Cognitive behaviour therapy (CBT) for anxiety and depression in adults with mild intellectual disabilities (ID): a pilot randomised controlled trial.
Cognitive behaviour therapy (CBT) for anxiety and depression in adults with mild intellectual disabilities (ID): a pilot randomised controlled trial.
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DOI：
10.1186/1745-6215-12-95
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发表时间：
2011-04-14
期刊：
影响因子：
2.5
通讯作者：
King M
中科院分区：
文献类型：
--
作者：
Hassiotis A;Serfaty M;Azam K;Strydom A;Martin S;Parkes C;Blizard R;King M
一些研究表明，智力残疾（ID）的人有适当的技能接受认知行为疗法（CBT）。案例研究报告成功地使用认知行为治疗技术修正的认知行为疗法可能是治疗抑郁症、焦虑症和其他情绪障碍的一种可行而有效的方法。迄今为止，两项研究报告了轻度ID患者基于小组的人为认知行为治疗抑郁症的方案。然而，没有针对智障人士的焦虑或抑郁症的个人手册方案。本研究的目的是确定在ID患者中进行CBT随机对照试验的可行性。数据将为进行确定性随机对照试验的功效计算和其他方面提供信息。30名轻度ID受试者将随机分配至CBT或常规治疗（TAU）。CBT小组将在4个月内接受最多20小时的个人CBT。TAU是一种标准治疗，适用于任何被转介到智力残疾服务机构（包括护理管理、社区支持、医疗、护理或社会支持）的智力残疾成年人。将在基线、治疗结束（4个月）和6个月时使用Beck青年量表（Beck焦虑量表和Beck抑郁量表），以评估抑郁和焦虑的变化。客户满意度、生活质量和卫生经济学将是次要结果。这项研究的广泛成果将为治疗师提供明确的指导，以应用既定的心理干预，并确定它如何以及是否适用于智障人士。ISRCTN：ISRCTN38099525
Several studies have showed that people with intellectual disabilities (ID) have suitable skills to undergo cognitive behavioural therapy (CBT). Case studies have reported successful use of cognitive behavioural therapy techniques (with adaptations) in people with ID. Modified cognitive behavioural therapy may be a feasible and effective approach for the treatment of depression, anxiety, and other mood disorders in ID. To date, two studies have reported group-based manaulised cognitive behavioural treatment programs for depression in people with mild ID. However, there is no individual manualised programme for anxiety or depression in people with intellectual disabilities. The aims of the study are to determine the feasibility of conducting a randomised controlled trial for CBT in people with ID. The data will inform the power calculation and other aspects of carrying out a definitive randomised controlled trial. Thirty participants with mild ID will be allocated randomly to either CBT or treatment as usual (TAU). The CBT group will receive up to 20 hourly individual CBT over a period of 4 months. TAU is the standard treatment which is available to any adult with an intellectual disability who is referred to the intellectual disability service (including care management, community support, medical, nursing or social support). Beck Youth Inventories (Beck Anxiety Inventory & Beck Depression Inventory) will be administered at baseline; end of treatment (4 months) and at six months to evaluate the changes in depression and anxiety. Client satisfaction, quality of life and the health economics will be secondary outcomes. The broad outcome of the study will be to produce clear guidance for therapists to apply an established psychological intervention and identify how and whether it works with people with intellectual disabilities. ISRCTN: ISRCTN38099525
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DOI：
10.1046/j.1365-2788.2001.00374.x
发表时间：
2001-12-01
影响因子：
3.6
作者：
Deb, S;Thomas, M;Bright, C
通讯作者：
Bright, C
影响因子：
1.5
作者：
Haddock, Katie;Jones, Robert S. P.
通讯作者：
Jones, Robert S. P.
影响因子：
1.8
作者：
Blackburn, Ivy-Marie;James, Ian A.;Reichelt, F. Katharina
通讯作者：
Reichelt, F. Katharina
影响因子：
6.9
作者：
Maughan, B;Collishaw, S;Pickles, A
通讯作者：
Pickles, A
影响因子：
6.6
作者：
Barbee, JG;Billings, CK;Townsend, MH
通讯作者：
Townsend, MH