Exploring Outcomes Related to Anxiety and Depression in Completers of a Randomized Controlled Trial of Complicated Grief Treatment
Exploring Outcomes Related to Anxiety and Depression in Completers of a Randomized Controlled Trial of Complicated Grief Treatment
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DOI：
10.1002/cpp.1940
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发表时间：
2016-03-01
影响因子：
3.6
通讯作者：
Wall, Melanie
中科院分区：
文献类型：
--
作者：
Glickman, Kim;Shear, M. Katherine;Wall, Melanie
本研究探讨了一个更细粒度的分析焦虑相关和抑郁相关的结果之间的一个样本的治疗完成者被分配到复杂的悲伤治疗（CGT）（n=35）或人际心理治疗（IPT）（n=34）在以前报道的随机对照试验。我们研究了使用抗抑郁药的影响以及焦虑和抑郁的测量，特别关注与死亡或死者有关的内疚以及与悲伤有关的回避，以进一步了解接受全程治疗的参与者中CGT和IPT的不同有效性。分析表明，CGT产生了更大的减少焦虑和抑郁症状，包括对未来的负面想法和悲伤相关的回避。CGT在降低抑郁症方面优于IPT的优势在那些没有服用抗抑郁药的人中最为明显。我们的研究结果进一步阐明CGT的影响和支持的想法，CG和重性抑郁症是不同的条件。版权所有（c）2014约翰威利父子有限公司
The present study examines a more fine-grained analysis of anxiety-related and depression-related outcomes amongst a sample of treatment completers who were assigned to complicated grief treatment (CGT) (n=35) or interpersonal psychotherapy (IPT) (n=34) in a previously reported randomized controlled trial. We examined effects of antidepressant use and measures of anxiety and depression, focusing especially on guilt related to the death or deceased and grief-related avoidance in order to further understand the differential effectiveness of CGT and IPT amongst participants who received the full course of treatment. Analyses showed that CGT produced greater reductions in anxiety and depressive symptoms including negative thoughts about the future and grief-related avoidance. CGT's advantage over IPT in lowering depression was most pronounced amongst those not taking antidepressants. Our results further elucidate CGT effects and support the idea that CG and major depressive disorder are distinct conditions. Copyright (c) 2014 John Wiley & Sons, Ltd.