认知行为疗法治疗双相情感障碍

Cognitive Behavioral Therapy in Treatment of Bipolar Disorder.

作者信息

Özdel Kadir, Kart Ayşegül, Türkçapar Mehmet Hakan

机构信息

University of Health Science, Diskapi Yildirim Beyazit, Teaching and Research Hospital, Department of Psychiatry, Ankara, Turkey.

Bakırköy Mental Health and Neurological Diseases Education and Research Hospital, Department of Psychiatry, İstanbul, Turkey.

出版信息

Noro Psikiyatr Ars. 2021 Sep 20;58(Suppl 1):S66-S76. doi: 10.29399/npa.27419. eCollection 2021.

Abstract

Biological underpinnings (i.e., "bio" of bio-psycho-social approach) of Bipolar Disorder (BD) comes to the forefront when addressing its etiology and treatment. However, it is a condition that is challenging to manage with medication, and often the medication alone is insufficient since the symptoms of the disease have different episode characteristics. When the prevalence and inefficacy of drug treatments are considered together, the cruciality of psychosocial interventions in the treatment of the is undeniable. Moreover, treatment non-compliance is another problem that needs to be addressed psychosocially. Cognitive Behavioral Therapy (CBT) has its unique place among psychosocial interventions with numerous features such as being empirical and flexible, and it is recommended as an evidence-based adjuvant therapy in all stages of the disorder except acute mania. In this review, we discuss how CBT is used in specific domains of the disorder, following a general outlook on the evidence for CBT in BD. We focused on the essentials of psychotherapy practice with a pragmatic approach from the CBT point of view.

摘要

在探讨双相情感障碍(BD)的病因和治疗方法时,双相情感障碍的生物学基础(即生物心理社会方法中的“生物”部分)成为了首要关注点。然而,这是一种药物治疗颇具挑战性的疾病,而且仅靠药物往往并不足够,因为该疾病的症状具有不同的发作特征。综合考虑药物治疗的患病率和无效性,心理社会干预在该病治疗中的关键性便不言而喻。此外,治疗依从性不佳是另一个需要从心理社会层面加以解决的问题。认知行为疗法(CBT)在心理社会干预中占据独特地位,具有诸多特性,如基于实证且灵活多变,并且在除急性躁狂发作外的该疾病所有阶段,它都被推荐作为一种循证辅助疗法。在本综述中,我们在对双相情感障碍中认知行为疗法的证据进行总体概述之后,讨论认知行为疗法在该疾病特定领域中的应用方式。我们从认知行为疗法的角度,以务实的方法聚焦于心理治疗实践要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e581/8498810/31c73955d263/archneuro-58-S66-g001.jpg

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