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基层和专科护理中情感障碍的简短心理治疗:一项随机对照试验。

Brief psychological treatments for emotional disorders in Primary and Specialized Care: A randomized controlled trial.

作者信息

Corpas Jorge, Moriana Juan A, Venceslá Jose F, Gálvez-Lara Mario

机构信息

Department of Psychology, University of Cordoba, Maimonides Institute for Research in Biomedicine of Cordoba (IMIBIC), and Reina Sofia University Hospital, Cordoba, Spain.

出版信息

Int J Clin Health Psychol. 2021 Jan-Apr;21(1):100203. doi: 10.1016/j.ijchp.2020.11.002. Epub 2020 Nov 30.

Abstract

Brief transdiagnostic psychotherapies are a possible treatment for emotional disorders. We aimed to determine their efficacy on mild/moderate emotional disorders compared with treatment as usual (TAU) based on pharmacological interventions. This study was a single-blinded randomized controlled trial with parallel design of three groups. Patients ( = 102) were assigned to brief individual psychotherapy ( = 34), brief group psychotherapy ( = 34) or TAU ( = 34). Participants were assessed before and after the interventions with the following measures: PHQ-15, PHQ-9, PHQ-PD, GAD-7, STAI, BDI-II, BSI-18, and SCID. We conducted per protocol and intention-to-treat analyses. Brief psychotherapies were more effective than TAU for the reduction of emotional disorders symptoms and diagnoses with moderate/high effect sizes. TAU was only effective in reducing depressive symptoms. Brief transdiagnostic psychotherapies might be the treatment of choice for mild/moderate emotional disorders and they seem suitable to be implemented within health care systems.

摘要

简短的跨诊断心理疗法是治疗情绪障碍的一种可能方法。我们旨在确定与基于药物干预的常规治疗(TAU)相比,其对轻度/中度情绪障碍的疗效。本研究是一项单盲随机对照试验,采用三组平行设计。患者(n = 102)被分配到简短个体心理治疗组(n = 34)、简短团体心理治疗组(n = 34)或常规治疗组(n = 34)。在干预前后,使用以下量表对参与者进行评估:PHQ - 15、PHQ - 9、PHQ - PD、GAD - 7、STAI、BDI - II、BSI - 18和SCID。我们进行了符合方案分析和意向性分析。简短心理疗法在减轻情绪障碍症状和诊断方面比常规治疗更有效,效应量为中度/高度。常规治疗仅在减轻抑郁症状方面有效。简短的跨诊断心理疗法可能是轻度/中度情绪障碍的首选治疗方法,且似乎适合在医疗保健系统中实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2c/7753034/a79cde92f07a/gr1.jpg

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