Loneliness: clinical import and interventions.

Loneliness: clinical import and interventions.
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DOI:
10.1177/1745691615570616
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发表时间:
2015-03
期刊:
Perspectives on psychological science : a journal of the Association for Psychological Science
影响因子:
--
通讯作者:
Cacioppo JT
Cacioppo JT
中科院分区:
其他
文献类型:
--
作者:
Cacioppo S;Grippo AJ;London S;Goossens L;Cacioppo JT

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1978年,当工作小组向美国总统精神健康委员会提交报告时,强调了改善医疗保健和减轻包括孤独症在内的情绪困扰综合症患者痛苦的重要性,很少有人预料到40年后这个问题仍然需要解决。一项关于减少孤独感的治疗效果的荟萃分析表明,需要进行对照良好的随机临床试验,重点是适应不良的社会认知的康复。我们回顾了对孤独的评估,并在此荟萃分析的基础上讨论了各种孤独治疗方法的疗效。随着过去5年来在确定与孤独和适应不良的社会认知相关的心理生物学和药物机制方面取得的进展,越来越多的证据表明,将联合收割机(社会)认知行为治疗与短期连续性药物治疗相结合的综合干预措施具有潜在疗效。
In 1978, when the Task Panel report to the US President’s Commission on Mental Health emphasized the importance of improving health care and easing the pain of those suffering from emotional distress syndromes including loneliness, few anticipated that this issue would still need to be addressed 40 years later. A meta-analysis on the efficacy of treatments to reduce loneliness identified a need for well-controlled randomized clinical trials focusing on the rehabilitation of maladaptive social cognition. We review assessments of loneliness and build on this meta-analysis to discuss the efficacy of various treatments for loneliness. With the advances made over the past 5 years in the identification of the psychobiological and pharmaceutical mechanisms associated with loneliness and maladaptive social cognition, there is increasing evidence for the potential efficacy of integrated interventions that combine (social) cognitive behavioral therapy with short-term adjunctive pharmacological treatments.
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