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科学现状:创伤后应激障碍的心理治疗干预。

State of the Science: Psychotherapeutic Interventions for Prolonged Grief Disorder.

机构信息

Weill Cornell Medical College; Cornell Center for Research on End-of-Life Care.

Weill Cornell Medicine; Cornell Center for Research on End-of-Life Care.

出版信息

Behav Ther. 2024 Nov;55(6):1303-1317. doi: 10.1016/j.beth.2024.07.002. Epub 2024 Jul 9.

DOI:10.1016/j.beth.2024.07.002
PMID:39443067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11979903/
Abstract

Prolonged grief disorder (PGD) is a distinct diagnostic entity that has recently garnered considerable attention as it describes an intense, enduring, distressing and disabling bereavement reaction experienced by a small minority of community-based mourners. In recent decades, research has exploded to address how best to treat PGD with different psychotherapeutic interventions. In this state-of-the-science review, the strength of the evidence will be discussed regarding common psychotherapeutic interventions used to treat grief. Specifically, we focus on the most commonly used interventions, cognitive behavioral (CB)-based therapies, bereavement and support groups, and brief contact interventions (BCIs), in an effort to summarize the relevant clinical takeaways of the current available research. A discussion of the use of these therapies in specific clinical populations is also included, with a focus on those traumatically bereaved, pediatric populations, communities of color, and underserved communities. Important foci and directions for future research are also discussed.

摘要

持续性悲伤障碍(PGD)是一种明确的诊断实体,最近引起了相当多的关注,因为它描述了少数社区哀悼者中经历的强烈、持久、痛苦和使人丧失能力的丧亲反应。近几十年来,研究如雨后春笋般涌现,旨在探讨如何通过不同的心理治疗干预措施来治疗 PGD。在本次科学综述中,将讨论针对悲伤治疗常用的心理治疗干预措施的证据强度。具体来说,我们专注于最常用的干预措施,即基于认知行为(CB)的疗法、丧亲支持小组和简短接触干预(BCIs),以总结当前可用研究的相关临床要点。还讨论了这些疗法在特定临床人群中的使用,重点是创伤性丧亲、儿科人群、有色人种社区和服务不足的社区。还讨论了未来研究的重要焦点和方向。

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Behav Ther. 2024 Nov;55(6):1364-1379. doi: 10.1016/j.beth.2024.04.004. Epub 2024 Apr 10.
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State of the Science in Behavior Therapy: Taking Stock and Looking Forward.行为治疗的科学现状:评估现状与展望未来。
Behav Ther. 2024 Nov;55(6):1101-1113. doi: 10.1016/j.beth.2024.07.007. Epub 2024 Aug 2.
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Cognitive Behavior Therapy vs Mindfulness in Treatment of Prolonged Grief Disorder: A Randomized Clinical Trial.认知行为疗法与正念治疗持续性悲伤障碍的随机临床试验比较。
JAMA Psychiatry. 2024 Jul 1;81(7):646-654. doi: 10.1001/jamapsychiatry.2024.0432.
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Grief-focused cognitive behavioral therapies for prolonged grief symptoms: A systematic review and meta-analysis.以悲伤为焦点的认知行为疗法治疗持续性悲伤症状:系统评价和荟萃分析。
J Consult Clin Psychol. 2024 Apr;92(4):236-248. doi: 10.1037/ccp0000884.
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Mourning in the time of coronavirus: Examining how grief differs in those who lost loved ones to COVID-19 vs. natural causes in Iran.新冠疫情下的哀悼:在伊朗,比较丧亲者因 COVID-19 与自然原因去世的悲伤差异。
Palliat Support Care. 2024 Aug;22(4):801-810. doi: 10.1017/S1478951524000348.
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EMPOWER: A Multi-Site Pilot Trial to Reduce Distress in Surrogate Decision-Makers in the ICU.赋能:一项多中心试点试验,旨在减少 ICU 中代理人决策者的痛苦。
J Pain Symptom Manage. 2024 Jun;67(6):512-524.e2. doi: 10.1016/j.jpainsymman.2024.03.002. Epub 2024 Mar 11.
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