Cognitive Behavioral Therapy for Generalized Anxiety Disorder:

Cara R. Dunkley, M. Robichaud
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引用次数: 1

Abstract

(Butler, Chapman, Forman, & Beck, 2006). CBT is commonly used to treat generalized anxiety disorder (GAD) as a monotherapy or alongside anti-anxiety medication. Meta-analyses demonstrate CBT’s effectiveness in reducing anxiety symptoms (Carpenter et al., 2018; Cuijpers et al., 2014) and its magnitude is comparable to antidepressant drugs (Williams, Stein, & Ipser, 2018). Benefits of CBT are maintained over six to 12 months (Covin, Ouimet, Seeds, & Dozois, 2008). In clinical practice, the specific CBT components (i.e., behavioral activation; challenging negative automatic thoughts, cognitive errors, and misattributions; problem solving; interpersonal interventions) used should be based on the problems experienced by the individual patient (Persons, Davidson, & Tompkins, 2000). A meta-analysis comparing components common in CBT treatments for GAD showed modest or no differences (Borkovec, Newman, Pincus, & Lytle, 2002). Psychological Health Center of Excellence Psych Health Evidence Briefs July 2018 Cognitive Behavioral Therapy for Generalized Anxiety Disorder
广泛性焦虑障碍的认知行为疗法
(Butler, Chapman, Forman, & Beck, 2006)。CBT通常用于治疗广泛性焦虑障碍(GAD),作为单一疗法或与抗焦虑药物一起使用。荟萃分析证明CBT在减轻焦虑症状方面的有效性(Carpenter et al., 2018;Cuijpers等人,2014),其强度与抗抑郁药物相当(Williams, Stein, & Ipser, 2018)。CBT的好处可以维持6到12个月(Covin, Ouimet, Seeds, & Dozois, 2008)。在临床实践中,具体的CBT成分(即行为激活;挑战消极的自动思维、认知错误和错误归因;解决问题;人际干预)的使用应基于个体患者所经历的问题(Persons, Davidson, & Tompkins, 2000)。一项荟萃分析比较了广泛性焦虑症的CBT治疗中常见的成分,结果显示差异不大或没有差异(Borkovec, Newman, Pincus, & Lytle, 2002)。心理健康卓越中心心理健康证据简报2018年7月广泛性焦虑障碍的认知行为治疗
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