دانلود مقاله ISI انگلیسی شماره 69811
عنوان فارسی مقاله

درمان پزشکی (فلوکستین) و روانشناسی (درمان شناختی رفتاری) برای اختلال ملال پیش از قاعدگی: مطالعه فرایند درمان

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
69811 2002 7 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Medical (fluoxetine) and psychological (cognitive–behavioural therapy) treatment for premenstrual dysphoric disorder: A study of treatment processes
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Journal of Psychosomatic Research, Volume 53, Issue 3, September 2002, Pages 811–817

کلمات کلیدی
درمان شناختی-رفتاری؛ علائم قبل از قاعدگی - روند؛ روانشناسی؛ درمان
پیش نمایش مقاله
پیش نمایش مقاله درمان پزشکی (فلوکستین) و روانشناسی (درمان شناختی رفتاری) برای اختلال ملال پیش از قاعدگی: مطالعه فرایند درمان

چکیده انگلیسی

Objectives: To investigate (i) the differential changes in premenstrual symptoms, mood, cognitions, and coping strategies during two treatments [cognitive–behavioural therapy (CBT) and fluoxetine] for premenstrual dysphoric disorder (PMDD) and (ii) the characteristics of those with good vs. poor outcome post treatment and at 1 year follow-up. Methods: Premenstrual symptoms, mood (Hospital Anxiety and Depression Scale, HADS), causal attributions, and use of cognitive and behavioural coping strategies were examined during 6 months of both treatments. The two treatment groups were then combined and divided on the basis of good vs. poor outcome posttreatment and at 1 year follow-up. Baseline measures were used to predict posttreatment outcome, and baseline and posttreatment measures were examined when attempting to predict outcome at 1 year follow-up. Results: Both treatments were equally effective at the end of 6 months (prospective daily diary measure). Fluoxetine treatment had a more rapid effect and greater impact upon anxiety symptoms, while CBT was associated with increased use of cognitive and behavioural coping strategies and a shift from a biomedical to a biopsychosocial causal attribution of premenstrual symptoms. Depressed mood at baseline assessment was associated with poorer response to both treatments, and learning active behavioural coping strategies was associated with a good outcome at 1 year follow-up. Conclusion: These results provide evidence of differential treatment effects of fluoxetine and CBT for PMDD and offer information that will enhance clinical decision-making.

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