目的:比较团体人际心理干预和团体认知行为干预对大学生社交焦虑的疗效。方法:方便选取1314名大学生,采用交往焦虑量表(Interaction Anxiousness Scale,IAS)进行测试,筛取IAS总分≥49分(高焦虑者)275人。参照美国精神障碍诊断与统计手...目的:比较团体人际心理干预和团体认知行为干预对大学生社交焦虑的疗效。方法:方便选取1314名大学生,采用交往焦虑量表(Interaction Anxiousness Scale,IAS)进行测试,筛取IAS总分≥49分(高焦虑者)275人。参照美国精神障碍诊断与统计手册第四版(Diagnostic and Statistical Manual of Mental Disor-ders,DSM-IV)关于社交焦虑障碍诊断标准的症状学描述,根据自愿的原则,选取社交焦虑程度较重的大学生45名,随机分为3组,每组15人:IPT组,采用团体人际心理干预,每周1次,共8周;CBT组,实施认知行为干预,每周1次,共8周;对照组,实验过程中不予干预。各组在干预前测定社交回避及苦恼量表(Social Avoid-ance and Distress Scale,SADS),干预后再进行IAS和SADS的测定,比较IPT组、CBT组干预前后的疗效及其差别。结果:干预前3组间IAS总分、SADS总分、回避因子分、苦恼因子分差异无统计学意义(P>0.05);干预后IPT组与CBT组的社交焦虑水平均低于对照组,而IPT组与CBT组间各项指标差异无统计学意义。IPT组干预后各项指标得分均低于干预前;CBT组干预后SADS总分、回避因子分、苦恼因子分低于干预前;对照组各项指标前后差异无统计学意义(P>0.05)。结论:团体人际心理干预与团体认知行为干预均能有效缓解社交焦虑水平,人际心理干预可作为治疗社交焦虑的一个重要手段。展开更多
Background: In Thailand, the therapeutic effect of cognitive behavioral therapy (CBT) for depression among adult HIV-infected patients has been limitedly studied. Objectives: To determine the association of CBT and ch...Background: In Thailand, the therapeutic effect of cognitive behavioral therapy (CBT) for depression among adult HIV-infected patients has been limitedly studied. Objectives: To determine the association of CBT and changes of de-pression both immediately post treatment and at 3-month post-treatment.Materials and Methods: A prospective cohort study was conducted at the University Hospital in Thailand. Forty and eighty HIV-infected adults who voluntarily received and did not receive CBT were recruited from the immunology clinic and sexually transmitted diseases clinic between September 2010 and February 2011. Sociodemographic characteristics and medical histories of the participants were collected. A standard Thai Depression Inventory (TDI) was used for evaluation of depressive symptoms. TDI score of 21 or above was interpreted as depression. Other questionnaires included a Montreal Cognitive Assessment questionnaire, standard questionnaire for evaluating life stress event and questionnaire for HIV social support. Results: The mean ages of participants were 44.8 and 43.4 years in the CBT and non-CBT groups respectively. In both group, about half of the subjects were females. Life stress event score in CBT group was significantly higher than the non-CBT group (p <0.01). At baseline, the mean TDI scores of the CBT group and non-CBT group were 26.7 and 25.3 respectively. After adjustment for age, gender, social support, life stress event and current opportunistic infection;the mean changes of TDI scores in the CBT group were significantly higher than the non-CBT group both immediately [12.13 (95%CI ,10.00 -14.26)] (p <0.001) and at 3-month post-treatment [15.94 (95%CI, 13.69-18.18)] (p < 0.001). Conclusion: CBT is beneficial for treatment of depression among adult HIV-infected patients in Thailand. The beneficial effect of CBT was not only immediate but also sustained at 3-month post-treatment.展开更多
目的:系统评价失眠认知行为疗法(CBT-I)改善失眠伴抑郁病人的失眠和抑郁效果。方法:检索中国知网、中国生物医学文献数据库、万方和维普数据库、Pub Med、Web of Science、Cochrane Library中建库至2019年8月9日关于CBT-I对失眠伴抑郁...目的:系统评价失眠认知行为疗法(CBT-I)改善失眠伴抑郁病人的失眠和抑郁效果。方法:检索中国知网、中国生物医学文献数据库、万方和维普数据库、Pub Med、Web of Science、Cochrane Library中建库至2019年8月9日关于CBT-I对失眠伴抑郁病人影响的相关文献,提取纳入文献的数据,并评价其质量后,采用Rev Man 5.3软件进行数据分析。结果:共纳入9篇文献,涉及病人816例。Meta分析结果显示,CBT-I可改善失眠伴抑郁病人的失眠症状[SMD=-0.82,95%CI(-1.08,-0.56),P<0.000 01]、抑郁症状[SMD=-1.32,95%CI(-1.88,-0.76),P<0.000 01]。亚组分析显示,CBT-I改善重度抑郁病人的效果更显著(P=0.006),且干预时间在2个月及以上者效果更显著(P<0.000 1)。结论:现有证据表明,CBT-I能够通过治疗失眠改善其不同程度的抑郁症状,对于重度抑郁病人治疗效果更加显著,但干预时间应在2个月及以上。展开更多
文摘目的:比较团体人际心理干预和团体认知行为干预对大学生社交焦虑的疗效。方法:方便选取1314名大学生,采用交往焦虑量表(Interaction Anxiousness Scale,IAS)进行测试,筛取IAS总分≥49分(高焦虑者)275人。参照美国精神障碍诊断与统计手册第四版(Diagnostic and Statistical Manual of Mental Disor-ders,DSM-IV)关于社交焦虑障碍诊断标准的症状学描述,根据自愿的原则,选取社交焦虑程度较重的大学生45名,随机分为3组,每组15人:IPT组,采用团体人际心理干预,每周1次,共8周;CBT组,实施认知行为干预,每周1次,共8周;对照组,实验过程中不予干预。各组在干预前测定社交回避及苦恼量表(Social Avoid-ance and Distress Scale,SADS),干预后再进行IAS和SADS的测定,比较IPT组、CBT组干预前后的疗效及其差别。结果:干预前3组间IAS总分、SADS总分、回避因子分、苦恼因子分差异无统计学意义(P>0.05);干预后IPT组与CBT组的社交焦虑水平均低于对照组,而IPT组与CBT组间各项指标差异无统计学意义。IPT组干预后各项指标得分均低于干预前;CBT组干预后SADS总分、回避因子分、苦恼因子分低于干预前;对照组各项指标前后差异无统计学意义(P>0.05)。结论:团体人际心理干预与团体认知行为干预均能有效缓解社交焦虑水平,人际心理干预可作为治疗社交焦虑的一个重要手段。
文摘Background: In Thailand, the therapeutic effect of cognitive behavioral therapy (CBT) for depression among adult HIV-infected patients has been limitedly studied. Objectives: To determine the association of CBT and changes of de-pression both immediately post treatment and at 3-month post-treatment.Materials and Methods: A prospective cohort study was conducted at the University Hospital in Thailand. Forty and eighty HIV-infected adults who voluntarily received and did not receive CBT were recruited from the immunology clinic and sexually transmitted diseases clinic between September 2010 and February 2011. Sociodemographic characteristics and medical histories of the participants were collected. A standard Thai Depression Inventory (TDI) was used for evaluation of depressive symptoms. TDI score of 21 or above was interpreted as depression. Other questionnaires included a Montreal Cognitive Assessment questionnaire, standard questionnaire for evaluating life stress event and questionnaire for HIV social support. Results: The mean ages of participants were 44.8 and 43.4 years in the CBT and non-CBT groups respectively. In both group, about half of the subjects were females. Life stress event score in CBT group was significantly higher than the non-CBT group (p <0.01). At baseline, the mean TDI scores of the CBT group and non-CBT group were 26.7 and 25.3 respectively. After adjustment for age, gender, social support, life stress event and current opportunistic infection;the mean changes of TDI scores in the CBT group were significantly higher than the non-CBT group both immediately [12.13 (95%CI ,10.00 -14.26)] (p <0.001) and at 3-month post-treatment [15.94 (95%CI, 13.69-18.18)] (p < 0.001). Conclusion: CBT is beneficial for treatment of depression among adult HIV-infected patients in Thailand. The beneficial effect of CBT was not only immediate but also sustained at 3-month post-treatment.
文摘目的:系统评价失眠认知行为疗法(CBT-I)改善失眠伴抑郁病人的失眠和抑郁效果。方法:检索中国知网、中国生物医学文献数据库、万方和维普数据库、Pub Med、Web of Science、Cochrane Library中建库至2019年8月9日关于CBT-I对失眠伴抑郁病人影响的相关文献,提取纳入文献的数据,并评价其质量后,采用Rev Man 5.3软件进行数据分析。结果:共纳入9篇文献,涉及病人816例。Meta分析结果显示,CBT-I可改善失眠伴抑郁病人的失眠症状[SMD=-0.82,95%CI(-1.08,-0.56),P<0.000 01]、抑郁症状[SMD=-1.32,95%CI(-1.88,-0.76),P<0.000 01]。亚组分析显示,CBT-I改善重度抑郁病人的效果更显著(P=0.006),且干预时间在2个月及以上者效果更显著(P<0.000 1)。结论:现有证据表明,CBT-I能够通过治疗失眠改善其不同程度的抑郁症状,对于重度抑郁病人治疗效果更加显著,但干预时间应在2个月及以上。
