Gold Alexandra K, Montana Rebecca E, Sylvia Louisa G, Nierenberg Andrew A, Deckersbach Thilo
Department of Psychiatry, Massachusetts General Hospital, 50 Staniford Street, Suite 580 Boston, MA 02114.
Department of Psychiatry, Massachusetts General Hospital, 50 Staniford Street, Suite 580 Boston, MA 02114; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115.
Curr Behav Neurosci Rep. 2016 Dec;3(4):340-349. doi: 10.1007/s40473-016-0090-5. Epub 2016 Oct 6.
Cognitive impairments and biases, which are prevalent in patients with mood and anxiety disorders, can affect quality of life and functioning. Traditional treatments are only insufficiently addressing these impairments and biases. We review the cognitive impairments and biases present in these disorders as well as treatments targeting these domains.
Interventions aimed at improving cognitive impairments and biases may help improve cognitive deficits and overall functioning in patients with mood and anxiety disorders. Direct comparisons of treatments for cognitive impairments or biases versus more traditional psychosocial interventions have produced diverse results.
Overall, treatments for cognitive impairments and cognitive biases warrant additional study in clinical trials. Future research should explore cognitive remediation and cognitive bias modification adjunctive to psychosocial treatments to optimize patient outcomes in mood and anxiety disorders.
认知障碍和偏差在情绪和焦虑障碍患者中普遍存在,会影响生活质量和功能。传统治疗对这些障碍和偏差的处理效果欠佳。我们综述了这些疾病中存在的认知障碍和偏差以及针对这些领域的治疗方法。
旨在改善认知障碍和偏差的干预措施可能有助于改善情绪和焦虑障碍患者的认知缺陷和整体功能。针对认知障碍或偏差的治疗与更传统的心理社会干预措施的直接比较产生了不同的结果。
总体而言,针对认知障碍和认知偏差的治疗方法值得在临床试验中进行更多研究。未来的研究应探索在心理社会治疗的基础上辅助认知康复和认知偏差矫正,以优化情绪和焦虑障碍患者的治疗效果。