跨诊断治疗对广泛性焦虑障碍伴抑郁患者适应不良人格特征和心理情感的疗效研究

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Clinical Practice in Pediatric Psychology Pub Date : 2023-04-01 DOI:10.32598/jpcp.11.2.862.1

F. Ghaderi, N. Akrami, Koroosh Namdari, A. Abedi

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引用次数: 0

摘要

目的:探讨跨诊断治疗对广泛性焦虑障碍伴发抑郁症患者适应不良人格特征和心理情感的影响。方法:采用单病例法进行准实验研究。统计人群包括在2020年被转介到伊朗伊斯法罕市咨询中心的广泛性焦虑症合并抑郁症患者。从这一人群中，通过有目的的抽样选择了5人，并通过每周单独举行的会议对他们进行了跨诊断治疗干预。在基线、第三、第五、第八、第十期和1个月的随访期间，使用成人版《精神障碍诊断与统计手册》第五版短版、人格问卷和心理情感量表对受试者进行评估。为了报告数据，我们采用了可视化分析、可靠的变化指数、改善百分比、统计和临床意义。结果:目视分析、改善百分比和可靠变化指数(RCI≥1/96)显示，跨诊断治疗对心理情感成分、负性情感和脱离的改变和改善具有统计学意义;然而，它对其他人格特征(对抗性、去抑制性和精神病性)没有显著影响。结论:跨诊断治疗可有效调节广泛性焦虑伴抑郁患者的情绪化情感、负性情感和超脱。

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Investigating the Effectiveness of Transdiagnostic Treatment on Maladaptive Personality Traits and Mentalized Affectivity of Patients With Generalized Anxiety Disorder Comorbid With Depression: A Case Study

Objective: This study aims to investigate the effectiveness of transdiagnostic treatment on maladaptive personality traits and mentalized affectivity of patients with generalized anxiety disorder comorbid with depression. Methods: This was a quasi-experimental study with a single case method. The statistical population included people with generalized anxiety disorder comorbid with depression who were referred to counseling centers in Isfahan City, Iran in 2020. From this population, 5 people were selected via purposive sampling and they were intervened with transdiagnostic treatment through weekly sessions held individually. The subjects were assessed at the baseline, third, fifth, eighth, and tenth sessions, and during a 1-month follow-up period using the short version of the adult version of the diagnostic and statistical manual of mental disorders, fifth edition, personality questionnaire, and the mentalized affectivity scale. To report the data, we used visual analysis, reliable change index, improvement percentage, and statistical and clinical significance. Results: The visual analysis, percentage of improvement, and reliable change index (RCI≥1/96), showed that transdiagnostic treatment created statistically significant changes and improvement in mentalized affectivity components, negative affectivity, and detachment; however, it did not have a significant effect on other personality traits (antagonism, disinhibition, and psychoticism). Conclusion: Transdiagnostic treatment is an effective treatment to modulate the mentalized affectivity, negative affectivity, and detachment of people with generalized anxiety disorder comorbid with depression.

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.