Randomized pilot trial of cognitive-behavioral therapy and acceptance-based behavioral therapy in the treatment of Spanish-speaking Latino primary care patients with generalized anxiety disorder.
Randomized pilot trial of cognitive-behavioral therapy and acceptance-based behavioral therapy in the treatment of Spanish-speaking Latino primary care patients with generalized anxiety disorder.
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DOI：
10.1016/j.jbct.2020.11.007
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发表时间：
2021-06
影响因子：
--
通讯作者：
Perez-Pedrogo, Coralee
中科院分区：
文献类型：
--
作者：
Vera, Mildred;Oben, Adriana;Juarbe, Deborah;Hernandez, Norberto;Perez-Pedrogo, Coralee
关键词：
过去几十年来，支持传统认知行为疗法 (CBT) 和新的基于接受的 CBT 治疗广泛性焦虑症 (GAD) 有效性的证据基础不断增长。广泛性焦虑症在几个拉丁裔亚群体中很普遍，尤其是波多黎各人。然而，这些干预措施对讲西班牙语的拉丁裔的适当性仍然存在不确定性，因为他们通常被排除在功效和效果研究中。作为弥合这一差距的第一步，这项试点研究以西班牙语拉美裔为样本，考察了两种 CBT 干预措施对广泛性焦虑症（GAD）的潜在疗效，即传统 CBT 和基于接受的行为疗法 (ABBT)。 90 名患有 GAD 的初级保健患者被随机分配接受 CBT (n=30)、ABBT (n=30) 或照常治疗 (TAU) (n=30)。过度担忧是 GAD 的核心特征，通过宾夕法尼亚州立大学担忧问卷 (PSWQ) 进行评估，该问卷被认为是衡量 GAD 相关担忧的黄金标准。随访时，CBT 和 ABBT 组参与者的 PSWQ 得分在统计上低于 TAU 组，并且在统计上彼此具有可比性。通过随访，CBT 和 ABBT 比常规护理更大程度地降低了担忧程度。我们的研究结果提供了初步但重要的数据，支持这两种针对西班牙语拉丁裔初级保健患者广泛性焦虑症症状的干预措施的潜力。
The evidence base supporting the usefulness of traditional cognitive-behavioral therapy (CBT) and newer acceptance-based CBT treatments for generalized anxiety disorder (GAD) has grown over the past decades. GAD is prevalent among several Latino subgroups, particularly Puerto Ricans. However, there remains uncertainty regarding the appropriateness of these interventions for Spanish-speaking Latinos since they have been routinely excluded in both efficacy and effectiveness studies. As an initial step to bridge this gap, this pilot study examined the potential efficacy of two CBT interventions for GAD, traditional CBT and acceptance-based behavioral therapy (ABBT), in a sample of Spanish-speaking Latinos. Ninety primary care patients with GAD were randomly assigned to receive CBT (n=30), ABBT (n=30), or treatment as usual (TAU) (n=30). Excessive worry, the core feature of GAD, was assessed with the Penn State Worry Questionnaire (PSWQ), which is considered the gold standard measure of GAD-related worry. At follow-up, PSWQ scores for participants in the CBT and ABBT groups were statistically lower than those of the TAU group and statistically comparable to each other. CBT and ABBT reduced worry level to a greater degree than usual care by follow-up. Our findings provide preliminary, yet crucial data, which support the potential of both interventions targeting GAD symptoms among Spanish-speaking Latino primary care patients.
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