国内服刑人员广泛性焦虑认知行为治疗的循证实践：一项元分析和随机对照实验-教育学专业论文.docx

个月时，CBT组的疗效显著高于沙盘疗法的效果。 个月时，CBT组的疗效显著高于沙盘疗法的效果。 治疗结束后1个月，四组在SAS总分(F=36．18，Po．01)和 SCL．90焦虑因子分(F=40．66，PO．01)维度均有显著统计学差异。 得分从低到高分别为CBT组、sP组、PP组、WL组，说明CBT组的 疗效和沙盘疗法的疗效均保持较好。 结论： l、基于现有文献的元分析表明认知行为疗法是焦虑最佳疗法。 2、认知行为治疗对服刑人员广泛性焦虑疗效优于沙盘疗法。 3、认知行为疗法复发率高于沙盘疗法，认知行为疗法是否拥有 最佳疗效需要进一步研究。 关键词：循证实践广泛性焦虑障碍认知行为疗法 III 万方数据 AbstractObjectives Abstract Objectives 1．Analyse the efficacy of Cognitive,behavior therapy(CBT)in the treatment of Generalized anxiety disorders(CAD)by Systematic review／Meta-analysis． 2．Observe the effectiveness of CBT and Sandplay therapy(SP) in the treatment of prisoners’GAD by an RCT． 3．Find out the evidence by applying Evidence-based Psychotherapy(EBP)in the treatment of prisoners’anxiety． Methods 1．Evaluate the treatment of GAD by using Systematic reviews． Firstly,consult the existing Meta-analysis in the treatment of GAD． Secondly,search the articles about RCT which are embodied in the databases such as CⅫq，VIP WANFANG DATA till Oct．30，201 4． Thirdly,search the firsthand research literature in the prison．Use Endnote x6 for literature management,Jadad and Cochrance Handbook(2008)in the assessment of the study’S quality,and use Review Manage 5．3 for statistical analysis． 2．Clinical RCT of CBT and SP for GAD．Divide the 1 32 subjects that accord condition into 4 groups according to SPSS， namely the CBT group，SP group，Waiting list(WL)group and Psychological placebo(PP)group．Subjects in the CBT and SP group accept psychological treatment 20 times，and subjects in the、札 group accept no treatment，and the PP group accept comfort talk．In the first month，treatment are conducted for 3 times every week． W 万方数据 During During the second and廿lird month for l time every week．And each time，the treatment lasts for 60 minutes．Make evaluation according SCL-90 and SAS at 5 time points：the first evaluation is made before the experiment,the second to the fourth evaluation is made every month during the treatment，and the last evaluation is made one month after the treatment iS fin