Treatment of complicated grief: A comparison between cognitive-behavioral therapy and supportive counseling
Treatment of complicated grief: A comparison between cognitive-behavioral therapy and supportive counseling
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DOI：
10.1037/0022-006x.75.2.277
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发表时间：
2007-04-01
影响因子：
5.9
通讯作者：
van den Bout, Jan
中科院分区：
文献类型：
--
作者：
Boelen, Paul A.;de Keijser, Jos;van den Bout, Jan
很少有研究调查复杂悲伤的治疗方法--一种在失去亲人后可能发展的衰弱状态。本研究比较了认知行为治疗与非特异性治疗和支持性咨询（SC）的效果。使用最小化方法，54名具有临床显著复杂悲伤水平的哀悼者被分配到3种治疗条件中的一种：（a）6次认知重建（CR）和6次暴露治疗的条件（ET; CR + ET），（B）以相反顺序施加这些干预的条件（ET + CR），结果显示，在完成者和意向治疗组中，两种认知行为治疗条件对复杂性悲伤和一般精神病理学的改善优于SC。认知-行为条件的比较表明，“纯”暴露比“纯”认知重建更有效，在CR中加入ET比在ET中加入CR导致更多的额外改善，ET + CR比CR + ET更有效。ET + CR的效果大小是令人鼓舞的，并与早期丧亲干预研究中发现的效果大小相比较。
Few studies have examined treatments for complicated grief-a debilitating condition that can develop after the loss of a loved one. This study compared the effectiveness of cognitive-behavioral therapy with a nonspecific treatment with supportive counseling (SC). Using a minimization method, 54 mourners with clinically significant levels of complicated grief were allocated to I of 3 treatment conditions: (a) a condition of 6 sessions of cognitive restructuring (CR) and 6 sessions of exposure therapy (ET; CR + ET), (b) a condition in which these interventions were applied in reversed order (ET + CR), and (c) 12 sessions of SC. Outcomes showed that the 2 cognitive-behavioral therapy conditions produced more improvement in complicated grief and general psychopathology than SC in the completers and intention-to-treat groups. Comparison of the cognitive-behavioral conditions showed that "pure" exposure was more effective than "pure" cognitive restructuring, that adding ET to CR led to more additional improvement than adding CR to ET, and that ET + CR was more efficacious than CR + ET. Effect sizes of ET + CR were encouraging and compare favorably with those found in earlier bereavement intervention studies.