认知行为疗法和双重诊断:一项系统性审查,探讨其有效性和对护理实践的影响
Dominic Nessbach1, Alan Simpson1
1Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, James Clerk Maxwell Building, Kings College London Waterloo Campus, London, UK.
International journal of mental health nursing
|October 18, 2025
概括
认知行为疗法 (CBT) 对双重诊断 (心理健康和物质使用障碍) 有希望,改善症状. 精神卫生护士可以提供CBT,通过适当的支持和培训弥合治疗差距.
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
- 成 药物 药物 药物 药物
背景情况:
- 双重诊断 (DD) 涉及同时发生的心理健康和物质使用障碍,导致结果差.
- 由于单独的心理健康和成服务,治疗是分散的,排除了许多DD患者.
- 认知行为疗法 (CBT) 对个别疾病是有效的,但对DD的研究不足.
研究的目的:
- 系统地审查CBT对双重诊断患者的使用和有效性.
- 确定CBT干预措施在治疗同时出现的精神健康和物质使用障碍方面的现有证据基础.
主要方法:
- 一个系统的审查研究发表到2024年9月.
- 在Medline,PsychINFO,Embase和CINAHL数据库中进行的搜索.
- 相关元分析的引用跟踪.
主要成果:
- 从最初检索的2364个中,包括了23个研究.
- 经过CBT干预,心理健康或物质使用症状有所改善.
- 一些CBT干预措施并不优于标准的成治疗方法.
结论:
- 基于CBT的干预措施为双重诊断的人提供了潜在的好处.
- 精神卫生护士是CBT干预措施的合适提供者,他们解决治疗的可访问性.
- 实施需要护士的支持结构,包括培训,监督和受保护的时间.
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