Problem-solving therapy for depression: A meta-analysis
Problem-solving therapy for depression: A meta-analysis
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DOI：
10.1016/j.cpr.2009.02.003
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发表时间：
2009-06-01
影响因子：
12.8
通讯作者：
D'Zurilla, Thomas J.
中科院分区：
文献类型：
--
作者：
Bell, Alissa C.;D'Zurilla, Thomas J.
问题解决疗法(PST)是一种认知-行为干预，侧重于训练适应性的问题解决态度和技能。本文的目的是进行一项关于PST对缓解抑郁症状的疗效的对照结果研究的荟萃分析。基于对21个独立样本的结果，PST被发现与其他心理社会治疗和药物治疗一样有效，并且比不治疗和支持/注意控制组显著更有效。此外，成分分析表明，当治疗方案包括(A)积极问题导向的培训(仅限于解决问题的技能)，(B)所有四种主要问题解决技能的培训(即，问题定义和制定、备选方案的产生、决策以及解决方案的实施和验证)时，PST更有效。以及(C)完整的PST一揽子培训(问题导向加上四项解决问题的技能)。(C)2009爱思唯尔有限公司。保留所有权利。
Problem-Solving Therapy (PST) is a cognitive-behavioral intervention that focuses on training in adaptive problem-solving attitudes and skills. The purpose of this paper was to conduct a meta-analysis of controlled outcome studies on efficacy of PST for reducing depressive symptomatology. Based on results involving 21 independent samples, PST was found to be equally effective as other psychosocial therapies and medication treatments and significantly more effective than no treatment and support/attention control groups. Moreover, component analyses indicated that PST is more effective when the treatment program includes (a) training in a positive problem orientation (vs. problem-solving skills only), (b) training in all four major problem-solving skills (i.e., problem definition and formulation, generation of alternatives, decision making, and solution implementation and verification). and (c) training in the complete PST package (problem orientation plus the four problem-solving skills). (c) 2009 Elsevier Ltd. All rights reserved.