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认知矫正疗法治疗心境障碍:原理、早期证据和未来方向。

Cognitive remediation therapy for mood disorders: rationale, early evidence, and future directions.

机构信息

Department of Psychology, Queen's University, Kingston, Ontario, Canada.

出版信息

Can J Psychiatry. 2013 Jun;58(6):319-25. doi: 10.1177/070674371305800603.

DOI:10.1177/070674371305800603
PMID:23768259
Abstract

People with mood disorders experience cognitive impairments that are predictive of functional disability. Cognitive remediation (CR) is an empirically validated intervention that is designed to remediate neurocognitive deficits and improve functioning. Although much of the focus of this treatment during the last decade has centred on attention deficit disorders, brain injury, and schizophrenia spectrum disorders, emerging evidence suggests that CR is an effective intervention for mood disorders and that these treatment effects translate into improvements in cognitive performance and possibly functioning. Our review aims to examine the profile and magnitude of cognitive impairments in mood disorders, review the evidence in support of CR for this population, and discuss future research directions in CR.

摘要

心境障碍患者存在认知障碍,这些障碍可预测其功能障碍。认知矫正(CR)是一种经过实证验证的干预措施,旨在矫正神经认知缺陷并改善功能。尽管在过去十年中,这种治疗的重点主要集中在注意力缺陷障碍、脑损伤和精神分裂症谱系障碍上,但新出现的证据表明,CR 是治疗心境障碍的有效干预措施,并且这些治疗效果可转化为认知表现的改善,甚至可能改善功能。我们的综述旨在检查心境障碍患者认知障碍的特征和程度,回顾支持该人群进行 CR 的证据,并讨论 CR 的未来研究方向。

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