焦虑症患者的跨诊断认知行为疗法:一项公开试验

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Behaviour Change Pub Date : 2020-12-09 DOI:10.1017/bec.2020.17
Shaun Pearl, P. Norton
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引用次数: 2

摘要

评估跨诊断认知行为治疗(tCBT)方案在个体交付格式中的效果,该方案改编自已在群体交付格式中广泛评估的方案。tCBT提供给一组(N = 18)患有一系列焦虑症的成年人(55.6%为男性;M年龄= 40.6,SD = 17.6),在一家专科焦虑障碍研究诊所就诊。采用受试者内重复测量设计。通过重复测量方差分析分析治疗前后的诊断评估,并通过混合效应回归模型(MRM)对每次自我报告的焦虑、抑郁和生活质量测量进行建模,以最大限度地提高治疗发起者的样本。观察到临床评定的初级诊断严重程度(Hedges g = 1.63)和总体临床总体印象(g = 1.43)显著降低,自我报告的焦虑和抑郁症状在治疗过程中显着降低,具有中大型效应量(g = 0.66和0.74)。生活质量也有显著改善,效应大小中等(g = 0.53)。目前初步支持对已建立的基于群体的tCBT协议进行调整,以供个人使用。为今后的研究提供了启示和建议。
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Transdiagnostic Cognitive Behavioural Therapy for Individuals with Anxiety Disorders: An Open Trial
To evaluate the effect of a transdiagnostic cognitive behavioural therapy (tCBT) protocol in an individual delivery format, adapted from a protocol that has been extensively evaluated in a group delivery format.tCBT was provided to a cohort (N = 18) of adults with a range of anxiety disorders (55.6% male; M age = 40.6, SD = 17.6), at a speciality anxiety disorder research clinic. A within-subjects repeated measures design was employed. Pre-to-post-treatment diagnostic assessments were analysed through repeated measures analysis of variance, and session-by-session self-reported measures of anxiety, depression, and quality of life were modelled through mixed-effect regression modelling (MRM) to maximise the sample of treatment initiators.Significant and large reductions for clinician-rated primary diagnosis severity (Hedges g = 1.63), and overall clinical global impressions (g = 1.43) were observed, and self-reported anxiety and depression symptoms showed significant reductions over the course of treatment with medium-to-large effect sizes (g = 0.66 and 0.74, respectively). Significant improvement to quality of life was also observed with medium effect size (g = 0.53).There is now preliminary support for the use of an adaptation of an established group-based tCBT protocol for use with individuals. Implications and recommendations for future investigations are provided.
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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