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临床催眠作为认知行为疗法的辅助手段:一项更新的荟萃分析。

Clinical Hypnosis as an Adjunct to Cognitive Behavior Therapy: An Updated Meta-Analysis.

机构信息

School of Psychological Science, University of Western Australia, Perth.

出版信息

Int J Clin Exp Hypn. 2021 Apr-Jun;69(2):169-202. doi: 10.1080/00207144.2021.1877549. Epub 2021 Mar 1.

DOI:10.1080/00207144.2021.1877549
PMID:33646087
Abstract

In 1995, Kirsch and colleagues published an influential meta-analysis (k = 20, = 577) which found that CBT enhanced with hypnosis (CBTH) was superior to CBT alone by at least  = .53. However, a lack of full replication and the emergence of new empirical studies prompted this updated analysis. A total of 48 post- ( = 1,928) and 25 follow-up treatments ( = 1,165) were meta-analyzed. CBTH achieved small to medium but statistically significant advantages over CBT at posttreatment ( = .25 to .41), and specifically in the management of depressed mood and pain. At follow-up, there was a medium sized advantage for CBTH ( = .54 to .59), and specifically for the treatment of obesity. These results further support the adjunctive use of hypnosis as an enhancer of CBT's efficaciousness and endurance as a treatment.

摘要

1995 年,Kirsch 及其同事发表了一项有影响力的荟萃分析(k=20,=577),发现催眠增强型认知行为疗法(CBTH)比单纯认知行为疗法至少好 0.53。然而,由于缺乏完全复制和新的实证研究的出现,促使我们进行了这项更新的分析。共有 48 项事后(=1928)和 25 项随访治疗(=1165)进行了荟萃分析。CBTH 在治疗后(=0.25 至 0.41)具有较小到中等但具有统计学意义的优势,特别是在治疗抑郁情绪和疼痛方面。在随访时,CBTH 具有中等幅度的优势(=0.54 至 0.59),特别是在肥胖症的治疗方面。这些结果进一步支持将催眠作为增强认知行为疗法疗效和持久性的辅助手段。

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