Thoma Nathan, Pilecki Brian, McKay Dean
Weill Cornell Medical College.
Brown University.
Psychodyn Psychiatry. 2015 Sep;43(3):423-61. doi: 10.1521/pdps.2015.43.3.423.
Cognitive behavior therapy (CBT) has come to be a widely practiced psychotherapy throughout the world. The present article reviews theory, history, and evidence for CBT. It is meant as an effort to summarize the forms and scope of CBT to date for the uninitiated. Elements of CBT such as cognitive therapy, behavior therapy, and so-called "third wave" CBT, such as dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT) are covered. The evidence for the efficacy of CBT for various disorders is reviewed, including depression, anxiety disorders, personality disorders, eating disorders, substance abuse, schizophrenia, chronic pain, insomnia, and child/adolescent disorders. The relative efficacy of medication and CBT, or their combination, is also briefly considered. Future directions for research and treatment development are proposed.
认知行为疗法(CBT)已成为全球广泛应用的心理治疗方法。本文回顾了认知行为疗法的理论、历史和证据。旨在为初学者总结认知行为疗法迄今为止的形式和范围。文中涵盖了认知行为疗法的各个要素,如认知疗法、行为疗法以及所谓的“第三波”认知行为疗法,例如辩证行为疗法(DBT)和接纳与承诺疗法(ACT)。回顾了认知行为疗法对各种疾病疗效的证据,包括抑郁症、焦虑症、人格障碍、饮食失调、药物滥用、精神分裂症、慢性疼痛、失眠以及儿童/青少年疾病。还简要考虑了药物治疗与认知行为疗法或二者联合治疗的相对疗效。提出了未来研究和治疗发展的方向。