The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses.

The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses.
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DOI:
10.1007/s10608-012-9476-1
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发表时间:
2012-10-01
影响因子:
2.8
通讯作者:
Fang A
Fang A
中科院分区:
心理学3区
文献类型:
--
作者:
Hofmann SG;Asnaani A;Vonk IJ;Sawyer AT;Fang A

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认知行为疗法(CBT)是一种流行的治疗方法,已被应用于各种问题。本综述的目的是提供一个全面的荟萃分析调查CBT的疗效。我们确定了269项荟萃分析研究,并回顾了其中106项荟萃分析的代表性样本,这些荟萃分析检查了CBT的以下问题:物质使用障碍、精神分裂症和其它精神病性障碍、抑郁症和心境恶劣、双相情感障碍、焦虑症、躯体形式障碍、进食障碍、失眠、人格障碍、愤怒和攻击性、犯罪行为、一般压力,由于一般医疗条件、慢性疼痛和疲劳造成的痛苦,与怀孕并发症和女性荷尔蒙状况有关的痛苦。其他的荟萃分析综述检查了CBT对儿童和老年人各种问题的疗效。对于焦虑症、躯体形式障碍、暴食症、愤怒控制问题和一般压力的CBT存在最强有力的支持。11项研究比较了CBT与其他治疗或对照条件之间的反应率。在其中7篇综述中,CBT的应答率高于比较条件,只有1篇综述报告CBT的应答率低于比较治疗。总的来说,CBT的证据基础非常强大。然而,需要更多的研究来检查CBT在随机对照研究中的疗效。此外,除了儿童和老年人群,没有关于特定亚组(如少数民族和低收入样本)的CBT荟萃分析研究报告。
Cognitive behavioral therapy (CBT) refers to a popular therapeutic approach that has been applied to a variety of problems. The goal of this review was to provide a comprehensive survey of meta-analyses examining the efficacy of CBT. We identified 269 meta-analytic studies and reviewed of those a representative sample of 106 meta-analyses examining CBT for the following problems: substance use disorder, schizophrenia and other psychotic disorders, depression and dysthymia, bipolar disorder, anxiety disorders, somatoform disorders, eating disorders, insomnia, personality disorders, anger and aggression, criminal behaviors, general stress, distress due to general medical conditions, chronic pain and fatigue, distress related to pregnancy complications and female hormonal conditions. Additional meta-analytic reviews examined the efficacy of CBT for various problems in children and elderly adults. The strongest support exists for CBT of anxiety disorders, somatoform disorders, bulimia, anger control problems, and general stress. Eleven studies compared response rates between CBT and other treatments or control conditions. CBT showed higher response rates than the comparison conditions in 7 of these reviews and only one review reported that CBT had lower response rates than comparison treatments. In general, the evidence-base of CBT is very strong. However, additional research is needed to examine the efficacy of CBT for randomized-controlled studies. Moreover, except for children and elderly populations, no meta-analytic studies of CBT have been reported on specific subgroups, such as ethnic minorities and low income samples.
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