病例系列：“第三波”认知行为疗法在难治性哮喘中的应用
Case series: the application of "third wave" cognitive behavioural therapies in difficult to treat asthma.
作者信息
Fellows Jodie Louise, Flower Laura, Blakey John, Kurukulaaratchy Ramesh, Howard Ruth, Mansur Adel
机构信息
a Birmingham Regional Severe Asthma Service, Birmingham Heartlands Hospital , Birmingham , UK .
b Difficult Airways Disease Service, University Hospital Southampton , Southampton , UK .
出版信息
J Asthma. 2015;52(9):905-12. doi: 10.3109/02770903.2014.1003155. Epub 2015 Sep 16.
OBJECTIVE
This paper provides for the first time cases of individual psychological therapy undertaken in tertiary, difficult to treat asthma services using "third wave" cognitive behavioural therapy (CBT) approaches.
METHODS
These cases were selected to represent common psychological presentations in difficult to treat asthma clinics, namely denial of severity and over-identification with asthma. Assessment, formulation, intervention and results are outlined.
RESULTS
Case 1 demonstrated change from severe to mild depression and anxiety, reduction in shame and improved well-being. Case 2 demonstrated improvements in well-being and psychological symptoms. Both interventions were experienced by the patients as highly satisfactory.
CONCLUSIONS
It is concluded that a psychological understanding of patients' presentations can open up new avenues for intervention. Further research into the potential utility of third wave cognitive therapies in difficult to treat asthma is warranted.
目的
本文首次介绍了在三级难治性哮喘治疗服务中采用“第三波”认知行为疗法（CBT）进行个体心理治疗的案例。
方法
这些案例旨在代表难治性哮喘诊所中常见的心理表现，即对病情严重程度的否认和与哮喘的过度认同。概述了评估、制定、干预及结果。
结果
案例1显示从严重抑郁和焦虑转变为轻度，羞耻感减轻，幸福感提高。案例2显示幸福感和心理症状有所改善。患者对这两种干预措施都非常满意。
结论
得出的结论是，从心理角度理解患者的表现可为干预开辟新途径。有必要进一步研究第三波认知疗法在难治性哮喘中的潜在效用。
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