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精神分裂症的认知行为疗法。

Cognitive behavioral therapy for schizophrenia.

机构信息

Hampshire Partnership NHS Foundation Trust, Melbury Lodge, Winchester, Hampshire SO22 5DG, UK.

出版信息

Psychiatr Clin North Am. 2010 Sep;33(3):527-36. doi: 10.1016/j.psc.2010.04.009.

Abstract

Cognitive behavioral therapy (CBT) complements medication management and evidence has shown its effectiveness in managing positive and negative symptoms, promoting treatment resistance, and improving insight, compliance, and aggression in schizophrenia. There is emerging evidence in early intervention, comorbid substance misuse, and reducing relapse and hospitalization. CBT is now recommended by most clinical guidelines for schizophrenia. Treatment is based on engaging the patient in a therapeutic relationship, developing an agreed formulation, and then the use of a range of techniques for hallucinations, delusions, and negative symptoms. This article gives an overview of the current status of CBT for schizophrenia.

摘要

认知行为疗法(CBT)可以补充药物管理,并且已经有证据表明其在管理阳性和阴性症状、促进治疗抵抗、改善精神分裂症患者的洞察力、依从性和攻击性方面的有效性。在早期干预、合并物质滥用、减少复发和住院方面也有新的证据。CBT 现在已被大多数精神分裂症临床指南推荐。治疗基于与患者建立治疗关系、制定共识的评估,并使用一系列针对幻觉、妄想和阴性症状的技术。本文概述了目前精神分裂症 CBT 的现状。

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