如果我们有太多的担忧和 GAD 模型怎么办?- 附录。

IF 2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Behavioural and Cognitive Psychotherapy Pub Date : 2023-11-01 Epub Date: 2023-06-16 DOI:10.1017/S1352465823000267
Mark H Freeston
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引用次数: 0

摘要

背景与目的:自 Borkovec 等人(1983 年)提出 "担忧 "的定义以来,已有近 40 年的时间指导着广泛性焦虑症(GAD)的理论、研究和治疗。本综述首先探讨了研究相对较少但模型激增的问题。然后,它对 1994 年至 2021 年间的九种模型进行了研究,旨在了解为什么会出现如此多的模型:通过提取和编码模型的组成部分,可以找出它们之间的异同。虽然有一些独特之处,但结果表明模型之间存在高度相似或重叠。我们将结合 GAD 的性质来探讨为什么会有如此多的模型。接下来,我们根据最近的荟萃分析对治疗结果文献进行了研究。由此得出的结论是,虽然疗效是确定的,但整个领域的结果仍有改进的余地。虽然现有的治疗方法可能还有改进的余地,但有观点认为,与其继续朝着同一方向发展,不如简化模型,从而简化治疗方法:讨论:考虑了几种可简化模型的方法,从而针对特定过程采取更简单或单一的治疗方法。这些方法的一个要求是对不同模型的关键过程进行简要评估。最后,有人提出,针对与个人相关的特定过程的更狭义的治疗方法最终可能会在群体层面取得更好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What if we have too many models of worry and GAD? - ADDENDUM.

Background and aims: It is almost 40 years since Borkovec et al. (1983) provided the definition of worry that has guided theory, research and treatment of Generalized Anxiety Disorder (GAD). This review first considers the relative paucity of research but the proliferation of models. It then considers nine models from 1994 to 2021 with the aim of understanding why so many models have been developed.

Methods and results: By extracting and coding the components of the models, it is possible to identify similarities and differences between them. While there are a number of unique features, the results indicate a high degree of similarity or overlap between models. The question of why we have so many models is considered in relation to the nature of GAD. Next, the treatment outcome literature is considered based on recent meta-analyses. This leads to the conclusion that while efficacy is established, the outcomes for the field as a whole leave room for improvement. While there may be scope to improve outcomes with existing treatments, it is argued that rather than continue in the same direction, an alternative is to simplify models and so simplify treatments.

Discussion: Several approaches are considered that could lead to simplification of models resulting in simpler or single-strand treatments targeting specific processes. A requirement for these approaches is the development of brief assessments of key processes from different models. Finally, it is suggested that better outcomes at the group level may eventually be achieved by narrower treatments that target specific processes relevant to the individual.

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来源期刊
CiteScore
3.50
自引率
5.60%
发文量
82
期刊介绍: An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
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