慢性抑郁和焦虑的认知自我治疗：一项多中心随机对照研究。
Cognitive self-therapy for chronic depression and anxiety: a multi-centre randomized controlled study.
作者信息
den Boer Peter C A M, Wiersma Durk, Ten Vaarwerk Inge, Span Mark M, Stant A Dennis, Van den Bosch Robert J
机构信息
Department of Psychiatry, University Medical Center Groningen, University of Groningen, The Netherlands.
出版信息
Psychol Med. 2007 Mar;37(3):329-39. doi: 10.1017/S0033291706009214. Epub 2006 Nov 1.
BACKGROUND
Non-professional treatment programmes are presumed to relieve the extensive need for care of anxiety and depression disorders. This study investigates the effectiveness of cognitive self- therapy (CST) in the treatment of depression or generalized anxiety disorder.
METHOD
Patients (n=151) were randomized to receive CST or treatment as usual (TAU) in a trial lasting for 18 months, measuring symptoms (SCL-90; main outcome), social functions, quality of life and utilization of care.
RESULTS
Patients in both conditions improved significantly, but no difference was found between the conditions. Reduction of symptoms, improvement of social functions and medical utilization were maintained at the end of the 18 months. Medical care utilization (therapist contact and hospitalization) was lower for CST than for TAU. No suicides occurred.
CONCLUSIONS
Cognitive self-therapy is likely to decrease the need for care of chronic depression and anxiety disorders, but it has not been proven to be more effective than treatment as usual.
背景
非专业治疗方案被认为可缓解对焦虑症和抑郁症护理的广泛需求。本研究调查了认知自我治疗（CST）在治疗抑郁症或广泛性焦虑症方面的有效性。
方法
在一项为期18个月的试验中，将151名患者随机分为接受CST组或常规治疗（TAU）组，测量症状（SCL-90；主要结局）、社会功能、生活质量和护理利用情况。
结果
两组患者均有显著改善，但两组之间未发现差异。在18个月结束时，症状减轻、社会功能改善和医疗利用情况得以维持。CST组的医疗护理利用（治疗师接触和住院）低于TAU组。未发生自杀事件。
结论
认知自我治疗可能会减少对慢性抑郁症和焦虑症护理的需求，但尚未证明其比常规治疗更有效。
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