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认知行为疗法对改善重度和轻度抑郁症患者认知功能的影响。

Effect of Cognitive Behavioral Therapy on Improving the Cognitive Function in Major and Minor Depression.

作者信息

He Hui-Li, Zhang Ming, Gu Chuan-Zheng, Xue Ran-Ran, Liu Hong-Xia, Gao Cai-Feng, Duan Hui-Feng

机构信息

The Third Psychiatric Department.

The Fifth Psychiatric Department, and.

出版信息

J Nerv Ment Dis. 2019 Apr;207(4):232-238. doi: 10.1097/NMD.0000000000000954.

Abstract

The aim of this study was to investigate the effectiveness of cognitive behavioral therapy (CBT) on improving the cognitive function in minor depression (MiD) and major depression (MaD). The study will constitute a placebo-controlled single-blind parallel-group randomized controlled trial. The selected participants will be randomly allocated into one of two parallel groups with a 1:1 ratio: the CBT-based group and the general health education group. CBT significantly alleviated depressive symptoms of MiD and MaD at 12 weeks (p < 0.001), and the treatment effect was maintained for at least 12 months (p < 0.001). Interestingly, CBT significantly promotes more cognitive function of MiD and partial cognitive function of MaD at 12 weeks in the intervention group than in the control group (p < 0.01). CBT can alleviate depressive symptoms of both minor and MaDs. The effectiveness of CBT is different on improving the cognitive function in MiD and MaD.

摘要

本研究的目的是调查认知行为疗法(CBT)对改善轻度抑郁症(MiD)和重度抑郁症(MaD)认知功能的有效性。该研究将构成一项安慰剂对照、单盲、平行组随机对照试验。选定的参与者将以1:1的比例随机分配到两个平行组之一:基于CBT的组和一般健康教育组。CBT在12周时显著减轻了MiD和MaD的抑郁症状(p<0.001),且治疗效果至少维持了12个月(p<0.001)。有趣的是,在干预组中,CBT在12周时比对照组更能显著促进MiD的更多认知功能和MaD的部分认知功能(p<0.01)。CBT可以减轻轻度和重度抑郁症的抑郁症状。CBT在改善MiD和MaD认知功能方面的有效性有所不同。

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