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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Metacognitive therapy versus cognitive behavioural therapy for depression: A randomized pilot study
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Metacognitive therapy versus cognitive behavioural therapy for depression: A randomized pilot study

机译：元认知治疗对抑郁症的认知行为治疗：随机试验研究

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Results: Both therapies were effective in producing clinically significant change in depressive symptoms, with moderateto- large effect sizes obtained. No differences were detected between therapies in overall outcome or early change on clinician-rated or self-reported measures. Post-hoc analyses suggest that MCT may have been adversely affected by greater comorbidity.Conclusions: In this large pilot study conducted independently of MCTs developers, MCT was an effective treatment for outpatients with depression, with similar results overall to CBT. Insufficient power and imbalanced comorbidity limit conclusions regarding comparative efficacy so further studies of MCT and CBT are required.Objective: Metacognitive therapy (MCT) is one of the newer developments within cognitive therapy. This randomized controlled pilot study compared independently applied MCT with cognitive behavioural therapy (CBT) in outpatients with depression to explore the relative speed and efficacy of MCT, ahead of a planned randomized controlled trial.Method: A total of 48 participants referred for outpatient therapy were randomized to up to 12 weeks of MCT or CBT. Key outcomes were reduction in depressive symptoms at week 4 and week 12, measured using the independentclinician- rated Quick Inventory of Depressive Symptomatology16. Intention-to-treat and completer analyses as well as additional methods of reporting outcome of depression are presented.
机译：结果：两种疗法都有效地在抑郁症状产生临床显着变化，具有多种效果大小。在整体结果或早期改变的临床医生或自我报告的措施中没有检测到疗法之间没有差异。后HOC分析表明，MCT可能受到更大的合并率的不利影响。结论：在这个大型飞行员研究中独立于MCT开发人员进行，MCT对抑郁症外分的有效治疗，总体上与CBT相似的结果。对于比较疗效的功率和不平衡的合并限度不足，因此需要对MCT和CBT进行进一步研究。目的：元认知治疗（MCT）是认知治疗中的新发生之一。这种随机控制的试验研究比较了与抑郁症外分外的认知行为疗法（CBT）与抑郁症相比，探讨了MCT的相对速度和功效，前方计划的随机对照试验。方法：共有48名参与门诊治疗的参与者随机达到12周的MCT或CBT。第4周和第12周的抑郁症状抑郁症状减少了重点结果，使用了抑郁症症状的独立贷方额定的快速库存来测量。意图治疗和随附的抑郁症报告结果的额外方法。

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    JordanJ.; CarterJ.D.; McIntoshV.V.W.; FernandoK.; FramptonC.M.A.; PorterR.J.; MulderR.T.; LaceyC.; JoyceP.R.;

  • 作者单位

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

    Clinical Research Unit Canterbury District Health BoardChristchurch New Zealand;

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

    Department of Psychological Medicine University of Otago PO Box 4345Christchurch New Zealand;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 神经病学与精神病学;
  • 关键词

    Cognitive behavioural therapy; depression; metacognitive; randomized pilot study;

    机译：认知行为治疗;抑郁症;元认知;随机试验研究;

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