Cognitive behavior therapy for psychological distress in patients with recurrent miscarriage.
Cognitive behavior therapy for psychological distress in patients with recurrent miscarriage.
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DOI：
10.2147/prbm.s44327
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发表时间：
2013
影响因子：
4.3
通讯作者：
Sugiura-Ogasawara M
中科院分区：
文献类型：
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作者：
Nakano Y;Akechi T;Furukawa TA;Sugiura-Ogasawara M
探讨采用个体认知行为疗法（CBT）治疗复发性流产（RM）伴抑郁和/或焦虑的妇女的精神症状的减少情况。RM患者和K6（抑郁/焦虑的自我报告筛选量表）评分为5分或更高的患者进行了访谈，以了解有关RM患者心理困扰的常见和潜在原因的压力情况，想法和随之而来的行为的信息。然后，我们对14名RM和抑郁/焦虑患者进行了单独的CBT，参考访谈中的列表，并通过配对t检验检查CBT的效果。14名女性接受了CBT。平均干预次数为8.9次（标准差[SD]，4.6次）。Beck抑郁量表-第二版和状态-特质焦虑量表-状态焦虑评分（抑郁/焦虑的自我报告筛选量表）的平均值分别从基线时的13.6（SD，8.2）和49.0（SD，7.1）降至治疗后的5.2（SD，4.4）和38.0（SD，10.2）。这些变化具有统计学显著性。目前的初步开放研究证实，个体CBT对RM和抑郁和/或焦虑的女性可能有用。这一发现是为RM妇女建立一个全面的心理支持系统的第一步。
To examine the reduction of psychiatric symptoms using individual cognitive behavior therapy (CBT) for women who suffer from recurrent miscarriage (RM) and depression and/or anxiety. Patients with RM and a score of five or higher for K6, a self-report screening scale for depression/anxiety, were interviewed to find information about stressful situations, thoughts, and consequent behaviors that are common and potential causes of psychological distress among RM patients. We then performed individual CBT on 14 patients with RM and depression/anxiety, referring to a list from the interviews, and examined the effects of CBT by a paired t-test. Fourteen women received CBT. The mean number of intervention times was 8.9 sessions (standard deviation [SD], 4.6 sessions). The average Beck Depression Inventory-Second Edition and State–Trait Anxiety Inventory–state anxiety scores, self-report screening scales for depression/anxiety, decreased from 13.6 (SD, 8.2) and 49.0 (SD, 7.1) at baseline to 5.2 (SD, 4.4) and 38.0 (SD, 10.2) posttherapy, respectively. These changes were statistically significant. The current preliminary open study confirmed that individual CBT was potentially useful for women with RM and depression and/or anxiety. This finding is the first step towards creating a comprehensive psychological support system for women with RM.