认知行为治疗对患有压力相关疾病的患者的疾病缺失和认知功能的长期影响:随机临床试验的二次结果
Ludwig Franke Föyen1,2,3,4, Victoria Sennerstam1,3,4, Evelina Kontio1,3
1Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Psychotherapy and psychosomatics
|July 8, 2025
概括
认知行为疗法 (CBT) 与一般健康促进相比,在与压力有关的疾病中没有显著改善病缺 (SA) 或认知功能. 认知功能总体上有所改善,这表明早期干预是预防长期SA的关键.
科学领域:
- 精神病学是一个精神病学.
- 职业健康 职业健康 职业健康
- 认知科学 认知科学
背景情况:
- 与压力相关的疾病,如调整和疲劳障碍,经常导致认知问题和长时间的病缺 (SA).
- 了解像认知行为疗法 (CBT) 这样的治疗方法对这些结果的有效性,对于管理工作场所的生产力和员工福祉至关重要.
研究的目的:
- 评估CBT与一般健康促进 (GHP) 在患有压力相关疾病的个体中对疾病缺席和认知功能的比较有效性.
- 调查认知障碍与病假时间之间的关系.
主要方法:
- 一项随机临床试验,涉及300名参与者,分别接受CBT或GHP.
- 从国家登记处收集了病缺数据,并使用在基线,治疗后和1年随访期间验证的测试电池评估了认知功能.
- 统计分析包括SA的障碍负二项模型和认知结果的线性混合效应模型.
主要成果:
- 无论是CBT还是GHP,都对SA和认知功能表现出类似的效果,两组之间没有显著差异.
- 虽然SA天数没有显著变化,但经历任何SA天数的可能性随着1年的随访而下降.
- 认知功能在总体样本中显著改善,无论接受了哪种治疗,这些改善与SA日减少有关.
结论:
- 认知行为疗法 (CBT) 在减少病缺或改善与压力相关障碍的认知功能方面没有比一般健康促进提供特定的优势.
- 认知功能无论干预措施如何都会有所改善,突出显示了自发恢复的潜力或其他因素的影响.
- 在疾病缺席延长之前,在早期启动支持和干预可能对预防长期残疾至关重要.
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