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认知疗法与“其他疗法”治疗抑郁症效果的荟萃(再)分析。

A meta-(re)analysis of the effects of cognitive therapy versus 'other therapies' for depression.

作者信息

Wampold Bruce E, Minami Takuya, Baskin Thomas W, Callen Tierney Sandra

机构信息

Department of Counseling Psychology, University of Wisconsin-Madison, 321 Education Building-1000 Bascom Mall, Madison, WI 53562, USA.

出版信息

J Affect Disord. 2002 Apr;68(2-3):159-65. doi: 10.1016/s0165-0327(00)00287-1.

Abstract

BACKGROUND

Cognitive therapy (CT) for depression has been found to be efficacious for the treatment of depression. In comparison to other psychotherapies, CT has been shown to be approximately equal to behavior therapies, but sometimes superior to 'other therapies.' The latter comparison is problematic given that 'other therapies' contain bona fide treatments as well as treatments without therapeutic rationale for depression.

METHOD

A meta-analysis was conducted for studies that compared CT to 'other therapies' in an earlier meta-analysis, except that in this meta-analysis 'other therapies' were classified as bona fide and non-bona fide.

RESULTS

The benefits of CT were found to be approximately equal to the benefits of bona fide non-CT and behavioral treatments, but superior to non-bona fide treatments.

CONCLUSIONS

The results of this study fail to support the superiority of CT for depression. On the contrary, these results support the conclusion that all bona fide psychological treatments for depression are equally efficacious.

摘要

背景

已发现认知疗法(CT)治疗抑郁症有效。与其他心理疗法相比,CT已被证明与行为疗法大致相当,但有时优于“其他疗法”。鉴于“其他疗法”既包含对抑郁症有合理治疗依据的疗法,也包含没有治疗依据的疗法,后一种比较存在问题。

方法

对早期一项荟萃分析中比较CT与“其他疗法”的研究进行了荟萃分析,不过在本次荟萃分析中,“其他疗法”被分为有合理依据的和无合理依据的。

结果

发现CT的益处与有合理依据的非CT及行为治疗的益处大致相当,但优于无合理依据的治疗。

结论

本研究结果不支持CT治疗抑郁症具有优越性这一观点。相反,这些结果支持以下结论:所有对抑郁症有合理依据的心理治疗效果相当。

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