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首页> 外文期刊>The British journal of psychiatry : >Effects of cognitive therapy on the longitudinal development of psychotic experiences in people at high risk of developing psychosis
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Effects of cognitive therapy on the longitudinal development of psychotic experiences in people at high risk of developing psychosis

机译：认知疗法对高发性精神病患者的精神病学经历纵向发展的影响

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Background There have been recent advances in the identification of people at high risk of psychosis and psychological treatments have shown promise for prevention. Aims To compare the longitudinal course of psychotic experiences and emotional dysfunction in high-risk participants receiving cognitive therapy with those receiving treatment as usual. Method Data from a recent randomised controlled trial of cognitive therapy for people at risk of developing psychosis were utilised to examine three different statistical models that were based on 432 measurements of psychotic experiences and 421 of emotional dysfunction (anxietya€“depression) contributed by 57 participants across the 13 measurement occasions (monthly monitoring for a year). Results Psychotic experiences and emotional dysfunction were correlated and decreased significantly over the course of the study, with most improvement in the early months. The reduction in positive symptoms, but not emotional dysfunction, was enhanced by allocation to cognitive therapy. Conclusions Psychotic experiences and emotional dysfunction appear to interact in people at risk of developing psychosis. There appears to be a specific benefit of cognitive therapy.
机译：背景技术最近在识别精神病高危人群方面取得了进展，心理治疗已显示出预防的希望。目的比较接受认知治疗的高危参与者与通常接受治疗的参与者的精神病经历和情感障碍的纵向过程。方法利用来自最近一项针对患有精神病风险的人的认知疗法随机对照试验的数据，研究了三种不同的统计模型，这些模型基于432名精神病经历的测量结果和421名情绪障碍（焦虑症）的57名参与者做出的贡献。跨13个测量场合（每月监视一年）。结果在研究过程中，精神病经历和情绪机能障碍相关并且显着减少，在最初几个月中改善最大。分配给认知治疗可增强阳性症状的减少，但不能减少情绪障碍。结论精神病经验和情绪障碍似乎在有患精神病风险的人中相互作用。认知疗法似乎有特定的好处。

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