Cognitive therapy versus applied relaxation as treatment of generalized anxiety disorder

Cognitive therapy versus applied relaxation as treatment of generalized anxiety disorder
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DOI:
10.1016/s0005-7967(02)00045-1
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发表时间:
2003-06-01
影响因子:
4.1
通讯作者:
Arntz, A
Arntz, A
中科院分区:
心理学2区
文献类型:
--
作者:
Arntz, A

文献摘要

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对社区精神卫生中心随机分组的45例广泛性焦虑症(GAD)患者进行认知疗法(CT)和应用松弛疗法(AR)的比较。在12个疗程的治疗之前和之后,以及在1个月和6个月的随访中,对患者进行评估。CT和AR(NS)分别有20%和15%的脱落率,其中一些脱落率有显著改善。完成者分析和意向处理分析均显示两种治疗方法都有效(综合措施和具体措施的ESS在0.53到1.14之间)。在1个月的随访中,AR的表现往往好于CT,CT在6个月时赶上AR。有可靠改变的患者的恢复率和比例与AR和CT的其他研究类似,在6个月的随访中,55%的CT和53.3%的AR患者在STAI特征上恢复。这些结果证实了CT和AR都是治疗广泛性AD的有效方法,而且仍有改进的空间。(C)2003爱思唯尔科学有限公司。保留所有权利。
Cognitive therapy (CT) and applied relaxation (AR) as treatments of generalized anxiety disorder (GAD) were compared in a sample of 45 patients of a community mental health center, randomly allocated to condition. Patients were assessed before and after a 12-session treatment, and at one and six months follow-ups. There was a 20% drop out from CT and 15% from AR (NS), with some drop outs being considerably improved. Both completers and intention-to-treat analyses revealed that both treatments were effective (ESs of composite and specific measures ranging from 0.53 to 1.14). At one-month follow-up AR tended to do better than CT, with CT catching up with AR at six months. Recovery rates and proportions of patients showing reliable change were comparable to other studies on AR and CT, with 55% of CT and 53.3% of AR patients recovered on the STAI-trait at six-month follow-up. These results confirm that both CT and AR are effective treatments for GAD, and also that there is still room for improvement. (C) 2003 Elsevier Science Ltd. All rights reserved.