Clinical efficacy of individual cognitive therapy in reducing psychiatric symptoms in people at ultra-high risk for psychosis

Clinical efficacy of individual cognitive therapy in reducing psychiatric symptoms in people at ultra-high risk for psychosis
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DOI:
10.1111/j.1751-7893.2011.00267.x
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发表时间:
2011-05-01
影响因子:
2
通讯作者:
Kwon, Jun Soo
Kwon, Jun Soo
中科院分区:
医学3区
文献类型:
--
作者:
Kim, Kyung Ran;Lee, Su Young;Kwon, Jun Soo

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目的:最近,认知疗法在精神病超高风险(UHR)人群中显示出适度的治疗效果。本研究的目的是评估认知疗法在减少韩国UHR患者精神症状方面的可行性和疗效。方法:我们在2004年受Morrison的启发,为UHR的精神病患者开发了认知疗法。22名UHR受试者被分配到认知治疗,18名受试者完成了10个疗程的治疗。在基线和治疗后评估精神病理评分。结果:认知疗法显著降低了阳性、阴性和抑郁症状的精神病理严重程度。组内效应量表明对这些精神病理有很大的治疗效果。结论:这些发现提示认知疗法可以应用于非西方文化的UHR精神病患者。
Aim: Recently, cognitive therapy in people at ultra-high risk (UHR) for psychosis has been reported to show modest treatment benefits. The aim of this study was to assess the feasibility and efficacy of cognitive therapy in reducing psychiatric symptoms in UHR people in Korea.Methods: We developed cognitive therapy for people at UHR for psychosis inspired by Morrison in 2004. Twenty-two UHR subjects were assigned to cognitive therapy, and 18 subjects completed the 10-session therapy. Psychopathology scores were assessed at baseline and post-treatment.Results: Cognitive therapy significantly reduced the severity of psychopathology including positive, negative and depressive symptoms. The within-group effect sizes indicated large treatment benefits for these psychopathologies.Conclusion: These findings suggest that cognitive therapy can be administered to people at UHR for psychosis in non-western culture.