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The Influence of Core Self-Evaluation, Mindfulness, and Rumination on Emotional Distress 核心自我评价、正念和反刍对情绪困扰的影响
Pub Date : 2024-02-23 DOI: 10.1007/s10942-023-00536-9

Abstract

Core self-evaluation (CSE) is a broad and latent trait which describes the fundamental appraisals made about one’s capabilities, competence and worth. The aim of this study was to investigate the relationship between CSE and emotional distress and to explore how mindfulness and rumination influence this relationship. Participants (N = 351) undertook an online survey consisting of four psychometric scales; Core Self-Evaluation Scale, Five Factor Mindfulness Questionnaire short form, Ruminative Response Scale short form, and the Depression Anxiety Stress Scale. Study results indicated that core self-evaluation was negatively associated with emotional distress and that this relationship was partially mediated by mindfulness and rumination. When global factors of mindfulness and rumination were used, mediation in series was not present. However, when mindfulness was substituted for its sub-factor of non-judging of inner experience and rumination was substituted for its sub-factor of brooding, mediation in series was present. Results also showed that core self-evaluation had a stronger influence on depression than anxiety or stress. It was concluded that targeting core self-evaluation in interventions is likely to have efficacy in prevention and treatment of emotional distress. Where core self-evaluation is resistant to change, targeting mindfulness or rumination may also have efficacy in prevention and treatment of emotional distress.

摘要 核心自我评价(CSE)是一种广泛的潜在特质,它描述了对一个人的能力、胜任力和价值的基本评价。本研究旨在调查核心自我评价与情绪困扰之间的关系,并探讨正念和反刍如何影响这种关系。参与者(N = 351)进行了一项在线调查,其中包括四个心理测量量表:核心自我评价量表、五因素正念问卷简表、反刍反应量表简表和抑郁焦虑压力量表。研究结果表明,核心自我评价与情绪困扰呈负相关,正念和反刍对这种关系起到了部分中介作用。当使用正念和反刍这两个全局因素时,并不存在一系列的中介作用。然而,当正念被其子因子 "不评判内心体验 "替代,反刍被其子因子 "沉思 "替代时,系列中介作用出现了。结果还显示,核心自我评价对抑郁的影响大于焦虑或压力。结论是,在干预中以核心自我评价为目标很可能会对情绪困扰的预防和治疗产生效果。如果核心自我评价难以改变,那么针对正念或反刍的干预也可能对情绪困扰的预防和治疗有效。
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引用次数: 0
The Role of Rational Beliefs in Promoting Mental Well-Being: A Validation of the REBT’s Psychological Health Model 理性信念在促进心理健康中的作用:REBT 心理健康模式的验证
Pub Date : 2024-02-21 DOI: 10.1007/s10942-024-00543-4

Abstract

This study aimed to test the validity of the psychological health model of Rational Emotive Behavior Therapy (REBT) in promoting mental well-being, with a particular focus on understanding the positive and adaptive emotional consequences of rational beliefs. A total of 542 participants (67.9% females), from diverse occupational backgrounds in Turkey, aged between 18 and 59 years completed questionnaires about rational beliefs and mental well-being. The findings indicate a positive relationship between rational beliefs and mental well-being. Specifically, non-awfulizing and unconditional self-acceptance beliefs mediate the relationship between preference beliefs and mental well-being. This study provides empirical evidence supporting the model of psychological health proposed by REBT, emphasizing the important role of specific rational beliefs in promoting mental well-being. The current findings provide important implications for practitioners who wish to integrate clinical psychology with positive psychology by emphasizing the importance of understanding the role of rational beliefs in the promotion of mental well-being.

摘要 本研究旨在检验理性情绪行为疗法(REBT)心理健康模式在促进心理健康方面的有效性,尤其侧重于了解理性信念的积极和适应性情绪后果。共有 542 名来自土耳其不同职业背景、年龄在 18 至 59 岁之间的参与者(67.9% 为女性)填写了有关理性信念和心理健康的问卷。研究结果表明,理性信念与心理健康之间存在正相关关系。具体地说,非恶化信念和无条件自我接纳信念是偏好信念与心理健康之间关系的中介。本研究为 REBT 提出的心理健康模式提供了实证支持,强调了特定理性信念在促进心理健康方面的重要作用。当前的研究结果强调了理解理性信念在促进心理健康中的作用的重要性,从而为希望将临床心理学与积极心理学相结合的从业人员提供了重要的启示。
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引用次数: 0
Breaking the Chain: The Role of Irrational Thinking in Our Fear of War and Death 打破枷锁:非理性思维在我们对战争和死亡的恐惧中的作用
Pub Date : 2024-02-07 DOI: 10.1007/s10942-024-00538-1
Roxana A.I. Cardoș, Iuliana I. Crețu, Elisa P. Dumitru

This paper sought to investigate the validity of a mediation model, where we hypothesized that the four irrational evaluations postulated by the Rational-Emotive Behavior Therapy (REBT) theory (demandingness, awfulizing, low frustration tolerance, and global evaluation) would mediate the relationship between perceived risk of war and death anxiety. A sample of 158 Romanian participants completed online self-report measures, namely the Death Anxiety Scale, The Attitudes and Beliefs Scale, and the Risk Perception Scale. Mediation analyses were employed to assess the validity of the model. Results confirmed that the relationship between perceived risk and death anxiety is mediated by awfulizing and low frustration tolerance beliefs. The present research lends support to the REBT theory and puts forward a cognitive background to war-related distress.

本文试图研究中介模型的有效性,我们假设理性动机行为疗法(REBT)理论提出的四种非理性评价(苛求、可怕化、低挫折容忍度和整体评价)将会中介战争风险感知与死亡焦虑之间的关系。158 名罗马尼亚参与者完成了在线自我报告测量,即死亡焦虑量表、态度与信念量表和风险感知量表。我们采用了中介分析来评估模型的有效性。结果证实,可怕化和低挫折容忍度信念对感知风险和死亡焦虑之间的关系起到了中介作用。本研究为 REBT 理论提供了支持,并提出了战争相关焦虑的认知背景。
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引用次数: 0
Investigation of the Turkish Psychometric Properties of Bedtime Procrastination and While-in-Bed Procrastination Scales for Adolescents 睡前拖延和睡中拖延量表在土耳其的心理计量特性研究
Pub Date : 2024-02-07 DOI: 10.1007/s10942-024-00541-6
Dilek Demir Kösem, Murat Bektaş, Paula Magalhães

Bedtime procrastination and while-in-bed procrastination is one of the important problems frequently encountered in adolescents. This study was carried out to examine the psychometric properties of the Turkish version of the Bedtime Procrastination and While-in-Bed Procrastination Scales for adolescents. This methodological study was conducted with 348 adolescents aged 12–18 between March and April 2023. Cronbach’s alpha and omega coefficients were employed to test the psychometric properties, split-half and item-total correlation methods to test the reliability, and confirmatory factor analysis to test the construct validity of the scales. It was determined that the Bedtime Procrastination scale Cronbach’s alpha and omega coefficients of this scale were 0.93. The While-in-Bed Procrastination Scale Cronbach’s alpha value of this scale was 0.86, and the omega coefficient was 0.84. As a result of the confirmatory factor analysis, it was found that the fit indices of both scales were greater than 0.90 and that the RMSEA was less than 0.08. The Bedtime Procrastination and While-in-Bed Procrastination Scales for adolescents, whose Turkish psychometric properties were examined in this study, are valid and reliable measurement tools. These scales can be used to evaluate whether adolescents procrastinate going to bed and sleeping while in bed and what activities they are engaged in before going to sleep, to reduce inadequate sleep habits, and to develop sleep-focused education programs.

睡前拖延和睡前拖延是青少年经常遇到的重要问题之一。本研究旨在检验土耳其版青少年睡前拖延和睡前拖延量表的心理测量特性。这项方法学研究在 2023 年 3 月至 4 月期间对 348 名 12-18 岁的青少年进行了调查。研究采用了克朗巴赫系数(Cronbach's alpha)和奥米加系数(Ω coefficient)来检验量表的心理测量学特性,采用了分半相关法(split-half)和项目总相关法(item-total correlation)来检验量表的信度,并采用了确认性因子分析(confirmatory factor analysis)来检验量表的建构效度。结果表明,睡前拖延量表的克朗巴赫α系数和欧米茄系数均为 0.93。睡前拖延量表的 Cronbach's alpha 值为 0.86,Ω 系数为 0.84。确认性因素分析结果表明,两个量表的拟合指数均大于 0.90,RMSEA 均小于 0.08。青少年睡前拖延量表和睡前拖延量表是有效可靠的测量工具,本研究对其土耳其心理测量特性进行了检验。这些量表可用于评估青少年是否存在上床拖延和躺在床上睡觉的情况,以及他们在睡觉前都进行了哪些活动,从而减少睡眠不足的习惯,并制定以睡眠为重点的教育计划。
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引用次数: 0
The Persian Tolerance of Uncontrollability Questionnaire and its Correlates: Reliability, Validity, and Measurement Invariance Across Gender 波斯人对不可控性的容忍度问卷及其相关因素:跨性别的可靠性、有效性和测量不变性
Pub Date : 2024-02-07 DOI: 10.1007/s10942-024-00537-2
Mehdi Akbari, Mohammad Seydavi, Sonay Sheikhi, Stefan G. Hofmann, Mark D. Griffiths

Many situations in life remain beyond an individual’s control. Despite this, little research has focused on individual differences in tolerance of uncontrollability. The purpose of the present study was to translate and validate a Persian version of the Tolerance of Uncontrollability Questionnaire (TOUQ). The scale was translated from English to Persian and administered to 441 Iranian Farsi-speaking participants from the general population (females = 65%; mean age = 26.26 years [SD ± 7.36]). The Persian version of the TOUQ demonstrated excellent reliability and internal validity. The structure of the TOUQ appeared to be unidimensional and invariant across males and females. The scale demonstrated divergence from intolerance of uncertainty (IU), worry, and psychological distress, and convergence with distress tolerance (DT) and satisfaction with life. The TOUQ assesses a unique construct, different from other related relevant concepts (IU and DT), and predicts variation in worry scores. The TOUQ is a valid and reliable instrument that can robustly assess tolerance of uncontrollability.

生活中的许多情况仍然是个人无法控制的。尽管如此,很少有研究关注个体对不可控性容忍度的差异。本研究的目的是翻译并验证波斯语版本的 "不可控性容忍度问卷"(TOUQ)。该量表从英语翻译成波斯语,并对 441 名讲波斯语的伊朗普通人群(女性 = 65%;平均年龄 = 26.26 岁 [SD ± 7.36])进行了施测。波斯语版本的 TOUQ 具有极佳的可靠性和内部有效性。TOUQ的结构似乎是单维度的,并且在男性和女性中保持不变。该量表表现出与不确定性不容忍(IU)、担忧和心理困扰的差异,以及与困扰容忍度(DT)和生活满意度的趋同。TOUQ评估的是一种独特的结构,不同于其他相关概念(IU和DT),并能预测担忧得分的变化。TOUQ 是一种有效、可靠的工具,能够对不可控性容忍度进行可靠的评估。
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引用次数: 0
Irrational Romantic Relationship Beliefs and Self-silencing: Mediating Role of Emotion Regulation 非理性浪漫关系信念与自我沉默:情绪调节的中介作用
Pub Date : 2023-12-11 DOI: 10.1007/s10942-023-00535-w
Meva Demir Kaya, Feridun Kaya

The university environment is considered an important context for young people to experience close relationships. In close relationships, beliefs, emotions, and behaviors are seen as determinants of a healthy relationship. According to the rational emotional behavioral approach, thoughts direct emotions and behaviors. In romantic relationships, the behavior of female not expressing their thoughts and feelings to maintain their relationship is defined as self-silencing. Therefore, in this study, it is aimed to investigate the relationship between irrational romantic relationship beliefs, emotion regulation, and self-silencing and also examine the mediating role of emotion regulation. The participants of the research consisted of 430 female from a university. Personal ınformation form, ırrational romantic relationship beliefs scale, emotion regulation questionnaire, and silencing the self scale were utilized to female students. According to findings, positive relationship was found between irrational beliefs and self-silencing, and emotion regulation mediated the relationship between irrational beliefs and self-silencing. The findings were discussed in the context of dysfunctional romantic relationship thoughts and emotion regulation in raising the level of female students' self-silencing.

大学环境被认为是年轻人体验亲密关系的重要环境。在亲密关系中,信念、情感和行为被视为健康关系的决定因素。根据理性情感行为法,思想指导情感和行为。在恋爱关系中,女性为维持关系而不表达自己的想法和情感的行为被定义为自我沉默。因此,本研究旨在探讨非理性恋爱关系信念、情绪调节和自我沉默之间的关系,并研究情绪调节的中介作用。本研究的参与者包括来自某大学的 430 名女性。研究使用了个人信息表、非理性恋爱关系信念量表、情绪调节问卷和自我沉默量表。研究结果表明,非理性信念与自我沉默之间存在正相关,而情绪调节在非理性信念与自我沉默之间起中介作用。研究结果从恋爱关系障碍思想和情绪调节在提高女学生自我沉默水平方面进行了讨论。
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引用次数: 0
A Randomized, Controlled, Preliminary Study to Assess the Efficacy of Logic-Based Therapy in Reducing Anxiety and/or Depression in Family Caregivers 一项随机、对照、初步研究评估逻辑疗法在减少家庭照顾者焦虑和/或抑郁方面的疗效
Pub Date : 2023-11-30 DOI: 10.1007/s10942-023-00532-z
Elliot D. Cohen, Barbara Piozzini, Chinmay Bapat, Jiuqing Cheng, Pablo Tagore Palma Soza, Vishakha N. Punjani, Himani Chaukar

This paper analyzes the findings of a preliminary, controlled efficacy study conducted by the National Philosophical Counseling Association of a prominent modality of philosophical counseling, Logic-Based Therapy (LBT). In this study, the latter modality was compared to a mindfulness activity. The study included 20 caretakers randomly divided into experimental and control groups. The hypothesis investigated was that a one-hour LBT session is more effective in reducing the level of (state or trait) anxiety and/or depression in family caregivers than a one-hour mindfulness session. Utilizing data compiled from study participants’ responses to the State Trait Anxiety Inventory and Beck Depression Inventory-II (BDI-2), two-way mixed ANOVA tests on three variables (state anxiety, trait anxiety, and depression (BDI-2) scores) were performed as well as paired analyses yielding the preliminary conclusion (pending a more extensive study) that LBT shows promise as an effective intervention for reducing state anxiety as compared to the control condition, the mindfulness activity.

本文分析了国家哲学咨询协会对哲学咨询的一种重要模式——逻辑基础疗法(LBT)进行的初步对照疗效研究的结果。在这项研究中,后一种模式与正念活动进行了比较。这项研究包括20名看护人,他们被随机分为实验组和对照组。调查的假设是,一小时的lgbt课程比一小时的正念课程更有效地降低了家庭照顾者的焦虑和/或抑郁水平(状态或特征)。利用从研究参与者对状态-特质焦虑量表和贝克抑郁量表- ii (BDI-2)的反应中收集的数据,对三个变量(状态焦虑、特质焦虑和抑郁(BDI-2)得分)进行双向混合方差分析测试,并进行配对分析,得出初步结论(有待更广泛的研究),即与控制条件(正念活动)相比,LBT有望成为减少状态焦虑的有效干预措施。
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引用次数: 0
The Influence of Core Self-Evaluation, Rumination, and Forgiveness on the Experience and Expression of Anger 核心自我评价、反思和宽恕对愤怒体验和表达的影响
Pub Date : 2023-11-30 DOI: 10.1007/s10942-023-00534-x
James J. Collard, Myrto Dafni Chatzimike-Levidi, Brenton J. Cross, Christopher J. Kilby

Core self-evaluation (CSE) has demonstrated a role in emotional distress, with rumination and forgiveness mediating this. This paper aimed to extend on such research by exploring the relationships that CSE, rumination, and forgiveness have with state and trait anger, and with the expression and control of anger. Participants (N = 193) completed an online survey measuring CSE, rumination, forgiveness, and their experiences and expression of anger. The analysis demonstrated that CSE was negatively correlated with state anger, trait anger, outward expressions of anger, and internalised expressions of anger. It was positively correlated with efforts to control external demonstrations of anger and to internally control the experience of anger. Rumination and forgiveness were subsequently found to provide full and serial mediation of the relationships that CSE demonstrated with state anger, trait anger, and the internalised expression of anger. Only rumination mediated the relationship between CSE and the external expression of anger. Rumination did not directly influence the positive relationships between CSE and both forms of anger control. These findings provide further insight into the beliefs and cognitive processes that influence an individual’s experiences of anger, their expression of anger, and their efforts to control anger. They also have implications for how interventions targeting CSE, rumination, and forgiveness may be used in related treatment.

核心自我评价(CSE)在情绪困扰中发挥了作用,反刍和宽恕起到了中介作用。本文旨在通过探索CSE、反刍和宽恕与状态性和特质性愤怒以及愤怒的表达和控制之间的关系来扩展这一研究。参与者(N = 193)完成了一项在线调查,测量了CSE、反思、宽恕以及他们的愤怒经历和表达。结果表明,CSE与状态性愤怒、特质性愤怒、外在愤怒表达和内在愤怒表达呈负相关。它与控制愤怒的外部表现和内部控制愤怒体验的努力呈正相关。随后发现,反思和宽恕为CSE与状态性愤怒、特质性愤怒和愤怒的内化表达之间的关系提供了全面和连续的中介。只有反刍在CSE与愤怒的外部表达之间起中介作用。反刍并没有直接影响CSE和两种形式的愤怒控制之间的正相关关系。这些发现进一步深入了解了影响个人愤怒体验、愤怒表达和控制愤怒的信念和认知过程。它们也对如何将针对CSE、反刍和宽恕的干预措施用于相关治疗具有启示意义。
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引用次数: 0
Romanian Version of the Frustration Discomfort Scale (FDS): A Preliminary Validation on a Non-clinical Sample 罗马尼亚版挫折不适量表(FDS):对非临床样本的初步验证
Pub Date : 2023-11-22 DOI: 10.1007/s10942-023-00531-0
Claudia Lupuleac, Florin Alin Sava

Low frustration tolerance is one of the key concepts in rational emotional behavior therapy (REBT). The purpose of this study is to explore the factorial structure, reliability, and validity of the Romanian version of the Frustration Discomfort Scale (FDS), developed by Harrington (Clin Psychol Psychother 12(5):374–387, 2005b. https://doi.org/10.1002/cpp.465), within a non-clinical sample (N = 308) of Romanian teachers. For validation purposes, participants also completed several measures such as the Unconditional Self-Acceptance Questionnaire (USAQ) (Chamberlain and Haaga in J Ration Emot Cogn Behav Ther 19(3):163–176, 2001. https://doi.org/10.1023/A:1011189416600), Attitudes and Belief Scale 2 (ABS2) (DiGiuseppe et al. J Ration Emot Cogn Behav Ther 36(1):47–79, 2018. https://doi.org/10.1007/s10942-017-0273-3), Teacher Irrational Belief Scale (TIBS) (Bernard Teacher irrationality and teacher stress, 24th international congress of psychology, Sydney, Australia, 1988), and Pupil Control Ideology Scale (PCI) (Willower et al. The school and pupil control, The Pennsylvania State University, 1967). Confirmatory factor analysis (CFA) suggests that the initial four-factor solution from the scale development study received similar support to the one-factor solution found in some previous studies. Patterns of correlations linking the FDS total sum score versus the FDS 4-factor scale scores with other variables provide some support for the one-factor solution, mainly because it is a more parsimonious solution. Differentiating between several subcomponents of FDS does not bring discriminant validity in our non-clinical sample. Based on current preliminary validation, the FDS is a reliable and valid instrument for assessing frustration discomfort in a Romanian-speaking population as a single-factor construct. Our results do not exclude the possibility that future discriminant validity endeavors could support the utility of treating low frustration tolerance as a multidimensional construct since using a non-clinical sample is likely to impact the factorial structure of the FDS.

低挫折容忍度是理性情绪行为治疗(REBT)的一个重要概念。本研究的目的是探讨罗马尼亚版的挫折不适量表(FDS)的因子结构,信度和效度,由哈林顿(临床心理与心理杂志12(5):374 - 387,2005)。https://doi.org/10.1002/cpp.465),在罗马尼亚教师的非临床样本(N = 308)中。为了验证目的,被试还完成了无条件自我接受问卷(USAQ) (Chamberlain and Haaga in journal of emotional conconbehavior, 19(3): 163-176, 2001)。https://doi.org/10.1023/A:1011189416600),态度与信念量表2 (ABS2) (DiGiuseppe et al.)。心理学报,36(1):47-79,2018。https://doi.org/10.1007/s10942-017-0273-3)、教师非理性信念量表(TIBS) (Bernard Teacher Irrational and Teacher stress,第24届国际心理学大会,Sydney, Australia, 1988)和学生控制意识形态量表(PCI) (Willower et al.)。学校和学生控制,宾夕法尼亚州立大学,1967年)。验证性因子分析(CFA)表明,量表开发研究中最初的四因素解决方案与之前一些研究中发现的单因素解决方案得到了类似的支持。将FDS总得分与FDS 4因素量表得分与其他变量联系起来的相关性模式为单因素解决方案提供了一些支持,主要是因为它是一种更简洁的解决方案。在我们的非临床样本中,区分FDS的几个子成分不会带来区别效度。基于目前的初步验证,FDS作为单因素结构是评估罗马尼亚语人群沮丧不适的可靠和有效的工具。我们的研究结果并不排除这样一种可能性,即未来判别效度的努力可以支持将低挫折容忍度视为一个多维结构的效用,因为使用非临床样本可能会影响FDS的析因结构。
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引用次数: 0
Effects of Cognitive Behavior Therapy on Patients with Chronic Whiplash-Associated Disorders: A Systematic Review and Meta-analysis 认知行为治疗对慢性鞭伤相关疾病患者的影响:一项系统综述和荟萃分析
Pub Date : 2022-12-08 DOI: 10.1007/s10942-022-00490-y
Yu Kondo, Takahiro Miki, Hiroshi Kurakata, Tsuneo Takebayashi, Hiroshi Takasaki

To determine the effectiveness of cognitive behavioral therapy (CBT) alone and in combination with physical interventions on pain, disability, quality of life, and psychological parameters in patients with chronic whiplash-associated disorders (WADs). Several databases were systematically searched for randomized controlled trials (RCTs). Pooled effects were analyzed as standardized mean differences (SMD) and 95% confidence intervals (CI). We assessed the evidence quality using the Grading of Recommendations, Assessment, Development, and Evaluation approach. Of the 2287 studies identified, 8 were included in the review, of which, 7 were suitable for meta-analysis. We found moderate-quality evidence that CBT does not provide different degrees of short-term (6 RCTs; SMD, − 0.20; 95% CI, − 0.50 to 0.10) or long-term improvement in disability (3 RCTs; SMD, − 0.18; 95% CI, − 0.46 to 0.10) than is indicated by other types of intervention comparison. Subgroup analyses indicated low-quality evidence that CBT alone has a medium to large effect on short-term improvement in disability (2 RCTs; SMD, − 0.61; 95% CI, − 1.21 to − 0.01) compared with wait-and-see control. Additionally, we found moderate-quality evidence that CBT, combined with physical interventions, has a small effect on long-term improvement in disability (2 RCTs; SMD, − 0.29; 95% CI, − 0.53 to − 0.06) compared with advice alone. No differences were found for pain or long-term quality of life. The study found moderately favorable evidence of the combined effect of physical interventions and CBT against advice alone in long-term disability.

确定认知行为疗法(CBT)单独和联合物理干预对慢性鞭扭伤相关疾病(WADs)患者疼痛、残疾、生活质量和心理参数的有效性。系统地检索了几个数据库中的随机对照试验(rct)。合并效应以标准化平均差异(SMD)和95%置信区间(CI)进行分析。我们使用推荐分级、评估、发展和评价方法评估证据质量。在确定的2287项研究中,有8项纳入了本综述,其中7项适合进行meta分析。我们发现中等质量的证据表明CBT并没有提供不同程度的短期治疗(6项随机对照试验;smd,−0.20;95% CI,−0.50 ~ 0.10)或残疾的长期改善(3项rct;smd,−0.18;95% CI,−0.46 ~ 0.10)比其他类型的干预比较显示。亚组分析显示,低质量的证据表明,单独CBT对短期残疾改善有中等到较大的影响(2项随机对照试验;smd,−0.61;95% CI, - 1.21至- 0.01)。此外,我们发现中等质量的证据表明,CBT与物理干预相结合,对残疾的长期改善效果很小(2项随机对照试验;smd,−0.29;95% CI, - 0.53至- 0.06)。在疼痛和长期生活质量方面没有发现差异。研究发现适度有利的证据表明,在长期残疾中,物理干预和认知行为治疗相结合的效果优于单独的建议。
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引用次数: 2
期刊
Journal of Rational-Emotive & Cognitive-Behavior Therapy
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