Centre for the Applications of Health Psychology, School of Psychology, University of Southampton, Highfield Campus, Southampton, UK.
Expert Rev Neurother. 2010 Sep;10(9):1383-90. doi: 10.1586/ern.10.111.
Cognitive-behavioral therapy (CBT) originated as a treatment for emotional disorders. However, it is increasingly used to help people with chronic illnesses manage symptoms and improve psychosocial outcomes, such as depression and quality of life. In this article, we focus on uses of CBT in patients with multiple sclerosis, an incurable neurological disease that causes potentially debilitating symptoms and poses numerous challenges to psychological well-being. We examine the rationale for using CBT to deal with distress, symptoms, impairment and disease exacerbation and progression, and discuss examples of existing research on the efficacy and acceptability of these interventions. Finally, we consider areas where CBT could potentially benefit people with multiple sclerosis in the future. Ongoing challenges in this field are discussed.
认知行为疗法（CBT）最初是作为一种治疗情绪障碍的方法。然而，它越来越多地被用于帮助慢性疾病患者控制症状并改善心理社会结局，如抑郁和生活质量。在本文中，我们专注于认知行为疗法在多发性硬化症患者中的应用，多发性硬化症是一种无法治愈的神经系统疾病，会导致潜在的使人衰弱的症状，并对心理健康带来诸多挑战。我们探讨了使用认知行为疗法来应对痛苦、症状、功能障碍和疾病恶化及进展的基本原理，并讨论了现有关于这些干预措施的疗效和可接受性的研究实例。最后，我们考虑了认知行为疗法在未来可能使多发性硬化症患者受益的领域。本文还讨论了该领域目前面临的挑战。
