对伴随性焦虑障碍的双相情感障碍进行认知行为小组治疗:混合方法可行性试点研究
Rasmus Nejst Jensen1, Stine Pedersen1, Glennie Marie Almer1
1The Early Multimodular Prevention and Intervention Research Institution (EMPIRI), Psychiatric Centre North Zealand, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.
Nordic journal of psychiatry
|February 13, 2026
概括
认知行为疗法 (CBT) 团体课程是双相情绪障碍 (BD) 和并发性焦虑障碍 (AD) 患者的可行和可接受的治疗方法. 这种方法改善了焦虑和功能,六个月后的好处持续下去.
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
- 心理健康研究 心理健康研究
背景情况:
- 伴随性焦虑障碍 (AD) 影响50%的双相情绪障碍 (BD) 患者.
- 伴随性AD与较差的治疗结果和在BD中更严重的疾病过程有关.
- 有限的研究存在于针对BD中的伴随性AD作为治疗目标.
研究的目的:
- 评估认知行为疗法 (CBT) 组疗程的可行性和初步有效性,用于BD患者的并发性AD.
- 评估CBT对焦虑症状和这一群体的整体功能的影响.
主要方法:
- 采用混合方法设计,将纵向研究与定性评估相结合.
- 九名患有BD和并发性AD的人参加了为期15周的CBT小组课程.
- 治疗结束后六个月进行了后续评估.
主要成果:
- 从基线到治疗后观察到显著的焦虑减轻和功能改善.
- 这些积极影响持续存在,并在六个月的随访中进一步改善.
- 参与者报告说,他们的应对机制得到了增强,生活质量得到了改善,BD的稳定性更大.
结论:
- 该CBT小组课程证明了在BD中治疗并发性AD的可行性和可接受性.
- 干预导致焦虑和功能持续改善.
- 组设置的独特好处被参与者高度重视,这表明未来随机对照试验的潜力.
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