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find Keyword "行为疗法" 9 results
  • A Comparative Study of Cognitive-Behavior Therapy and Paroxetine for Minor Depression

    Objective To compare the effects of cognitive-behavior therapy (CBT) and domestic paroxetine in the treatment of minor depression. Methods A therapeutic technique model for the treatment of minor depression was established. Sixty-four patients with minor depression meeting DSM-IV criteria were divided into CBT and paroxetine groups with 32 patients respectively, and were treated for six weeks. The Hamilton Depression Scale (HAMD) was used to evaluate the clinical efficacy and relapse/recrudescence rate of the two groups. Side effects of paroxetine were also recorded. Results At the end of 2 weeks, no significant difference was noted in the reduction of the HAMD score between the two groups. At the end of 6 weeks, there was little difference in thHAMD score reduction between the two groups (F=8.3,P= 0). No significant difference was found in the curative effects between the two groups (u=316.5,P=0.06).In the paroxetine group, cure rate was 20.7%, significant improvement rate was 48.3%; In the CBT group, cure rate was 10.0%, significant improvement rate was 36.7%.The relapse/recrudescence rate after six in the paroxetine group was higher than in cognitive-behavior therapy group at 6 months’ follow-up (u=106.5,P=0.04).Conclusion The clinical efficacy of cognitive-behavior therapy for minor depression seems to be similar to that of paroxetine. The established model of CBT can be used in clinical practice.

    Release date:2016-09-07 02:14 Export PDF Favorites Scan
  • Small Number of Small Trials Provide Some Support for Psychological Treatments for Obsessive Compulsive Disorder

    Release date:2016-09-07 02:14 Export PDF Favorites Scan
  • 认知行为疗法对肝移植术后患者焦虑情绪及睡眠质量的影响

    目的探讨认知行为疗法对肝移植术后患者在重症监护病房(ICU)期间焦虑情绪及睡眠质量的效果。 方法将2011年9月-2013年4月肝移植术后患者随机分为干预组及对照组,每组26例。对照组在ICU期间采用常规药物治疗、物理治疗、健康指导和一般护理,干预组在此基础上施以心理教育术、认知改造术和松弛训练为主的简易的认知行为疗法进行干预,在患者入住ICU第7天时比较两组患者在焦虑情绪和睡眠质量的评分。 结果干预组焦虑评分各条目低于对照组,差异有统计学意义(P<0.05);干预组睡眠状况评分除条目9外,其余条目均高于对照组,差异有统计学意义(P<0.05)。 结论认知行为疗法对降低肝移植术后患者在ICU期间的焦虑情绪及提高睡眠质量具有良好的效果。

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  • Influence of Cognitive Behavioural Therapy on Depression, Medication Adherence and Quality of Life in People Living with HIV/AIDS (PLHIV): A Systematic Review

    ObjectiveTo systematically evaluate the effects of cognitive behavioural therapy (CBT) on improving depression, medication adherence and quality of life in people living with HIV/AIDS (PLHIV). MethodsWe searched The Cochrane Library (Issue 4, 2013), Ovid-JBI, PubMed, EMbase, PsycARTICLES, CBM and CNKI to collect randomized controlled trials (RCTs) on improving depression, medication adherence and quality of life in PLHIV from the establishment dates to April 30th 2013. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data, and assessed methodological quality. Meta-analysis was conducted using RevMan 5.2. ResultsA total of 17 RCTs were included, involving 2 163 patients. The results of meta-analysis showed that CBT significantly improved PLHIV's depression (SMD=-0.26, 95%CI-0.41 to-0.10, P=0.001), and quality of life (SMD=-0.57, 95%CI-1.04 to-0.11, P=0.02) in 6 months. Meanwhile, CBT significantly improved PLHIV's medication adherence (WMD=3.98, 95%CI 1.67 to 6.30, P=0.000 8) in the long term. ConclusionCBT is efficacious in improving PLHIV's depression and quality of life in the short term, and improving medication adherence in the long term, compared to standard care.

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  • Efficacy of Cognitive Behavioral Therapy on Mental Health and Social Function in Patients with Multiple Sclerosis: A Meta-analysis

    ObjectiveTo systematically review the efficacy of cognitive behavioral therapy (CBT) for improving mental health and social functions in patients with multiple sclerosis (MS). MethodsWe searched PubMed, EMbase, The Cochrane Library (Issue 4, 2016), CBM and CNKI from inception to May 2016, to collect randomized controlled trials (RCT) about CBT on mental health and social function in patients with MS. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then meta-analysis was performed by using RevMan 5.3 software. ResultsA total of 11 RCTs involving 1 102 patients were included. The results of meta-analysis showed that, the HADS scores (depression: MD=-1.28, 95%CI-2.07 to-0.48, P=0.002; anxiety: MD=-1.52, 95%CI-2.99 to-0.06, P=0.04), BDI scores (MD=-9.11, 95% CI-15.82 to-2.40, P=0.008), HRDS scores (MD=-7.23, 95% CI-13.65 to-0.82, P=0.03), Chalder scores (MD=-4.88, 95% CI-6.61 to-3.16, P < 0.000 01), MFIS scores (MD=-2.98, 95% CI-4.52 to-1.44, P=0.000 2) and GHQ-12 scores (MD=-3.61, 95%CI-5.20 to-2.02, P < 0.000 01) in the CBT group were lower than that in the control group. No significant difference was found in WSAS scores (MD=-1.98, 95%CI-4.88 to 0.93, P=0.18) between two groups. ConclusionCBT may be effective for improving the negative mental experience, fatigue and quality of life in MS. No evidence to support CBT has benefits in social functions. Due to the limited quantity and quality of the included studies, the above conclusion needs to be verified by more high quality studies.

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  • Influence of cognitive behavioral therapy on depression, anxiety and quality of life in patients with maintenance hemodialysis (MHD): a systematic review

    Objective To systematically evaluate the effects of cognitive behavioral therapy (CBT) on improving depression, anxiety and quality of life in patients with maintenance hemodialysis (MHD). Methods We searched PubMed, EMbase, CENTRAL (Issue 8, 2016), Web of Science, CINAHL, PsycoINFO, CBM, CNKI and WanFang Data from inception to Sep. 1st, 2016, to collect randomized controlled trials (RCTs) which studied the effects of CBT on improving depression, anxiety and quality of life in patients with MHD. Literature screening, data extraction, and the risk of bias assessment of all eligible studies were conducted by two reviewers independently. Then, meta-analysis was conducted using RevMan 5.3 software. Results A total of 14 RCTs involving 1 492 patients were included. The results of meta-analysis showed that CBT could significantly improve the depression (SMD=–0.85, 95%CI –0.96 to –0.74,P<0.000 01), anxiety (SMD=–1.16, 95%CI –1.37 to –0.94,P<0.000 01), and quality of life (SMD=0.88, 95%CI 0.21 to 1.56,P=0.010) of MHD patients after 2 months' intervention; however, these effects were not been found within 2 months' intervention (allP values>0.05). Conclusion CBT is efficacious in improving MHD patients' depression, anxiety and quality of life after 2 months' intervention, while these effects within 2 months are still not certain. Because of the limitation of quantity and quality of included studies, more high-quality studies are needed to confirm the above conclusion.

    Release date:2017-02-20 03:49 Export PDF Favorites Scan
  • 认知行为疗法改善癫痫患者心理痛苦研究进展

    癫痫是最常见的神经系统疾病之一,因其发作和治疗的不确定性、日常活动受限、社会误解及歧视、病耻感等,癫痫患者承受着多重精神心理压力,如抑郁、焦虑,因而临床医疗工作者在关注癫痫疾病本身的同时需积极改善患者的身心健康情况。文献资料显示,既往被广泛应用于精神类疾病治疗的认知行为疗法,可通过改变癫痫患者的疾病认知模式有效缓解心理压力和痛苦。本文就国内外相关文献作一综述,探讨目前癫痫患者心理痛苦的研究情况、介绍可作为辅助治疗的认知行为疗法及其相关疗效,以进一步加强临床对认知行为治疗的重视,从而有效的缓解癫痫患者的心理健康问题。

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  • 一例BSR模式下孤独症谱系障碍儿童饮食行为干预的个案护理

    目的 总结1例孤独症三基干预法,简称BSR模式(Behavioral therapy、 structured education、 relationship-focused intervention)下孤独症谱系障碍儿童饮食行为问题的护理经验。方法 本例孤独症谱系障碍患儿饮食行为干预的护理要点为前期行为观察,查找饮食行为原因;基于BSR模式制定个性化的干预方案;开展家长自我关爱教育;重视健康宣教。结果 经积极的干预与护理,患儿饮食行为问题得到改善,家长心理状态良好,干预依从性好,顺利出院。结论 BSR模式下的干预措施,不仅可以有效改善孤独症儿童的饮食行为问题,同时也可以提高他们的行为技能建立、维持和泛化的能力,并且提高了家长的教养能力。因此,该方法在实践中具有重要的应用价值。

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  • A pilot study on the ameliorative effect of "Mom’s Good Mood" on antenatal depression

    Objective To preliminarily assess the ameliorative effect of Mom’s Good Mood (MGM) on the prevalence of antenatal depression based on a pilot study, and to provide evidence for a scale-up study. Methods This study was conducted in Ma’anshan Maternal and Child Health Center as a pilot study of an implementation study conducted in China called the Perinatal Depression Screening and Management (PDSM) program. In 2019, 1 189 participants (gestational week ≤14+6 weeks) were included in the implementation group. Females were recruited in the first trimester and followed up in the second and third trimesters. At each time point, the participants’ depression status was screened by the Edinburgh postpartum depression scale (EPDS), and those who were screened as having depression were provided the MGM intervention. In 2020, 1 708 participants who underwent screening with the EPDS in either the first, second or third trimester at Ma’anshan Maternal and Child Health Center were included in the control group. Mann‒Whitney U test, Chi-square, and multivariate logistic regression analysis were used to compare the EPDS scores and depression prevalence between the control and implementation groups to assess the ameliorative effect of MGM (screening and intervention) on antenatal depression. Results In the first trimester, there were no statistically significant differences in EPDS scores or depression prevalence between the two groups (P>0.05). In the second and third trimesters, both the EPDS scores and depression prevalence of the implementation group were lower than those of the control group (P<0.05). After adjusting for confounders, logistic regression analysis showed that the risks of depression in the implementation group in both the second and third trimesters were lower than those in the control group (ORsecond trimester=0.55, 95%CI 0.37 to 0.81, P=0.003; ORthird trimester=0.51, 95%CI 0.35 to 0.74, P<0.001). Conclusion Implementation of the MGM based on the primary care system can effectively reduce the prevalence of antenatal depression, providing evidence for further scale up.

    Release date:2022-10-25 02:19 Export PDF Favorites Scan
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