Nakao Mutsuhiro, Shirotsuki Kentaro, Sugaya Nagisa
Department of Psychosomatic Medicine, School of Medicine, International University of Health and Welfare, 4-3, Kozunomori, Narita-shi, Chiba, 286-8686, Japan.
Graduate School of Human and Social Sciences, Musashino University, Tokyo, Japan.
Biopsychosoc Med. 2021 Oct 3;15(1):16. doi: 10.1186/s13030-021-00219-w.
Cognitive-behavioral therapy (CBT) helps individuals to eliminate avoidant and safety-seeking behaviors that prevent self-correction of faulty beliefs, thereby facilitating stress management to reduce stress-related disorders and enhance mental health. The present review evaluated the effectiveness of CBT in stressful conditions among clinical and general populations, and identified recent advances in CBT-related techniques. A search of the literature for studies conducted during 1987-2021 identified 345 articles relating to biopsychosocial medicine; 154 (45%) were review articles, including 14 systemic reviews, and 53 (15%) were clinical trials including 45 randomized controlled trials. The results of several randomized controlled trials indicated that CBT was effective for a variety of mental problems (e.g., anxiety disorder, attention deficit hypersensitivity disorder, bulimia nervosa, depression, hypochondriasis), physical conditions (e.g., chronic fatigue syndrome, fibromyalgia, irritable bowel syndrome, breast cancer), and behavioral problems (e.g., antisocial behaviors, drug abuse, gambling, overweight, smoking), at least in the short term; more follow-up observations are needed to assess the long-term effects of CBT. Mental and physical problems can likely be managed effectively with online CBT or self-help CBT using a mobile app, but these should be applied with care, considering their cost-effectiveness and applicability to a given population.
认知行为疗法(CBT)帮助个体消除那些阻碍错误信念自我纠正的回避行为和寻求安全感行为,从而促进压力管理,以减少与压力相关的疾病并增进心理健康。本综述评估了认知行为疗法在临床人群和普通人群的压力情境中的有效性,并确定了认知行为疗法相关技术的最新进展。对1987年至2021年期间开展的研究进行文献检索,共识别出345篇与生物心理社会医学相关的文章;其中154篇(45%)为综述文章,包括14篇系统评价,53篇(15%)为临床试验,包括45项随机对照试验。多项随机对照试验的结果表明,认知行为疗法至少在短期内对多种心理问题(如焦虑症、注意力缺陷多动障碍、神经性贪食症、抑郁症、疑病症)、身体状况(如慢性疲劳综合征、纤维肌痛、肠易激综合征、乳腺癌)以及行为问题(如反社会行为、药物滥用、赌博、超重、吸烟)有效;需要更多的随访观察来评估认知行为疗法的长期效果。使用在线认知行为疗法或通过移动应用程序进行自助认知行为疗法可能可以有效地管理心理和身体问题,但考虑到其成本效益和对特定人群的适用性,应谨慎应用。