Applicability Evaluation of Simplified Cognitive Behavioral Therapy.

上海精神医学 Pub Date : 2018-04-25 DOI:10.11919/j.issn.1002-0829.217098

Li Zhang, Zhipei Zhu, Fang Fang, Yuan Shen, Na Liu, Chunbo Li

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引用次数: 3

Abstract

Background: We have developed a structured cognitive behavioral therapy manual for anxiety disorder in China, and the present study evaluated the applicability of simplified cognitive behavioral therapy based on our previous research.

Aims: To evaluate the applicability of simplified cognitive behavioral therapy (SCBT) on generalized anxiety disorder (GAD) by conducting a multi-center controlled clinical trial.

Methods: A multi-center controlled clinical trial of SCBT was conducted on patients with GAD, including institutions specializing in mental health and psychiatry units in general hospitals. The participants were divided into 3 groups: SCBT group, SCBT with medication group and medication group. The drop-out rates of these three groups, the therapy satisfaction of patients who received SCBT and the evaluation of SCBT from therapists were compared.

Results: (1) There was no significant difference among the drop-out rates in the three groups. (2) Only the duration and times of therapy were significantly different between the two groups of patients who received the SCBT, and the therapy satisfaction of the SCBT group was higher than that of the SCBT with medication group. (3) Eighteen therapists who conducted the SCBT indicated that the manual was easy to comprehend and operate, and this therapy could achieve the therapy goals.

Conclusion: The applicability of SCBT for patients with GAD is relatively high, and it is hopeful that SCBT can become a psychological treatment which can be applied in medical institutions of various levels.

Abstract Image

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简化认知行为疗法的适用性评价。

背景:我们编制了一份结构化的中国焦虑症认知行为治疗手册，本研究在我们已有研究的基础上评估简化认知行为治疗的适用性。目的:通过多中心对照临床试验，评价简化认知行为疗法(SCBT)治疗广泛性焦虑障碍(GAD)的适用性。方法:采用SCBT对广泛性焦虑症患者进行多中心对照临床试验，包括精神卫生专业机构和综合医院精神科。将参与者分为3组:SCBT组、SCBT联合用药组和用药组。比较三组患者的退出率、接受SCBT的患者的治疗满意度和治疗师对SCBT的评价。结果:(1)三组患者的退出率差异无统计学意义。(2)两组接受SCBT的患者仅在治疗持续时间和治疗次数上存在显著差异，且SCBT组的治疗满意度高于SCBT联合用药组。(3) 18位进行SCBT的治疗师表示，该手册易于理解和操作，该疗法可以达到治疗目标。结论:SCBT对广泛性焦虑症患者的适用性较高，有望成为一种可应用于各级医疗机构的心理治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

上海精神医学

自引率

0.00%

发文量

2341

期刊介绍： Shanghai archives of psychiatry (bimonthly) was founded in 1959 and is sponsored by Shanghai Mental Health Center. The journal is aimed at mental health workers across the country, including psychiatrists and nurses, clinical psychologists, social workers, and people who are committed to the cause of mental health. It focuses on reporting clinical research results and practical experience in the field of psychiatry, and introduces the latest knowledge in psychiatry and related fields. The columns include monographs, case reports, clinical case discussions, reviews, mental health and law, and debates and discussions.