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针对患有抑郁和焦虑症状退伍军人的初级保健跨诊断行为疗法(TBT-PC)开放试验

An Open Trial for Transdiagnostic Behavior Therapy for Primary Care (TBT-PC) in Veterans with Symptoms of Depression and Anxiety.

作者信息

Gros Daniel F, Hart Stephanie, Pompei Michelle, Acierno Ron

机构信息

Mental Health Service 116, Ralph H. Johnson VA Healthcare System, 109 Bee Street, Charleston, SC 29401, USA.

Department of Psychology & Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.

出版信息

Behav Sci (Basel). 2025 Sep 20;15(9):1287. doi: 10.3390/bs15091287.

Abstract

Transdiagnostic psychotherapies were developed to address multiple diagnostic presentations via a single, easier-to-implement protocol. However, despite advances, these protocols are largely limited to longer formats designed for mental health settings. The present study investigated a version of Transdiagnostic Behavior Therapy (TBT-PC) that was adapted for primary care settings. Forty-one participants with emotional disorders received 6 sessions of TBT-PC, with symptoms of depression and anxiety assessed at baseline, immediate post-treatment, and at 3-month follow-up. Medium treatment effects for symptoms of depression and anxiety were evidenced at post-treatment and sustained at follow-up. Treatment feasibility was supported by excellent attendance, treatment completion, and patient satisfaction scores. Together, the present findings provide initial support for TBT-PC in primary care patients with emotional disorders.

摘要

跨诊断心理疗法旨在通过单一、易于实施的方案来应对多种诊断表现。然而,尽管取得了进展,但这些方案在很大程度上仅限于为心理健康环境设计的较长形式。本研究调查了一种适用于初级保健环境的跨诊断行为疗法(TBT-PC)版本。41名患有情绪障碍的参与者接受了6次TBT-PC治疗,在基线、治疗后即刻和3个月随访时评估抑郁和焦虑症状。治疗后抑郁和焦虑症状出现中等治疗效果,并在随访时持续存在。出色的出勤率、治疗完成率和患者满意度得分支持了治疗的可行性。总之,本研究结果为TBT-PC在患有情绪障碍的初级保健患者中提供了初步支持。

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