CBT对丙型肝炎美沙酮维持治疗患者抑郁症状的影响

Susan E Ramsey, Patricia A Engler, Michael D Stein, Richard A Brown, Patricia Cioe, Christopher W Kahler, Kittichai Promrat, Jennifer Rose, Jennifer Anthony, David A Solomon
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引用次数: 22

摘要

为了检验认知行为干预(CBT)在接受丙型肝炎(HCV)抗病毒治疗的美沙酮维持患者中预防抑郁的疗效,29名开始丙型肝炎治疗的患者被随机分为CBT或标准治疗(SC)。在研究招募时,研究参与者不符合重度抑郁症的标准。CBT并没有导致更少的抑郁症相关抗病毒治疗失败,更好的抗病毒治疗依从性,或更好的HCV RNA结果。治疗组在抑郁症状方面没有显著差异。随着时间的推移,CBT组在BDI-II和HAM-D评分方面确实表现出更大、更一致的下降(d=。BDI-II为85;d =。在HAM-D上是72)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of CBT on Depressive Symptoms in Methadone Maintenance Patients Undergoing Treatment for Hepatitis C.

To examine the efficacy of a cognitive-behavioral intervention (CBT) to prevent depression among methadone maintenance patients undergoing antiviral treatment for hepatitis C (HCV), 29 patients beginning HCV treatment were randomized to CBT or standard care (SC). Study participants did not meet criteria for major depressive disorder at the time of study recruitment. CBT did not result in less depression-related antiviral treatment failure, better adherence to antiviral treatment, or better HCV RNA outcomes. There were no significant treatment group differences on depressive symptoms over time. The CBT group did display a greater and more consistent decline in both BDI-II and HAM-D scores over time (d=.85 on the BDI-II; d=.72 on the HAM-D).

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