摘要
目的:分析认知行为疗法(CBT)联合药物治疗与单纯使用药物治疗对广泛性焦虑干预的疗效。方法:对CBT和药物联合治疗与单纯使用药物治疗广泛性焦虑的对照研究进行回顾研究,使用Revman 5.3进行系统评价。结果:共获得7篇文献符合本文的元分析选择标准,被试人数共435人。7组数据比较了CBT和药物联合治疗与单独使用药物治疗广泛性焦虑的治愈率、显效率和有效率,结果显示,联合治疗组的治愈率(OR=2.69,Z=4.33,P<0.05)、显效率(OR=2.07,Z=3.58,P<0.05)与有效率(OR=3.11,Z=3.50,P<0.05)均优于单纯药物组。结论:在国内治疗广泛性焦虑中,认知行为疗法联合药物治疗8周后比单独使用药物治疗效果更好。
Objective ：To compare the efficacy of cognitive behavioral therapy （CBT）combined with pharmaco thera-py with the pharamaco therapy alone in the treatment of generalized anxiety disorder （GAD ） .Methods ：The study comparing the efficacy of cognitive behavioral therapy （CBT ）combined with pharmaco therapy in the treatment of generalized anxiety disorder（GAD）was systematically evaluated .The statistical analysis software Revman 5 .3 was used in meta - analysis .Results ：Seven studies were included in the meta - analysis ,including 435 patients with GAD . 7 sets of data compared the cure rate ,significant efficiency and total efficiency of combined therapy and pharmaco therapy alone .The results showed that combined therapy was superior to pharmaco therapy alone in cure rate （OR =2 .69 ,Z = 4 .33 ,P 〈 0 .05） ,significant efficiency （OR = 2 .07 ,Z = 3 .58 ,P 〈 0 .05）and total efficiency （OR = 3 .11 ,Z =3 .50 ,P 〈 0 .05） .Conclusion ：CBT combined with pharmaco therapy may be superior to pharmaco therapy alone in the treatment of generalized anxiety disorder（GAD）after 8 weeks＇treatment .
出处
《中国健康心理学杂志》
2017年第4期481-485,共5页
China Journal of Health Psychology
基金
广东省韶关市科技局项目(编号:2014CX/K336)
韶关市卫生计生科研项目(编号:Y14086)
关键词
广泛性焦虑
认知行为疗法
药物治疗
元分析
Generalized anxiety disorder
Cognitive behavioral therapy
Pharmaco therapy
Meta - analysis
