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认知行为疗法可降低未破裂颅内动脉瘤患者的疾病感知和焦虑症状。

Cognitive behavioral therapy reduces illness perceptions and anxiety symptoms in patients with unruptured intracranial aneurysm.

机构信息

Department of Psychology, School of Humanities, Universidad EAFIT, Medellín, Antioquia, Colombia.

Department of International Business, Organization and Management School, Universidad EAFIT, Medellín, Antioquia, Colombia.

出版信息

J Clin Neurosci. 2020 Oct;80:56-62. doi: 10.1016/j.jocn.2020.07.071. Epub 2020 Aug 17.

Abstract

The main purpose of this study was to assess the relation between cognitive behavioral therapy and possible changes in illness perceptions and anxiety in patients diagnosed with unruptured intracranial aneurysm. An observational study of an intervention with 67 patients with an unruptured intracranial aneurysm from two medical centers in a Colombian city (n = 35 on the intervention group) was carried out. To assess changes, measurements were taken at baseline and at one-year follow-up with the Beck Anxiety Inventory and the Illness Perception Questionnaire, brief version, taking into account the importance of perceptions in the process of adjusting to illness and acquiring healthy life habits. Hypotheses were tested by a structural model. The results obtained from this study showed that illness perceptions were related to anxiety levels at both time points; however, the relations were stronger before cognitive behavioral therapy (βt0 = 0.61, p < 0.01; βt1 = 0.37, p < 0.01). Cognitive behavioral therapy was found to be a moderator of changes in both illness perceptions and anxiety at the time of follow-up (β = -0.31, p < 0.01; β = -0.26, p < 0.01). The structural model suggests that cognitive behavioral therapy is associated with less anxiety (β = -0.17, p < 0.05) and better illness perceptions (β = -0.35, p < 0.01) in patients diagnosed with unruptured intracranial aneurysms.

摘要

本研究的主要目的是评估认知行为疗法与未破裂颅内动脉瘤患者的疾病认知和焦虑变化之间的关系。这是一项对来自哥伦比亚市两个医学中心的 67 名未破裂颅内动脉瘤患者进行的干预观察性研究(n=35 为干预组)。为了评估变化,在基线和一年随访时使用贝克焦虑量表和简短版疾病感知问卷进行测量,考虑到感知在适应疾病和获得健康生活习惯过程中的重要性。通过结构模型检验假设。研究结果表明,在两个时间点,疾病认知与焦虑水平相关;然而,在认知行为治疗之前,这种关系更强(βt0=0.61,p<0.01;βt1=0.37,p<0.01)。认知行为疗法被发现是随访时疾病认知和焦虑变化的调节因素(β=-0.31,p<0.01;β=-0.26,p<0.01)。结构模型表明,认知行为疗法与未破裂颅内动脉瘤患者的焦虑程度降低(β=-0.17,p<0.05)和更好的疾病认知相关(β=-0.35,p<0.01)。

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