抑郁困难患者辩证行为治疗述评

A. K. Saini, P. Wal, A. Wal, R. Pal, Om Prakash Verma
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引用次数: 0

摘要

辩证行为疗法(DBT)是认知行为疗法(CBT)的一种,早期仅用于治疗边缘型人格障碍(BPD)患者,但研究人员发现DBT可以治疗包括抑郁症在内的几种心理障碍。本文旨在回顾有关使用DBT治疗抑郁症的临床证据。PubMed文献检索通过使用年份筛选范围(2010年至2021年)完成。另一个过滤器是“随机对照试验”,这样可以增强证据的强度。关键词为“辩证行为疗法”和“抑郁症”,共检索到33篇文章,其中仅有20篇相关文章被审阅。发现DBT可以缓解双相情感障碍和BPD等不同心理障碍患者的抑郁症状,但证实上述观点的研究数量少于证实DBT对抑郁困难患者无显著影响的研究。DBT治疗抑郁症的长期效果令人怀疑,因为研究表明DBT在随访期间无效。DBT对抑郁症有好处,但仍需要进一步的研究来具体验证,因为DBT与对照组相比没有显示出显著的效果。由于随访数据不支持DBT治疗,因此需要进一步的研究来评估DBT治疗抑郁症的长期疗效是另一个具有挑战性的领域。
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A Narrative Review on Dialectical Behavior Therapy for Patients with Depressive Difficulties
Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy (CBT) that was earlier intended to treat only patients with borderline personality disorder (BPD), but researchers have found DBT to treat several psychological disorders, including depression. The article aims to review the clinical shreds of evidence regarding the use of DBT to treat depression. PubMed literature search was done by applying the year filter range, 2010 to 2021. Another filter applied was "Randomized controlled trial", so that the strength of evidence could be enhanced. The keywords used were "Dialectical Behavior Therapy" AND "Depression 33 articles were found, out of which only 20 relevant articles were reviewed. DBT was found to alleviate depressive symptoms associated with different psychological disorders like bipolar disorder and BPD but the number of studies that validated the afore-mentioned were less than those studies which showed that DBT had no significant effect on the patients with depressive difficulties. The long-term effect of DBT for treating depression is under a suspect, as studies showed DBT got ineffective during the follow-ups DBT shows benefits in depression but further studies are still required to validate this concretely as DBT did not show a significant effect when compared to its control counterparts. There is much need for future studies which can evaluate the long-term efficacy of DBT in depression is another challenging area because follow-up data did not favor DBT.
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来源期刊
Current Psychiatry Research and Reviews
Current Psychiatry Research and Reviews Medicine-Psychiatry and Mental Health
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0.60
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发文量
51
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