的审查强调了CBT的CBT重点.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 长期悲伤障碍 (PGD) 是一种严重的,持续的丧失反应,影响功能.
- 后遗症影响9.8%-34.3%的丧亲,特别是在创伤性损失后.
- 对这种不适应的悲伤模式迫切需要有效的干预措施.
研究的目的:
- 系统地审查PGD心理治疗干预措施的有效性.
- 根据最近的随机对照试验,确定最有效的治疗方法.
主要方法:
- 2011年至2024年间发表的30项随机对照试验 (RCT) 的系统综述.
- 对针对长期悲伤障碍的心理治疗干预措施的分析.
- 评估各种形式 (个人,团体,基于互联网) 的干预效果.
主要成果:
- 认知行为疗法 (CBT) 在多种格式中证明了对PGD的最高疗效.
- 结合疗法 (例如,CBT与正念,EMDR) 显示出与创伤相关的悲伤的希望.
- 通过互联网提供的CBT提供了扩展访问的潜力.
结论:
- 认知认知疗法是治疗长期悲伤障碍的主要,多功能干预措施.
- 个性化,文化敏感的治疗对于各种悲伤经历至关重要.
- 需要对药理学辅助剂,长期结果和代表性不足的群体进行进一步的研究.
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