Bell Alissa C, D'Zurilla Thomas J
Stony Brook University, USA.
Clin Psychol Rev. 2009 Jun;29(4):348-53. doi: 10.1016/j.cpr.2009.02.003. Epub 2009 Feb 26.
Problem-Solving Therapy (PST) is a cognitive-behavioral intervention that focuses on training in adaptive problem-solving attitudes and skills. The purpose of this paper was to conduct a meta-analysis of controlled outcome studies on efficacy of PST for reducing depressive symptomatology. Based on results involving 21 independent samples, PST was found to be equally effective as other psychosocial therapies and medication treatments and significantly more effective than no treatment and support/attention control groups. Moreover, component analyses indicated that PST is more effective when the treatment program includes (a) training in a positive problem orientation (vs. problem-solving skills only), (b) training in all four major problem-solving skills (i.e., problem definition and formulation, generation of alternatives, decision making, and solution implementation and verification), and (c) training in the complete PST package (problem orientation plus the four problem-solving skills).
问题解决疗法（PST）是一种认知行为干预方法，专注于培养适应性问题解决态度和技能。本文旨在对关于PST减轻抑郁症状疗效的对照结果研究进行荟萃分析。基于涉及21个独立样本的结果，发现PST与其他心理社会疗法和药物治疗同样有效，且比无治疗组和支持/注意力控制组显著更有效。此外，成分分析表明，当治疗方案包括以下内容时，PST更有效：（a）积极问题导向训练（相对于仅解决问题技能训练），（b）所有四项主要问题解决技能训练（即问题定义与表述、备选方案生成、决策制定以及解决方案实施与验证），以及（c）完整的PST套餐训练（问题导向加上四项问题解决技能）。
