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认知行为疗法(CBT)对焦虑症青年成人的焦虑管理及推理偏差矫正:一项关于治疗师辅助计算机化(TACCBT)程序与“面对面”团体CBT的真实世界研究

Cognitive behavioral therapy (CBT) anxiety management and reasoning bias modification in young adults with anxiety disorders: A real-world study of a therapist-assisted computerized (TACCBT) program Vs. "person-to-person" group CBT.

作者信息

Salza Anna, Giusti Laura, Ussorio Donatella, Casacchia Massimo, Roncone Rita

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

出版信息

Internet Interv. 2020 Jan 11;19:100305. doi: 10.1016/j.invent.2020.100305. eCollection 2020 Mar.

DOI:10.1016/j.invent.2020.100305
PMID:32055452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7005461/
Abstract

Computerized cognitive behavioral therapy (cCBT) appears to be a therapeutic strategy that is as effective as person-to-person CBT in the treatment of adults and young people with anxiety disorders. The aim of our controlled study was to evaluate the following in young adult users affected by anxiety disorders: (1) the feasibility of our simple "prototype" of a therapist-assisted computerized cognitive behavioral therapy (TacCBT); and (2) the effectiveness of two different interventions-group CBT and TacCBT-in an "enriched" format for anxiety management and reasoning bias modification as compared to a control group. Psychopathology, global functioning, and cognitive flexibility were examined in 13 users undergoing TacCBT and compared to those receiving "person-to-person" group CBT (CBT Group,  = 25), which controlled for their psychopharmacological treatment. Users were included in the arms of our real-word study on the basis of their treatment preferences. Twelve subjects were included in a Treatment as Usual (TAU) group. Following the intervention, all groups showed a significant improvement in symptoms. Both CBT groups showed an improvement in cognitive flexibility with respect to TAU, in addition to a reduction of their reasoning overconfidence. Our preliminary results show the benefits of the TacCBT program and highlight its advantages.

摘要

计算机化认知行为疗法(cCBT)似乎是一种治疗策略,在治疗患有焦虑症的成年人和年轻人方面,其效果与面对面的认知行为疗法(CBT)相当。我们的对照研究旨在评估以下内容:在受焦虑症影响的年轻成年用户中,(1)我们简单的治疗师辅助计算机化认知行为疗法(TacCBT)“原型”的可行性;(2)与对照组相比,两种不同干预措施——团体认知行为疗法(CBT)和TacCBT——以“强化”形式进行焦虑管理和推理偏差修正的有效性。对13名接受TacCBT治疗的用户的精神病理学、整体功能和认知灵活性进行了检查,并与接受“面对面”团体认知行为疗法(CBT组,n = 25)的用户进行了比较,后者的心理药物治疗得到了控制。根据用户的治疗偏好,将他们纳入我们的实际研究分组。12名受试者被纳入常规治疗(TAU)组。干预后,所有组的症状均有显著改善。除了推理过度自信有所降低外,两个CBT组在认知灵活性方面相对于TAU组均有改善。我们的初步结果显示了TacCBT项目的益处,并突出了其优势。

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