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首页> 外文期刊>Iranian journal of psychiatry. >Transdiagnostic Treatment of Co-occurrence of Anxiety and Depressive Disorders based on Repetitive Negative Thinking: A Case Series
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Transdiagnostic Treatment of Co-occurrence of Anxiety and Depressive Disorders based on Repetitive Negative Thinking: A Case Series

机译：基于反复否定性思维的焦虑症和抑郁症并发的转诊治疗：一个病例系列

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Objective: The transdiagnostic cognitive behavioral treatments for treating the coexistence of anxiety and mood disorders received useful empirical supports in the recent years. However, these treatments still have moderate efficacy. Following the improvements and developments in transdiagnostic protocols and considering the importance of repetitive negative thinking as a core transdiagnostic factor in emotional disorders, this study examined a new form of transdiagnostic treatment based on Repetitive Negative Thinking (TTRNT) of co-occurrence of anxiety and depressive disorders. Methods: Treatment efficacy was assessed using single case series with multiple baselines. Three patients meeting the criteria for co-occurrence of anxiety and depressive disorders were selected using the Anxiety Disorders Interview Schedule for DSM-IV. The patients were treated individually for 12 weekly sessions. Participants completed the standardized outcome measures during the baseline, treatment and one-month follow-up. Results: At post-treatment, all participants showed significant clinical changes on a range of standardized outcome measures, and these gains were largely maintained through the one-month follow-up both in the principle and co-principal diagnosis. Conclusions: Although the results of this preliminary investigation indicated that TTRNT could be a time effective and efficient treatment for individuals with co-occurrence of anxiety and depressive disorders, further controlled clinical trials are necessary to examine this new treatment approach.
机译：目的：治疗焦虑和情绪障碍并存的经诊断性认知行为疗法近年来获得了有益的经验支持。但是，这些治疗仍具有中等效力。随着转诊方法的改进和发展，并考虑到重复否定思维作为情绪障碍的核心转诊因素的重要性，本研究研究了基于焦虑和抑郁共存的重复否定思维（TTRNT）的一种新的转诊治疗方法失调。方法：使用具有多个基线的单个病例系列评估治疗效果。使用针对DSM-IV的焦虑症访谈表，选择了满足焦虑症和抑郁症共存标准的三名患者。患者接受了每周12次的单独治疗。参与者在基线，治疗和一个月的随访期间完成了标准化的结局指标。结果：在治疗后，所有参与者在一系列标准化结局指标上均表现出显着的临床变化，并且在原则和共同主治诊断方面，通过一个月的随访，这些收益在很大程度上得以维持。结论：尽管这项初步研究的结果表明，TTRNT可以对焦虑症和抑郁症并发患者进行及时有效的治疗，但仍需要进一步的对照临床试验来研究这种新的治疗方法。

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