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Patterns of depressive symptom remission during the treatment of seasonal affective disorder with cognitive‐behavioral therapy or light therapy

机译：治疗认知行为治疗或轻疗法治疗季节性情感障碍期间抑郁症状缓解的模式

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Background >To elucidate mechanisms related to remission in winter seasonal affective disorder (SAD), we explored the course of individual depressive symptom offset across two distinct treatment modalities that show comparable outcomes at treatment endpoint: cognitive‐behavioral therapy for SAD (CBT‐SAD) and light therapy (LT). </section> <section xml:id="da22739-sec-0020"> <title type="main">Method > One hundred seventy‐seven adults with SAD in a depressive episode were randomized to 6‐weeks of CBT‐SAD ( n? =?88) or LT ( n? =?89). Symptoms were assessed via the 29‐item Structured Interview Guide for the Hamilton Rating Scale for Depression‐SAD Version (SIGH‐SAD) at pretreatment and weekly during treatment. Survival analyses were conducted for the 17 SIGH‐SAD items endorsed by more than 40 participants at pretreatment. Within each of the included symptoms, data from participants who endorsed the symptom at pretreatment and who had 3 or fewer weeks missing were included. </section> <section xml:id="da22739-sec-0030"> <title type="main">Results >For most (13/17; 76%) symptoms, CBT‐SAD and LT did not differ in time to remission. However, for four symptoms (early insomnia, psychic anxiety, hypersomnia, and social withdrawal), LT led to symptom remission more quickly than CBT‐SAD. </section> <section xml:id="da22739-sec-0040"> <title type="main">Conclusions >Symptom remission progressed comparably across CBT‐SAD and LT for most symptoms. Despite the fact that the two treatments led to similar remission rates and improvements at treatment endpoint, for early insomnia, psychic anxiety, hypersomnia, and social withdrawal, L </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract Type =“main”XML：lang =“en”> <第XML：ID =“da22739-sec-0010”> <标题类型=“main”>背景</ title> >才能阐明相关的机制在冬季季节性情感障碍（SAD）中缓解，我们探讨了在治疗终点的两种不同治疗方式中探讨了个体抑郁症状偏移的过程：悲伤（CBT-SAD）和光疗法（LT）的认知行为疗法。 </ p> </ section> <section xml：id =“da22739-sec-0020”> <标题类型=“main”>方法</ title> >一百七十七名成年人在抑郁症中悲伤被随机化至6周的CBTR-SAD（ n = = =α88）或LT（ n = = =Δ89）。症状通过29项结构化访谈指南评估了汉密尔顿评级规模的抑郁症悲伤版（Sigh-Sad）在预处理期间和每周治疗期间。在预处理以超过40名参与者认可的17项以超过40名参与者的患者进行了存活分析。在所有症状中，包括在预处理的预处理症状且缺少3个或更少周丢失的参与者的数据。 </ p> </ section> <section XML：ID =“DA22739-SEC-0030”> <标题类型=“main”>结果</ title> >对于大多数（13/17; 76％）症状， CBT-SAD和LT在缓解时没有差别。然而，对于四种症状（早期失眠，心理焦虑，高亢和社交撤退），LT比CBT-SAD更快地导致症状缓解。</ p> </ section> <section XML：ID =“DA22739-SEC- 0040“> <标题类型=”main“>结论</ title> >症状缓解在CBT-SAD和LT最令人症状上进行了相对进展。尽管这两种治疗导致治疗终点的相似缓解率和改善，但对于早期失眠，心理焦虑，高亢和社会撤回，L </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32884/'>《Depression and anxiety》</a> <b style="margin: 0 2px;">|</b><span>2018年第5期</span><b style="margin: 0 2px;">|</b><span>共11页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Meyerhoff Jonah&option=202" target="_blank" rel="nofollow">Meyerhoff Jonah;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Young Michael A.&option=202" target="_blank" rel="nofollow">Young Michael A.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Rohan Kelly J.&option=202" target="_blank" rel="nofollow">Rohan Kelly J.;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Department of Psychological ScienceUniversity of VermontBurlington VT USA;</p> <p>Department of PsychologyIllinois Institute of TechnologyChicago IL USA;</p> <p>Department of Psychological ScienceUniversity of VermontBurlington VT USA;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span>R749.72; </span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=cognitive‐behavioral therapy&option=203" rel="nofollow">cognitive‐behavioral therapy;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=depressive symptom course&option=203" rel="nofollow">depressive symptom course;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=light therapy&option=203" rel="nofollow">light therapy;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=remission&option=203" rel="nofollow">remission;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=seasonal affective disorder&option=203" rel="nofollow">seasonal affective disorder;</a> </p> <div class="translation"> 机译：认知行为疗法;抑郁症状疗程;光疗法;缓解;季节性情感障碍; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> <li >中文文献</li> <li >专利</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704025195602.html">Patterns of depressive symptom remission during the treatment of seasonal affective disorder with cognitive‐behavioral therapy or light therapy</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Meyerhoff Jonah&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Meyerhoff Jonah,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Young Michael A.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Young Michael A.,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Rohan Kelly J.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Rohan Kelly J. </a> <a href="/journal-foreign-32884/" target="_blank" rel="nofollow" class="tuijian_authcolor">Depression and anxiety .</a> <span>2018</span><span>,第5期</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：治疗认知行为治疗或轻疗法治疗季节性情感障碍期间抑郁症状缓解的模式</span> </p> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704014041135.html">Treatment Expectations for Cognitive-Behavioral Therapy and Light Therapy for Seasonal Affective Disorder: Change Across Treatment and Relation to Outcome</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Meyerhoff Jonah&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Meyerhoff Jonah,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Rohan Kelly J.&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Rohan Kelly J. </a> <a href="/journal-foreign-34064/" target="_blank" rel="nofollow" class="tuijian_authcolor">Journal of consulting and clinical psychology .</a> <span>2016</span><span>,第10期</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：季节性情感障碍认知行为疗法和轻疗法的治疗期望：治疗方法的变化及其与结果的关系</span> </p> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/070401602762.html">Cognitive Change Across Cognitive-Behavioral and Light Therapy Treatments for Seasonal Affective Disorder: What Accounts for Clinical Status the Next Winter?</a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Maggie Evans&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Maggie Evans,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Kelly J. 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