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广泛性焦虑症的认知行为疗法

Cognitive-behavioral therapy for generalized anxiety.

作者信息

Borza Lucas

机构信息

Psychologist in private practice, Eschau, France; Institution La Doctrine Chrétienne, Strasbourg, France; Strasbourg University, Strasbourg, France.

出版信息

Dialogues Clin Neurosci. 2017 Jun;19(2):203-208. doi: 10.31887/DCNS.2017.19.2/lborza.

Abstract

As a form of therapy, cognitive behavioral therapy (CBT) is more than a mere "toolbox." CBT allows us to better understand how the human mind is functioning because it is based on neuroscience and experimental and scientific psychology. At the beginning, the was "nontheoretical," but nowadays (the most recent version being DSM-5), it is increasingly based on CBT paradigms (with the insertion of important notions such as cognitions and behaviors). This Brief Report presents what we currently know about generalized anxiety disorder (GAD) and how we can treat this condition by nonpharmaceutical means. In the last few years, GAD theories have evolved, becoming more precise about the cognitive functioning of GAD sufferers. Here, we look at current theoretical models and the main techniques of therapeutic care, as well as the advances in research about the "transdiagnostic" process and GAD in childhood. CBT is an effective treatment for GAD, typically leading to reductions in worry, and a study has shown that such therapy is equal to pharmaceutical treatment and more effective 6 months after study completion.

摘要

作为一种治疗形式,认知行为疗法(CBT)不仅仅是一个单纯的“工具箱”。认知行为疗法使我们能够更好地理解人类思维的运作方式,因为它基于神经科学以及实验和科学心理学。起初,它是“非理论性的”,但如今(最新版本为《精神疾病诊断与统计手册》第5版),它越来越多地基于认知行为疗法范式(融入了诸如认知和行为等重要概念)。本简要报告介绍了我们目前对广泛性焦虑症(GAD)的了解,以及我们如何通过非药物手段治疗这种疾病。在过去几年中,广泛性焦虑症理论不断发展,对广泛性焦虑症患者的认知功能有了更精确的认识。在这里,我们将探讨当前的理论模型、治疗护理的主要技术,以及关于“跨诊断”过程和儿童广泛性焦虑症的研究进展。认知行为疗法是治疗广泛性焦虑症的有效方法,通常能减少焦虑,一项研究表明,这种疗法与药物治疗效果相当,且在研究完成6个月后更为有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7965/5573564/01f769bb1b17/DialoguesClinNeurosci-19-203-g001.jpg

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