McEvoy Peter M, Nathan Paula
Clinical Research Unit for Anxiety and Depression, Department of Psychiatry, University of New South Wales at St Vincent's Hospital, Sydney, Australia.
J Consult Clin Psychol. 2007 Apr;75(2):344-50. doi: 10.1037/0022-006X.75.2.344.
Researchers have recently suggested that the commonalities across the emotional disorders outweigh the differences, and thus similar treatment principles could be applied in unified interventions. In this study, the authors used a benchmarking strategy to investigate the transportability of cognitive-behavioral therapy (CBT) for anxiety and depression to mixed-diagnosis groups. Patients (N = 143) attended 10 2-hour sessions of group CBT plus a 1-month follow-up. Changes in anxiety and depression were indexed by effect sizes, reliable change, and clinically significant change and then benchmarked to previous efficacy and effectiveness studies. Symptoms of depression and anxiety significantly improved, and mixed-diagnosis groups compared favorably with diagnosis-specific CBT, suggesting that unified treatments are an effective, efficient, and practical method of treatment delivery.
研究人员最近指出，情绪障碍之间的共性大于差异，因此类似的治疗原则可应用于统一干预。在本研究中，作者采用了一种基准测试策略，以调查认知行为疗法（CBT）对焦虑症和抑郁症患者的适用性，将其应用于混合诊断组。患者（N = 143）参加了10次为时2小时的团体CBT治疗课程，并进行了为期1个月的随访。焦虑和抑郁的变化通过效应量、可靠变化和临床显著变化来衡量，然后与之前的疗效和有效性研究进行对比。抑郁和焦虑症状显著改善，混合诊断组与特定诊断的CBT组相比效果良好，这表明统一治疗是一种有效、高效且实用的治疗方式。
