Tomlinson Monica F, Wright Joshua D
The University of Western Ontario, London, Ontario
The University of Western Ontario, London, Ontario.
J Cogn Psychother. 2018 Aug;32(3):203-220. doi: 10.1891/0889-8391.32.3.203.
The division of psychotic symptoms into positive and negative categories has largely divided the research on them. While the research on positive symptoms of psychosis has rapidly developed over the last three decades, the literature on negative symptoms has noticeably lagged behind. Negative symptoms have likely been ignored in the treatment literature because they were previously thought to remit following the treatment of positive symptoms. Recent evidence does not consistently support this theory and indicates that the different manifestations of negative symptoms require distinct approaches to treatment. The current review provides a re-evaluation of the theoretical literature on negative symptoms to inform and identify "treatment targets" to reduce them. The "treatment targets" are then translated into intervention strategies using a cognitive behavioral framework. A review of the empirical literature on cognitive behavior therapy for treating negative symptoms is then offered along with a critical discussion of where cognitive behavior therapy stands compared to other interventions and what research is still needed.
将精神病症状分为阳性和阴性类别在很大程度上划分了对其的研究。在过去三十年里，关于精神病阳性症状的研究迅速发展，而关于阴性症状的文献则明显滞后。阴性症状在治疗文献中可能一直被忽视，因为它们以前被认为会在阳性症状得到治疗后缓解。最近的证据并不一致支持这一理论，并表明阴性症状的不同表现需要不同的治疗方法。本综述对关于阴性症状的理论文献进行了重新评估，以提供信息并确定减轻这些症状的“治疗靶点”。然后使用认知行为框架将“治疗靶点”转化为干预策略。接着提供了关于认知行为疗法治疗阴性症状的实证文献综述，并对认知行为疗法与其他干预措施相比的现状以及仍需开展哪些研究进行了批判性讨论。
