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Evidence Based Mental Health最新文献

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Moving from tradition-based to competence-based psychotherapy. 从基于传统的心理治疗转向基于能力的心理治疗。
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-19 DOI: 10.1136/ebmental-2020-300219
Winfried Rief

Current education and training in psychological interventions is mostly based on different 'schools' (traditions such as cognitive-behavioural or psychodynamic therapy), and strong identification with these specific traditions continuously hinders a scientifically based development of psychotherapy. This review is selective rather than systematic and comprehensive. In addition to the consideration of other influential publications, we relied on a literature search in Web of Science using the following terms (update: 24 December 2020): (psychotherapy AND meta-analy* AND competence*). After summarising current problems, a pathway for solving these problems is presented. First, we have to recategorise psychological interventions according to the mechanisms and subgoals that are addressed. The interventions can be classified according to the foci: (1) skills acquisition (eg, communication, emotion regulation, mentalisation); (2) working with relationship patterns and using the therapeutic relationship to modify them; and (3) clarification of motives and goals. Afterwards, the training of psychotherapists can switch from focusing on one theoretical framework to learning the different competences for modification according to these new categories. The selection of topics to be addressed should follow best evidence-based mechanisms and processes of mental disorders and interventions. Psychology offers knowledge about these mechanisms that can be understood as a basic science for psychological treatments in general. This requires better connection with basic science, new research efforts that focus on treatment subgoals, theory-overarching optimisation of the selection and personalisation of treatments, and new types of training for psychotherapists that are designed to optimise therapists' competences accordingly, instead of limiting training programmes to one single theoretical framework.

当前的心理干预教育和培训大多基于不同的 "流派"(认知行为疗法或心理动力学疗法等传统),对这些特定传统的强烈认同不断阻碍着心理疗法以科学为基础的发展。本综述是选择性的,而非系统性和全面性的。除了参考其他有影响力的出版物外,我们还使用以下术语(更新日期:2020 年 12 月 24 日)在科学网进行了文献检索:(心理疗法和元分析*和能力*)。在总结了当前存在的问题之后,我们提出了解决这些问题的途径。首先,我们必须根据所针对的机制和次级目标对心理干预进行重新分类。干预措施可根据重点进行分类:(1) 掌握技能(如沟通、情绪调节、心智化);(2) 处理关系模式,并利用治疗关系改变这些模式;(3) 澄清动机和目标。之后,心理治疗师的培训可以从专注于一种理论框架转向学习根据这些新的类别进行修改的不同能力。在选择要讨论的主题时,应遵循心理障碍和干预措施的最佳循证机制和过程。心理学提供了有关这些机制的知识,可以将其理解为一般心理治疗的基础科学。这就需要与基础科学建立更好的联系,开展以治疗子目标为重点的新研究工作,以理论为统领优化治疗方法的选择和个性化,并为心理治疗师设计新型培训,以相应优化治疗师的能力,而不是将培训计划局限于单一的理论框架。
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引用次数: 0
Index 指数
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00037-2
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引用次数: 0
Polysaccharides and their bioactivity and biomedical applications 多糖及其生物活性和生物医学应用
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00010-4
A. Duttaroy
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引用次数: 0
Gut microbiota and the immune system and inflammation 肠道菌群免疫系统和炎症
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00031-1
A. Duttaroy
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引用次数: 0
Polyphenols and their impacts on the host epigenome and the gut microbiome 多酚及其对宿主表观基因组和肠道微生物组的影响
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00002-5
A. Duttaroy
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引用次数: 1
Bioactive lipids and their impacts on epigenetics 生物活性脂质及其对表观遗传学的影响
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00026-8
A. Duttaroy
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引用次数: 0
Gut microbiota and lipid metabolism and metabolic syndrome 肠道菌群与脂质代谢和代谢综合征
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00029-3
A. Duttaroy
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引用次数: 0
Gut microbiota and hypertension, diabetes, and other cardiovascular risk factors 肠道菌群与高血压、糖尿病和其他心血管危险因素有关
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00018-9
A. Duttaroy
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引用次数: 0
Polysaccharide on diabetes, obesity, and other cardiovascular disease risk factors 多糖对糖尿病、肥胖等心血管疾病的危险因素
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00015-3
A. Duttaroy
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引用次数: 0
Bioactive lipids on platelet function and platelet–vessel-wall interactions 生物活性脂类对血小板功能和血小板-血管壁相互作用的影响
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1016/b978-0-12-822405-2.00012-8
A. Duttaroy
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引用次数: 0
期刊
Evidence Based Mental Health
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