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跨诊断认知行为疗法的干预策略和临床流程。

Intervention strategies and clinical process in transdiagnostic cognitive-behavioral therapy.

机构信息

Department of Psychology, Boston University, 648 Beacon St., 6th Floor, Boston, MA 02215, USA.

出版信息

Psychotherapy (Chic). 2013 Sep;50(3):381-6. doi: 10.1037/a0032157.

DOI:10.1037/a0032157
PMID:24000856
Abstract

A number of evidence-based cognitive-behavioral treatments (CBT) have been developed to target specific anxiety and mood disorders. Many in the field of psychotherapy have focused their attention toward the identification and consolidation of core treatment principles and mechanisms of change that cut across different treatment approaches and diagnostic categories. This focus has led to the development of transdiagnostic CBT treatments that aim to integrate common principles of human functioning and change strategies found in existing evidence-based CBT interventions for various disorders. The Unified Protocol (UP) is a transdiagnostic emotion-focused CBT treatment designed to be applicable to disorders that involve a prominent emotional component. This article describes three core intervention strategies typically used to facilitate clinical process (e.g., new learning) in the UP: (a) increasing emotional awareness, (b) encouraging repeated practice, and (c) providing opportunities for corrective experiences. Clinical examples, along with a brief discussion of the theoretical basis and research support for each of these intervention strategies, are provided.

摘要

已经开发出许多基于证据的认知行为治疗 (CBT) 方法来针对特定的焦虑和情绪障碍。许多心理治疗领域的专业人员都将注意力集中在识别和巩固核心治疗原则和变化机制上,这些原则和机制跨越了不同的治疗方法和诊断类别。这种关注导致了跨诊断 CBT 治疗方法的发展,这些方法旨在整合人类功能的共同原则和现有基于证据的 CBT 干预措施中针对各种障碍的变化策略。统一方案 (UP) 是一种跨诊断的情绪焦点 CBT 治疗方法,旨在适用于涉及突出情绪成分的障碍。本文描述了通常用于促进 UP 中临床进程(例如新学习)的三种核心干预策略:(a)提高情绪意识,(b)鼓励重复练习,(c)提供纠正性体验的机会。提供了临床示例,并简要讨论了这些干预策略的理论基础和研究支持。

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引用本文的文献

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Expectancies, working alliance, and outcome in transdiagnostic and single diagnosis treatment for anxiety disorders: An investigation of mediation.焦虑症跨诊断和单一诊断治疗中的期望、工作联盟与治疗结果:中介作用研究
Cognit Ther Res. 2018 Apr;42(2):135-145. doi: 10.1007/s10608-017-9855-8. Epub 2017 Apr 25.