- 1 ：優しい名無しさん：2006/09/10(日) 18:01:53 ID:Pf/UaCs5
- 75 ：優しい名無しさん：2006/11/01(水) 17:33:47 ID:3FOuQjTB
- Goldstein LH,Deale AC,Mitchell-O'Malley SJ,Toone BK,Mellers JD.
An evaluation of cognitive behavioral therapy as a treatment for dissociative seizures: a pilot study.
Cognitive and behavioral neurology. 2004 Mar;17(1):41-9.
OBJECTIVE: To evaluate in an open trial the effectiveness of cognitive
behavioral therapy as a treatment of adults with dissociative seizures (i.e.,
BACKGROUND: Although suggestions have been made concerning the management of
patients with dissociative seizures, no studies have previously evaluated the
systematic use of cognitive behavioral therapy in the treatment of this
METHOD: Twenty patients diagnosed with dissociative seizures were offered
treatment comprising 12 sessions of cognitive behavioral therapy. Principal
outcome measures were dissociative seizure frequency and psychosocial
functioning, including improvement in employment status and mood. Measures
were administered before treatment, at the end of treatment, and at a 6-month
RESULTS: Treatment was completed by 16 patients (questionnaire measures were
not available for 4 patients who discontinued treatment). Following treatment,
there was a highly significant reduction in seizure frequency and an
improvement in self-rated psychosocial functioning. These improvements were
maintained at the 6-month follow-up. There was also a tendency for patients to
have improved their employment status between the start of treatment and the 6
-month follow-up period.
CONCLUSIONS: In this open prospective trial, cognitive behavioral therapy was
associated with a reduction in dissociative seizure frequency and an
improvement in psychosocial functioning in adults with dissociative seizures.
PMID: 15209224 [PubMed - indexed for MEDLINE]
- 76 ：優しい名無しさん：2006/11/01(水) 17:40:50 ID:3FOuQjTB
- Von Hiller W.
[Somatization -- conversion -- dissociation: strategies for behavior therapy][Article in German]
Zeitschrift fu¨r Psychosomatische Medizin und Psychotherapie. 2005;51(1):4-22.
Modern cognitive behavioral approaches for the treatment of patients with
medically unexplained somatic symptoms have been developed on the basis of the
classification systems DSM-IV and ICD-10. These systems define somatoform
disorders as a homogeneous clinical group. Behavior therapy has additionally
developed vicious circle models specifying etiological, triggering and
maintaining factors. Treatment goals and strategies can be derived directly
from these models. The main components are: (1) motivation of patients to
accept the psychotherapeutic approach; (2) introduction of alternative
explanations of the symptoms on the basis of both biomedical as well as
psychosocial mechanisms; (3) evaluation of the new explanations by patient and
therapist; (4) reduction of avoidance and inadequate illness behaviour. Health
economical aspects are particularly important because patients with somatoform
disorders tend to overuse medical services and are thus considered an
expensive problem group for the health system.
PMID: 15834837 [PubMed - indexed for MEDLINE]
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