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第三波认知行为疗法:有何新进展,疗效如何?

The third wave of cognitive behavioural therapies: what is new and what is effective?

机构信息

Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany.

出版信息

Curr Opin Psychiatry. 2012 Nov;25(6):522-8. doi: 10.1097/YCO.0b013e328358e531.

DOI:10.1097/YCO.0b013e328358e531
PMID:22992547
Abstract

PURPOSE OF REVIEW

The purpose of this study was to shortly characterize the evolving psychotherapeutic methods summarized as 'third wave psychotherapies' and to review recent research on the therapeutic impact of these methods.

RECENT FINDINGS

'Third wave psychotherapies' comprise a heterogeneous group of treatments, including acceptance and commitment treatment, behavioural activation, cognitive behavioural analysis system of psychotherapy, dialectical behavioural therapy, metacognitive therapy, mindfulness-based cognitive therapy and schema therapy. Several randomized controlled trials, longitudinal case series and pilot studies have been performed during the past 3-5 years, showing the efficacy and effectiveness of 'third wave psychotherapies'.

SUMMARY

The third wave of behavioural psychotherapies is an important arena of modern psychotherapy. It has added considerably to the spectrum of empirically supported treatments for mental disorders and influenced research on psychotherapy. The presented methods open up treatment possibilities for patient groups such as borderline personality disorder, chronic depression or generalized anxiety disorder that had received only little specific attention in the past. The available evidence now allows considering all third wave treatments as empirically supported.

摘要

目的综述

本研究旨在简要描述作为“第三波心理治疗”总结的不断发展的心理治疗方法,并回顾这些方法的治疗效果的最新研究。

最近的发现

“第三波心理治疗”包括一组异质的治疗方法,包括接受与承诺治疗、行为激活、认知行为分析系统疗法、辩证行为治疗、元认知治疗、正念认知疗法和图式疗法。过去 3-5 年期间进行了几项随机对照试验、纵向病例系列研究和试点研究,表明“第三波心理治疗”具有疗效。

总结

行为心理治疗的第三波是现代心理治疗的重要领域。它极大地丰富了精神障碍的循证治疗方法,并影响了心理治疗的研究。所介绍的方法为边缘型人格障碍、慢性抑郁症或广泛性焦虑症等患者群体开辟了治疗可能性,这些患者群体在过去很少受到特别关注。现有证据现在可以将所有第三波治疗都视为有经验支持的。

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