de Ornelas Maia Ana Claudia Corrêa, Sanford Jenny, Boettcher Hannah, Nardi Antonio E, Barlow David
Laboratory of Panic and Respiration, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Brazil; Center for Anxiety and Related Disorders, Boston University, USA.
Center for Anxiety and Related Disorders, Boston University, USA.
J Psychiatr Res. 2017 Oct;93:30-36. doi: 10.1016/j.jpsychires.2017.05.013. Epub 2017 May 26.
Patients with multiple mental disorders often experience sexual dysfunction and reduced quality of life. The unified protocol (UP) is a transdiagnostic treatment for emotional disorders that has the potential to improve quality of life and sexual functioning via improved emotion management. The present study evaluates changes in quality of life and sexual functioning in a highly comorbid sample treated with the UP in a group format. Forty-eight patients were randomly assigned to either a UP active-treatment group or a medication-only control group. Treatment was delivered in 14 sessions over the course of 4 months. Symptoms of anxiety and depression were assessed using the Beck Anxiety Inventory and Beck Depression Inventory. Sexual functioning was assessed by the Arizona Sexual Experience Scale (ASEX), and quality of life was assessed by the World Health Organization Quality of Life-BREF scale (WHOQOL-BREF). Quality of life, anxiety and depression all significantly improved among participants treated with the UP. Some improvement in sexual functioning was also noted. The results support the efficacy of the UP in improving quality of life and sexual functioning in comorbid patients.
患有多种精神障碍的患者常出现性功能障碍和生活质量下降。统一方案(UP)是一种针对情绪障碍的跨诊断治疗方法,它有可能通过改善情绪管理来提高生活质量和性功能。本研究评估了以小组形式接受UP治疗的高度共病样本中生活质量和性功能的变化。48名患者被随机分配到UP积极治疗组或仅药物治疗对照组。治疗在4个月内进行14次疗程。使用贝克焦虑量表和贝克抑郁量表评估焦虑和抑郁症状。通过亚利桑那性体验量表(ASEX)评估性功能,通过世界卫生组织生活质量简表(WHOQOL-BREF)评估生活质量。接受UP治疗的参与者的生活质量、焦虑和抑郁均有显著改善。性功能也有一些改善。结果支持UP在改善共病患者生活质量和性功能方面的疗效。