希望预测焦虑和相关疾病的认知行为治疗后的长期幸福感
Laura J Long1, Nicole D Cardona1, Audrey Hey1
1Center for Anxiety and Related Disorders, Department of Psychological & Brain Sciences, Boston University, Boston, MA, USA.
概括
认知行为疗法 (CBT) 带来了长期的福祉改善,希望在长期保持这些收益方面发挥了关键作用. 这项研究发现希望,而不是减少焦虑或抑郁,预测了治疗后长达3年的持续幸福感.
科学领域:
- 心理学
- 临床心理学
- 心理治疗研究
背景情况:
- 认知行为疗法 (CBT) 已知可以改善希望和幸福感.
- 需要进一步研究CBT的长期结果,特别是治疗效果的维持.
- 希望是认知认知疗法的已知变化机制, 但它在持续的福祉中的作用较少被理解.
研究的目的:
- 要确定在CBT期间获得的幸福感和希望是否在治疗后的36个月内保持.
- 在长期随访期间,研究希望与持续的幸福感之间的关联.
- 在评估希望对长期幸福感的影响时,控制治疗后的焦虑和抑郁.
主要方法:
- 在一个CBT试验中,69名患有焦虑症的参与者被跟踪了3年.
- 参与者每6个月完成一次评估.
- 用多层次建模 (MLM) 来分析幸福感和希望的变化及其关联.
主要成果:
- 在治疗后和3年随访期间,没有发现幸福感或希望的显著差异.
- 在长期跟踪期间,更高的希望水平与更高的幸福感有显著的关联.
- 治疗后的焦虑和抑郁水平并不是持续健康的重要预测因素.
结论:
- 在治疗后长达3年的时间里, CBT 似乎能持续改善人们的健康状况.
- 持续增长的希望对于在 CBT 完成后长期保持幸福感至关重要.
- 希望是CBT治疗焦虑症长期成功的一个关键因素.
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