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评估认知行为分析系统疗法(CBASP)对慢性抑郁症的影响和可接受性。

Evaluation of the impact and acceptability of Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for chronic depression.

机构信息

Barnsley Early Intervention in Psychosis Team, South West Yorkshire NHS Partnerships Trust, UK.

School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.

出版信息

Behav Cogn Psychother. 2022 Nov;50(6):644-648. doi: 10.1017/S1352465822000236. Epub 2022 Jun 22.

DOI:10.1017/S1352465822000236
PMID:35730130
Abstract

BACKGROUND

Cognitive Behavioural Analysis System of Psychotherapy (CBASP) is an evidenced based treatment model for chronically depressed patients.

AIMS

The main aim of this service evaluation was to assess the acceptability and clinical impact of CBASP for chronic depression within an Improving Access to Psychological Therapies (IAPT) service.

METHOD

Routinely collected data were analysed for all patients that received CBASP treatment focussing on the recovery rates of these patients in terms of depression, anxiety and social functioning. Interviews were conducted with patients who had recently been discharged from CBASP therapist within one month of the follow-up date, explore their experiences of therapy.

RESULTS

Outcome data for 27 patients suggested substantial reduction in scoring on measures of depression and anxiety following CBASP treatment. Across all interviews it was clear that patients developed an insight and understanding of how their behaviours affect the outcome of interpersonal situations.

CONCLUSIONS

Results from this service evaluation suggest that CBASP is acceptable to service users and has a positive clinical impact in terms of IAPT recovery targets for anxiety, depression and social functioning.

摘要

背景

认知行为分析系统疗法(CBASP)是一种针对慢性抑郁患者的循证治疗模式。

目的

本服务评估的主要目的是评估在改善心理治疗获取途径(IAPT)服务中,CBASP 对慢性抑郁的可接受性和临床影响。

方法

对所有接受 CBASP 治疗的患者进行了常规收集数据的分析,重点关注这些患者在抑郁、焦虑和社会功能方面的恢复率。在随访日期后的一个月内,对最近从 CBASP 治疗师处出院的患者进行了访谈,以探讨他们的治疗体验。

结果

27 名患者的结果数据表明,接受 CBASP 治疗后,抑郁和焦虑的评分显著降低。所有访谈都清楚地表明,患者对自己的行为如何影响人际情境的结果有了深刻的认识和理解。

结论

本服务评估的结果表明,CBASP 被服务使用者接受,并在 IAPT 恢复目标的焦虑、抑郁和社会功能方面具有积极的临床影响。

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