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本文引用的文献

1
An inventory for measuring depression.一份用于测量抑郁的量表。
Arch Gen Psychiatry. 1961 Jun;4:561-71. doi: 10.1001/archpsyc.1961.01710120031004.
2
Prevention of relapse in residual depression by cognitive therapy: a controlled trial.认知疗法预防残留性抑郁症复发：一项对照试验。
Arch Gen Psychiatry. 1999 Sep;56(9):829-35. doi: 10.1001/archpsyc.56.9.829.
3
Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. I: clinical effectiveness.非指导性咨询、认知行为疗法与全科医生常规护理对抑郁症患者的随机对照试验。I：临床疗效。
BMJ. 2000 Dec 2;321(7273):1383-8. doi: 10.1136/bmj.321.7273.1383.
4
Neurotic disorders and the receipt of psychiatric treatment.
Psychol Med. 2000 Nov;30(6):1369-76. doi: 10.1017/s0033291799002974.
5
Unequal access and unmet need: neurotic disorders and the use of primary care services.医疗服务获取不平等与需求未满足：神经症性障碍与初级医疗服务的使用
Psychol Med. 2000 Nov;30(6):1359-67. doi: 10.1017/s0033291799002950.
6
The evaluation of a mental health facilitator in general practice: effects on recognition, management, and outcome of mental illness.全科医疗中心理健康促进者的评估：对精神疾病识别、管理及结局的影响
Br J Gen Pract. 2000 Aug;50(457):626-9.
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Analysis of a cluster randomized trial with binary outcome data using a multi-level model.使用多层次模型对具有二元结局数据的整群随机试验进行分析。
Stat Med. 2000 Oct 15;19(19):2675-88. doi: 10.1002/1097-0258(20001015)19:19<2675::aid-sim556>3.0.co;2-a.
8
General practitioner psychological management of common emotional problems (II): A research agenda for the development of evidence-based practice.全科医生对常见情绪问题的心理管理（二）：循证实践发展的研究议程
Br J Gen Pract. 2000 May;50(454):396-400.
9
Brief intervention in primary care settings. A primary treatment method for at-risk, problem, and dependent drinkers.基层医疗环境中的简短干预。针对有风险、存在问题及依赖酒精者的一种主要治疗方法。
Alcohol Res Health. 1999;23(2):128-37.
10
Methods in health service research. An introduction to bayesian methods in health technology assessment.卫生服务研究方法。卫生技术评估中的贝叶斯方法介绍。
BMJ. 1999 Aug 21;319(7208):508-12. doi: 10.1136/bmj.319.7208.508.

向全科医生传授简短认知行为疗法技能以治疗抑郁症患者的有效性：随机对照试验。

Effectiveness of teaching general practitioners skills in brief cognitive behaviour therapy to treat patients with depression: randomised controlled trial.

作者信息

King Michael, Davidson Oliver, Taylor Fiona, Haines Andrew, Sharp Deborah, Turner Rebecca

机构信息

Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, Royal Free Campus, London NW3 2PF.

出版信息

BMJ. 2002 Apr 20;324(7343):947-50. doi: 10.1136/bmj.324.7343.947.

DOI:10.1136/bmj.324.7343.947
PMID:11964340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC102328/
Abstract

OBJECTIVE

To assess the effectiveness of teaching general practitioners skills in brief cognitive behaviour therapy.

DESIGN

Parallel group, cluster randomised, controlled trial of an educational package on cognitive behaviour therapy.

SETTING

General practices in north London.

PARTICIPANTS

84 general practitioner principals and 272 patients attending their practices who scored above the threshold for psychological distress on the hospital anxiety and depression scale.

INTERVENTION

A training package of four half days on brief cognitive behaviour therapy.

MAIN OUTCOME MEASURES

Scores on the depression attitude questionnaire (general practitioners) and the Beck depression inventory (patients).

RESULTS

Doctors' knowledge of depression and attitudes towards its treatment showed no major difference between intervention and control groups after 6 months. The training had no discernible impact on patients' outcomes.

CONCLUSION

General practitioners may require more training and support than a basic educational package on brief cognitive behaviour therapy to acquire skills to help patients with depression.

摘要

目的

评估向全科医生传授简短认知行为疗法技能的效果。

设计

关于认知行为疗法的教育包的平行组、整群随机对照试验。

地点

伦敦北部的全科诊所。

参与者

84名全科诊所负责人以及272名在其诊所就诊且在医院焦虑抑郁量表上得分高于心理困扰阈值的患者。

干预措施

为期四个半天的简短认知行为疗法培训包。

主要结局指标

抑郁态度问卷（全科医生）得分和贝克抑郁量表（患者）得分。

结果

6个月后，干预组和对照组医生对抑郁症的知识及对其治疗的态度无显著差异。该培训对患者的结局没有明显影响。

结论

与简短认知行为疗法的基础教育包相比，全科医生可能需要更多的培训和支持才能掌握帮助抑郁症患者的技能。