Cognitive therapy for premenstrual syndrome: A controlled trial
Cognitive therapy for premenstrual syndrome: A controlled trial
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DOI：
10.1016/s0022-3999(98)00042-7
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发表时间：
1998-10-01
影响因子：
4.7
通讯作者：
Garrod, A
中科院分区：
文献类型：
--
作者：
Blake, F;Salkovskis, P;Garrod, A
本研究的目的是评估认知疗法（CT）作为经前期综合征（PMS）的心理治疗的有效性，通过与候补对照组进行比较。符合PMS选择标准的女性被随机分配到两个治疗组之一：（i）立即治疗组，接受12次每周一次的个体CT;或（ii）等待名单组，记录PMS症状的时间长度相当于立即治疗组中个体治疗的持续时间。全科医生和妇科医生介绍了在月经周期的后半段抱怨痛苦和致残的情绪和身体症状的妇女，这是通过2个月的前瞻性日记记录证实的。在进入研究时、2个月后和治疗期结束时对妇女的心理和社会功能进行评估。这种设计允许评价CT相对于任何自发缓解的疗效，自发缓解可能是由于时间的推移、保持月经日记、访谈和自我评估而发生的。结果表明，CT是显着更有效的比分配到候补组。日记的措施和自我报告的问卷调查表明，几乎完全缓解的心理和躯体症状和功能障碍。可以得出结论，PMS的CT与实质性改善相关，不能归因于时间的推移或日记和其他评估的完成。(C)1998年爱思唯尔科学公司
The aim of this study was to evaluate the effectiveness of cognitive therapy (CT) as a psychological treatment for premenstrual syndrome (PMS), by comparison with a waitlist control group. Women meeting selection criteria for PMS were randomly allocated to one of two treatment groups: (i) an immediate treatment group, who received 12 weekly sessions of individual CT; or (ii) a waiting list group who recorded symptoms of PMS for a length of time equivalent to the duration of an individual treatment in the immediate treatment group. General practitioners and gynecologists referred women who were complaining of distressing and disabling emotional and physical symptoms in the second half of the menstrual cycle, as verified by 2 months of prospective diary recording. Assessments of the women's psychological and social functioning were made on entry to the study, 2 months later, and at the end of the treatment period. This design allows evaluation of the efficacy of CT relative to any spontaneous remission that may have occurred as a consequence of the passage of time, the keeping of menstrual diaries, interview, and self-rated assessments. Results indicated that CT was significantly more effective than assignment to the waitlist group. Diary measures and self-report questionnaires indicated an almost complete remission of psychological and somatic symptoms and of impairment of functioning. It is concluded that CT for PMS is associated with substantial improvements that cannot be attributed to the passage of time or the completion of the diary and other assessments. (C) 1998 Elsevier Science Inc.