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首页> 外文期刊>Journal of occupational rehabilitation >Problem-Based Self-care Groups Versus Cognitive Behavioural Therapy for Persons on Sick Leave Due to Common Mental Disorders: A Randomised Controlled Study
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Problem-Based Self-care Groups Versus Cognitive Behavioural Therapy for Persons on Sick Leave Due to Common Mental Disorders: A Randomised Controlled Study

机译：基于问题的自我护理小组与因常见精神障碍而请病假的人的认知行为疗法的比较：一项随机对照研究

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Purpose To evaluate the interventional capacity of problem based method groups (PBM) regarding mental health and work ability compared to cognitive behavioural therapy (CBT) for persons on sick leave due to common mental disorders. Methods In a randomised controlled design the experimental group received PBM and the control group received CBT. Outcomes were measured by the Hospital Anxiety and Depression Scale (HADS), the Stress and Crisis Inventory 93 (SCI-93) and the Dialogue about Working Ability instrument (DOA). Results Twenty-two participants in the PBM group and 28 in the CBT group completed intervention. Both groups showed significant lower scores on the two HADS subscales. Regarding stress the PBM group showed significant decrease in one (out of three) subscales of SCI-93. The CBT group showed significant decrease on all subscales of SCI-93. Regarding work ability the PBM group showed significant higher scores on one of five subscales of DOA. The CBT group showed significant higher scores on four of five subscales of DOA. Between groups there were significant differences to the favour of CBT on one of two subscales of HADS, all three subscales of SCI-93 and on two of the five subscales of DOA. Conclusion PBM seem to be able to reduce anxiety- and depression symptoms. CBT showed to be superior to PBM in reducing symptoms in all aspects of mental health, except for anxiety, in which they seem equally effective. Regarding work ability CBT showed to be superior, with significant effect on more aspects compared to PBM.
机译：目的与基于认知行为疗法（CBT）的患者相比，评估基于问题的方法组（PBM）在心理健康和工作能力方面的干预能力，以应对因常见精神疾病而请假的患者。方法在随机对照设计中，实验组接受PBM，对照组接受CBT。结果通过医院焦虑和抑郁量表（HADS），压力和危机量表93（SCI-93）和关于工作能力工具的对话（DOA）进行测量。结果PBM组的22名参与者和CBT组的28名参与者完成了干预。两组在两个HADS分量表上均显示出明显较低的分数。关于压力，PBM组在SCI-93的一个（三个）分量表中显示出显着降低。 CBT组在SCI-93的所有子量表上均显示出显着下降。在工作能力方面，PBM组在DOA的五个子量表之一上显示出较高的分数。 CBT组在DOA的五个子量表中的四个量表上显示出明显更高的分数。两组之间，在HADS的两个子量表之一，SCI-93的所有三个子量表和DOA的五个子量表中的两个子量表上，对CBT的支持存在显着差异。结论PBM似乎能够减轻焦虑和抑郁症状。在减轻心理健康的各个方面的症状方面，CBT表现出比PBM更好的表现，除了焦虑似乎在焦虑方面同样有效。在工作能力方面，CBT表现出优越性，与PBM相比，它在多个方面都有显着影响。

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