McMain Shelley, Newman Michelle G, Segal Zindel V, DeRubeis Robert J
a Centre for Addiction and Mental Health - Borderline Personality Disorder Service , Toronto , ON , Canada.
Psychother Res. 2015;25(3):321-9. doi: 10.1080/10503307.2014.1002440. Epub 2015 Feb 17.
Cognitive behavioral therapy (CBT), an umbrella term that includes a diverse group of treatments, is defined by a strong commitment to empiricism. While CBT has a robust empirical base, areas for improvement remain. This article reviews the status of the current empirical base and its limitations, and presents future directions for advancement of the field. Ultimately, studies are needed that will identify the predictors, mediators, and moderators of treatment response in order to increase knowledge on how to personalize interventions for each client and to strengthen the impact of CBT. Efforts to advance the dissemination and implementation of CBT, innovative approaches such as practice-oriented research, and the advantages of incorporating new and existing technologies, are discussed as well.
认知行为疗法(CBT)是一个涵盖多种不同治疗方法的统称,其定义为对实证主义的坚定承诺。虽然认知行为疗法有坚实的实证基础,但仍有改进的空间。本文回顾了当前实证基础的现状及其局限性,并提出了该领域未来的发展方向。最终,需要开展研究来确定治疗反应的预测因素、中介因素和调节因素,以便增加关于如何为每位客户量身定制干预措施以及加强认知行为疗法影响的知识。文中还讨论了推进认知行为疗法传播与实施的努力、以实践为导向的研究等创新方法,以及整合新技术和现有技术的优势。