Brockman Robert, Murrell Elizabeth
Charles Sturt University, New South Wales, Australia
University of Western Sydney, Australia
J Cogn Psychother. 2015;29(1):45-67. doi: 10.1891/0889-8391.29.1.45. Epub 2015 Jan 1.
Despite a rise in the popularity of cognitive behavior therapy for psychosis (CBTp) over the past 15 years, recent systematic reviews and meta-analyses have concluded that CBTp has only modest effects on psychotic syndrome outcomes and that empirical evidence of its superiority over other psychosocial treatments is poor (Jones, Hacker, Meaden, Cormac, & Irving, 2012; Wykes, Steel, Everitt, & Tarrier, 2008). However, for some time now, some authors prominent in the development of CBTp have argued the primary goals of CBTp not to be global syndrome reduction but the amelioration of emotional distress and behavioral disturbance in relation to individual psychotic symptoms (Birchwood & Trower, 2006). A review of the theoretical and empirical literature related to CBTp reveals broad support for this position. Implications and recommendations for research into the efficacy of CBTp are discussed.
尽管在过去15年里，针对精神病的认知行为疗法（CBTp）越来越受欢迎，但最近的系统评价和荟萃分析得出结论，CBTp对精神病综合征结果只有适度影响，而且其优于其他心理社会治疗方法的实证证据不足（琼斯、哈克、米登、科马克和欧文，2012年；怀克斯、斯蒂尔、埃弗里特和塔里尔，2008年）。然而，一段时间以来，一些在CBTp发展过程中颇具影响力的作者认为，CBTp的主要目标不是全面减轻综合征，而是缓解与个体精神病症状相关的情绪困扰和行为障碍（伯奇伍德和特罗尔，2006年）。对与CBTp相关的理论和实证文献的综述为这一立场提供了广泛支持。本文还讨论了CBTp疗效研究的意义和建议。
