CBT对抑郁症患者元认知信念的影响。

IF 0.9 4区 医学 Q4 PSYCHIATRY
Aarzoo Gupta, Santha Kumari
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引用次数: 0

摘要

元认知信念通过认知注意综合征运作,注意力集中在消极的自动思维上会导致沉思。这种以沉思和担忧的形式表现出来的坚持不懈的思维方式加剧了抑郁。本研究旨在评估认知行为疗法(CBT)对元认知信念、症状严重程度、生活质量和功能的影响。采用研究前后设计,比较单独CBT和CBT与药物治疗,采用有目的的抽样方法招募40名被诊断为抑郁症的参与者。所有参与者都接受了10次CBT。评估前和评估后的措施包括Beck抑郁量表II、元认知问卷-30、世界卫生组织生活质量简报和全球功能评估。配对t检验分析显示,两组的结果测量结果存在显著差异。受试者之间的分析显示,即使通过协方差和倾向得分匹配(最近邻匹配)的检验分析对混杂变量进行统计控制,单用CBT组在改善方面与不使用药物的CBT组没有显著差异。关键词:认知行为疗法,元认知,抑郁障碍,元认知信念,抑郁症,生活质量。
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 Metacognitive Beliefs in Depressive Disorders.

Metacognitive beliefs operate through cognitive attentional syndrome, where attention concentrated on negative automatic thoughts results in rumination. This perseverative thinking style manifesting in the form of rumination and worry intensifies depression. This study aims to assess the effect of cognitive behaviour therapy (CBT) on metacognitive beliefs, symptom severity, quality of life, and functionality. A pre-post study design comparing CBT-alone and CBT-with-medication was employed using purposive sampling to recruit 40 participants diagnosed with depressive disorders. All the participants received 10 sessions of CBT. Pre and post assessment measures were Beck Depression Inventory-II, Metacognitive Questionnaire-30, World Health Organization Quality of Life- Brief, and Global Assessment of Functioning. Paired t-test analysis revealed significant difference on outcome measures in both groups. Between-subject analysis revealed that the CBT-alone group was not significantly different in terms of improvement than CBT-withmedication group even when confounding variables were statistically controlled by way of testing analysis of covariance and propensity score match (nearest neighbour match). Keywords: Cognitive behaviour therapy, metacognition, depressive disorders, metacognitive beliefs, depression, quality of life.

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来源期刊
CiteScore
1.30
自引率
11.10%
发文量
15
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