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认知行为疗法的临床应用现状

陈小央 任文 邱艳 任菁菁

陈小央, 任文, 邱艳, 任菁菁. 认知行为疗法的临床应用现状[J]. 中华全科医学, 2022, 20(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002696
引用本文: 陈小央, 任文, 邱艳, 任菁菁. 认知行为疗法的临床应用现状[J]. 中华全科医学, 2022, 20(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002696
CHEN Xiao-yang, REN Wen, QIU Yan, REN Jing-jing. Review of clinical aplication of cognitive behavioural therapy[J]. Chinese Journal of General Practice, 2022, 20(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002696
Citation: CHEN Xiao-yang, REN Wen, QIU Yan, REN Jing-jing. Review of clinical aplication of cognitive behavioural therapy[J]. Chinese Journal of General Practice, 2022, 20(10): 1755-1759. doi: 10.16766/j.cnki.issn.1674-4152.002696

认知行为疗法的临床应用现状

doi: 10.16766/j.cnki.issn.1674-4152.002696
基金项目: 

浙江省自然科学基金项目 LQ20G030026

详细信息
    通讯作者:

    任菁菁, E-mail: 3204092@zju.edu.cn

  • 中图分类号: R493

Review of clinical aplication of cognitive behavioural therapy

  • 摘要: 认知行为治疗(cognitive behavior therapy,CBT)是由A.T.Beck在20世纪60年代提出的一种有结构、短程、认知取向的心理治疗方法,主要着眼点在患者不合理的认知问题上,通过改变患者对己、对人或对事的看法和态度来解决心理问题。其演变发展包括认知疗法(cognitive therapy,CT)、行为疗法(behavioral therapy,BT)、接受和承诺疗法(acceptance and commitment therapy,ACT)、辩证行为疗法(dialectical behavior therapy,DBT),逐渐延伸出以正念为基础的认知疗法、元认知疗法、内观认知疗法等认知行为分析系统和认知加工疗法。国外众多临床研究已表明,CBT被推荐为针对青少年心理疾病的首选治疗方式,CBT可以有效治疗非严重型的抑郁症、焦虑症、神经性厌食症、创伤后心理压力紧张症候群(post-traumatic stress disorder,PTSD)、边缘性人格障碍等,且大量文献为CBT在儿童心理疾病领域,包括社交焦虑症、自闭症、行为障碍等多种疾病中的疗效提供了有力的支持证据。本文将简要总结CBT在临床实践中的现状及其未来应用的展望。

     

  • [1] 李晓华, 刘彬. 认知行为疗法的理论及在精神疾病治疗中的应用研究进展[J]. 当代护士(下旬刊), 2017(6): 11-14. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ201706005.htm

    LI X H, LIU B. Research progress on the theory and application of cognitive behavioral therapy in the treatment of mental illness[J]. Today Nurse, 2017(6): 11-14. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ201706005.htm
    [2] RACHMAN S. Psychological treatment of anxiety: The evolution of behavior therapy and cognitive behavior therapy[J]. Annu Rev Clin Psychol, 2009, 5: 97-119. doi: 10.1146/annurev.clinpsy.032408.153635
    [3] 邓展明. 从现代神经生理学理论探索巴甫洛夫学说条件反射原理[J]. 广西农业生物科学, 1999, 18(3): 229-232. https://www.cnki.com.cn/Article/CJFDTOTAL-GXNB903.016.htm

    DENG Z M. From Current theory of nervous physiology to questioning Povlov' s conditional reflex theory[J]. Journal Of Guangxi Agricultured And Biological Science, 1999, 18(3): 229-232. https://www.cnki.com.cn/Article/CJFDTOTAL-GXNB903.016.htm
    [4] 陈灵君, 王颖, 朱毅. 基于正念的干预训练调节心理压力和自主神经活动的研究进展[J]. 中国康复理论与实践, 2020, 26(5): 563-567. doi: 10.3969/j.issn.1006-9771.2020.05.014

    CHEN L J, WANG Y, ZHU Y. Advance in Mindfulness-based Intervention for Stress-induced Autonomic Nervous System Activity(review)[J]. Chinese Journal of Rehabilitation Theory and Practice, 2020, 26(5): 563-567. doi: 10.3969/j.issn.1006-9771.2020.05.014
    [5] POLETTI S, RAZZINI G, FERRARI R, et al. Mindfulness-based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study[J]. Complement Ther Med, 2019, 47: 102218. DOI: 10.1016/j.ctim.2019.102218.
    [6] 陈淑敏, 孙雨薇, 宋晓丽. 基于正念认知疗法的心理护理干预对乳腺癌化疗患者的负面情绪, 生存质量的影响分析[J]. 实用临床护理学电子杂志, 2020, 5(32): 61. https://www.cnki.com.cn/Article/CJFDTOTAL-XDLH200810007.htm

    CHEN S M, SUN Y W, SONG X L. Effects of psychological nursing intervention based on mindfulness-based cognitive therapy on negative emotions and quality of life of breast cancer patients undergoing chemotherapy[J]. Journal of Clinic Nursing' s Practicality, 2020, 5(32): 61. https://www.cnki.com.cn/Article/CJFDTOTAL-XDLH200810007.htm
    [7] HOFMANN S G, GOMEZ A F. Mindfulness-based interventions for anxiety and depression[J]. Psychiatr Clin North Am, 2017, 40(4): 739-749. doi: 10.1016/j.psc.2017.08.008
    [8] MEDINA W L, WILSON D, DE SALVO V, et al. Effects of mindfulness on diabetes mellitus: Rationale and overview[J]. Curr Diabetes Rev, 2017, 13(2): 141-147. doi: 10.2174/1573399812666160607074817
    [9] 卢璿之. 接受与承诺治疗[J]. 谘商与辅导, 2018(389): 46-49. https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=IPFD&filename=OSHD201309002095&dbname=IPFDLAST2015

    LU X Z. Acceptance and commitment therapy[J]. Consultation and counselling, 2018(389): 46-49. https://www.cnki.net/KCMS/detail/detail.aspx?dbcode=IPFD&filename=OSHD201309002095&dbname=IPFDLAST2015
    [10] KUBA K, WEIBFLOG G. Acceptance and commitment therapy in the treatment of chronic disease[J]. Psychother Psychosom Med Psychol, 2017, 67(12): 525-536. doi: 10.1055/s-0043-118742
    [11] KELSON J, ROLLIN A, RIDOUT B, et al. Internet-delivered acceptance and commitment therapy for anxiety treatment: Systematic review[J]. Med Internet Res, 2019, 21(1): e12530. DOI: 10.2196/12530.
    [12] 舒姝, 刘将. 辩证行为疗法的回顾与前瞻[J]. 医学与哲学(人文社会医学版), 2010, 31(1): 58-59. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX201001026.htm

    SHU S, LIU J. A review of dialectical behavior therapy[J]. Medicine & Philosophy, 2010, 31(1): 58-59. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX201001026.htm
    [13] BEN-PORATH D, DUTHU F, LUO T, et al. Dialectical behavioral therapy: An update and review of the existing treatment models adapted for adults with eating disorders[J]. Eat Disord, 2020, 28(2): 101-121. doi: 10.1080/10640266.2020.1723371
    [14] COFFEY S F, BANDUCCI A N, VINCI C. Common questions about cognitive behavior therapy for psychiatric disorders[J]. Am Fam Physician, 2015, 92(9): 807-812.
    [15] BOGUCKI O E, CRANER J R, BERG S L, et al. Cognitive behavioral therapy for depressive disorders: Outcomes from a multi-state, multi-site primary care practice[J]. Affect Disord, 2021, 294: 745-752. doi: 10.1016/j.jad.2021.07.061
    [16] SANTOFT F, SALOMONSSON S, HESSER H, et al. Mediators of change in cognitive behavior therapy for clinical burnout[J]. Behav Ther, 2019, 50(3): 475-488. doi: 10.1016/j.beth.2018.08.005
    [17] ANDERSSON E, CROWLEY J J, LINDEFORS N, et al. Genetics of response to cognitive behavior therapy in adults with major depression: A preliminary report[J]. Mol Psychiatry, 2019, 24(4): 484-490. doi: 10.1038/s41380-018-0289-9
    [18] 黎华柱, 林小珍. 认知行为疗法对轻度抑郁症患者应对方式及生活质量的影响[J]. 哈尔滨医药, 2021, 41(4): 124-125. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYY202104064.htm

    LI H Z, LIN X Z. Effects of cognitive behavioral therapy on coping style and quality of life in patients with mild depression[J]. Harbin Medical Journal, 2021, 41(4): 124-125. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYY202104064.htm
    [19] 张勤峰. 探讨认知行为疗法(CBT)在抑郁症维持治疗中的应用价值[J]. 心理月刊, 2021, 16(17): 32-34. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202117016.htm

    ZHANG Q F. To explore the application value of cognitive behavioral therapy (CBT) in maintenance treatment of depression[J]. Psychologies Magazine, 2021, 16(17): 32-34. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK202117016.htm
    [20] 张强. 认知行为疗法治疗精神分裂症的研究进展[J]. 中国民康医学, 2020, 32(6): 4-5. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMYX202006002.htm

    ZHANG Q. Research progress of cognitive behavioral therapy for schizophrenia[J]. Medical Journal of Chinese People' s Health, 2020, 32(6): 4-5. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMYX202006002.htm
    [21] 魏春燕, 赵东荣, 朱雅雯, 等. 团体认知行为疗法对住院精神分裂症患者自杀风险的干预效果观察[J]. 中国临床心理学杂志, 2021, 29(1): 195-199. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202101040.htm

    WEI C Y, ZHAO D R, ZHU Y W, et al. Group cognitive behavioral therapy for hospitalized schizophrenics observation of intervention effects on suicide risk[J]. Chinese Journal of Clinical Psychology, 2021, 29(1): 195-199. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202101040.htm
    [22] 丁红运, 刘军, 黄文广. 意念与模仿行为训练对精神分裂症患者的效果[J]. 国际精神病学杂志, 2021, 48(6): 1022-1024. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202106018.htm

    DING H Y, LIU J, HUANG W G. The influence of mentality and imitation behavior training on the patients with schizophrenia[J]. Journal Of International Psychiatry, 2021, 48(6): 1022-1024. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202106018.htm
    [23] 王志强, 郭志华, 憨广伶, 等. 认知行为治疗对社区精神分裂症患者的疗效[J]. 中国健康心理学杂志, 2015, 23(1): 16-19. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201501006.htm

    WANG Z Q, GUO Z H, HAN G L, et al. The Effects of Cognitive Behavioral Therapy for Schizophrenia in Community[J]. China Journal of Health Psychology, 2015, 23(1): 16-19. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201501006.htm
    [24] 胡宪章. 强迫性神经症的病因与治疗[J]. 新乡医学院学报, 2015, 32(5): 383-387. https://www.cnki.com.cn/Article/CJFDTOTAL-XXYX201505001.htm

    HU X Z. Etiology and treatment of obsessive-compulsive neurosis[J]. Journal of Xinxiang Medical University, 2015, 32(5): 383-387. https://www.cnki.com.cn/Article/CJFDTOTAL-XXYX201505001.htm
    [25] HEIERVANG E R, VILLABO M A, WERGELAND G J. Cognitive behavior therapy for child and adolescent anxiety disorders: An update on recent evidence[J]. Curr Opin Psychiatry, 2018, 31(6): 484-489.
    [26] 陈羿君, 刘培洁, 宋云萍. 认知行为改变策略对学习困难儿童社交焦虑的干预[J]. 心理研究, 2020, 13(1): 89-96. https://www.cnki.com.cn/Article/CJFDTOTAL-OXLY202001012.htm

    CHEN Y J, LIU P J, SONG Y P. Intervention effect of cognitive behavior modification on social anxiety of children with learning disability[J]. Psychological Research, 2020, 13(1): 89-96. https://www.cnki.com.cn/Article/CJFDTOTAL-OXLY202001012.htm
    [27] KURZ R, HUEMER J, MUCHITSCH E, et al. Cognitive behavioral therapy for children with autism spectrum disorder: A prospective observational study[J]. Eur J Paediatr Neurol, 2018, 22(5): 803-806.
    [28] 才娜, 陈晨, 郑雨潇, 等. 儿童自闭症综合干预效果及影响因素分析[J]. 现代预防医学, 2018, 45(8): 1405-1408. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201808016.htm

    CAI N, CHEN C, ZHENG Y X, et al. Research on the comprehensive intervention and influencing factors of children with autism[J]. Modern Preventive Medicine, 2018, 45(8): 1405-1408. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201808016.htm
    [29] SPRICH S E, SAFREN S A, FINKELSTEIN D, et al. A randomized controlled trial of cognitive behavioral therapy for ADHD in medication-treated adolescents[J]. Child Psychol Psychiatry, 2016, 57(11): 1218-1226.
    [30] FELIU-SOLER A, MONTESINOS F, SCOTT W, et al. Current status of acceptance and commitment therapy for chronic pain: A narrative review[J]. Pain Res, 2018, 11: 2145-2159.
    [31] BEEHLER G P, LOUGHRAN T A, KING P R, et al. Patients' perspectives of brief cognitive behavioral therapy for chronic pain: Treatment satisfaction, perceived utility, and global assessment of change[J]. Fam Syst Health, 2021, 39(2): 351-357.
    [32] 李彤. 综合干预联合认知行为疗法对甲状腺癌患者术后治疗期间依从性的影响[J]. 中华全科医学, 2017, 15(8): 1440-1443. doi: 10.16766/j.cnki.issn.1674-4152.2017.08.048

    LI T. The compliance effects of comprehensive intervention combined cognitive behavioral therapy for the treatment of thyroid cancer patients after surgery[J]. Chinese Journal of General Practice, 2017, 15(8): 1440-1443. doi: 10.16766/j.cnki.issn.1674-4152.2017.08.048
    [33] 张靖, 陈珏. 辩证行为疗法在进食障碍中的应用[J]. 精神医学杂志, 2018, 31(4): 312-315. https://www.cnki.com.cn/Article/CJFDTOTAL-SDJB201804022.htm

    ZHANG J, CHEN J. Dialectical behavior therapy in eating disorders[J]. Journal of Psychiatry, 2018, 31(4): 312-315. https://www.cnki.com.cn/Article/CJFDTOTAL-SDJB201804022.htm
    [34] AGRAS W S. Cognitive behavior therapy for the eating disorders[J]. Psychiatr Clin North Am, 2019, 42(2): 169-179.
    [35] SODERSTEN P, BERGH C, LEON M, et al. Cognitive behavior therapy for eating disorders versus normalization of eating behavior[J]. Physiol Behav, 2017, 174: 178-190.
    [36] 陶晶晶, 陈芳, 裴大军. 正念训练干预在失眠症患者中的应用[J]. 中华全科医学, 2017, 15(8): 1402-1406. doi: 10.16766/j.cnki.issn.1674-4152.2017.08.038

    TAO J J, CHEN F, PEI D J. Application of mindfulness training intervention in patients with insomnia[J]. Chinese Journal of General Practice, 2017, 15(8): 1402-1406. doi: 10.16766/j.cnki.issn.1674-4152.2017.08.038
    [37] 邵祥芸, 赵敏, 安瑞丽, 等. 认知行为疗法治疗慢性失眠临床疗效的系统评价和Meta分析[J]. 临床荟萃, 2019, 34(5): 447-454. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFC201905015.htm

    SHAO X Y, ZHAO M, AN R L, et al. Systematic review and meta-analysis: clinical effect of cognitive behavioral therapy on chronic insomnia[J]. Clinical Focus, 2019, 34(5): 447-454. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFC201905015.htm
    [38] 赵正卿, 李雁鹏, 向小霞, 等. 慢性失眠的发病机制与认知行为治疗[J]. 中国临床药理学与治疗学, 2021, 26(5): 482-486. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZL202105003.htm

    ZHAO Z Q, LI Y P, XIANG X X, et al. Pathophysiology and cognitive behavioral therapy of chronic insomnia[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2021, 26(5): 482-486. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZL202105003.htm
    [39] WEINER L, BERNA F, NOURRY N, et al. Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: The reduction of stress (REST) study protocol for a randomized controlled trial[J]. Trials, 2020, 21(1): 870.
    [40] BEDFORD S A, HUNSCHE M C, KERNS C M. Co-occurrence, assessment and treatment of obsessive compulsive disorder in children and adults with autism spectrum disorder[J]. Curr Psychiatry Rep, 2020, 22(10): 53.
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  • 收稿日期:  2021-10-12
  • 网络出版日期:  2022-11-30

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