{"id":2772,"date":"2018-10-29T10:34:24","date_gmt":"2018-10-29T08:34:24","guid":{"rendered":"https:\/\/news.ubbcluj.ro\/hu\/?p=2772"},"modified":"2018-10-29T10:37:07","modified_gmt":"2018-10-29T08:37:07","slug":"mert-tekintheto-a-kognitiv-viselkedesterapia-a-pszichoterapia-aranystandardjanak","status":"publish","type":"post","link":"https:\/\/news.ubbcluj.ro\/hu\/mert-tekintheto-a-kognitiv-viselkedesterapia-a-pszichoterapia-aranystandardjanak\/","title":{"rendered":"M\u00e9rt tekinthet\u0151 a kognit\u00edv viselked\u00e9ster\u00e1pia a pszichoter\u00e1pia aranystandardj\u00e1nak?[*]"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>A BBTE Pszichoter\u00e1piai \u00e9s Alkalmazott Eg\u00e9szs\u00e9gpszichol\u00f3giai Tanulm\u00e1nyok Nemzetk\u00f6zi Int\u00e9zet\u00e9nek igazgat\u00f3ja, Daniel David ir\u00e1ny\u00edt\u00e1s\u00e1val k\u00e9sz\u00fclt tanulm\u00e1ny amellett \u00e9rvel, hogy pillanatnyilag nincs a pszichoter\u00e1pi\u00e1s kezel\u00e9sek ter\u00e9n olyan m\u00f3dszer, amely megingatn\u00e1 a kognit\u00edv viselked\u00e9ster\u00e1pia aranystandard st\u00e1tus\u00e1t.<\/strong><\/p>\n<p style=\"text-align: justify;\">Aaron Beck amerikai pszichi\u00e1ter az 1960-as \u00e9vekben fektette le a kognit\u00edv viselked\u00e9ster\u00e1pia alapjait. A m\u00f3dszer arra alapoz, hogy \u00e9rzelmi reakci\u00f3inkat \u00e9s viselked\u00e9s\u00fcnket szeml\u00e9letm\u00f3dunk hat\u00e1rozza meg. A negat\u00edv \u00e9rzelmi \u00e1llapotok az\u00e9rt jelentkeznek, mert az inform\u00e1ci\u00f3feldolgoz\u00e1sban be\u00e1ll\u00f3 zavarok miatt az esem\u00e9nyek \u00e9s t\u00f6rt\u00e9n\u00e9sek torz jelent\u00e9st nyernek. A ter\u00e1pia sor\u00e1n ezeket a torz\u00edtott gondolatokat, valamint az ezek m\u00f6g\u00f6tt h\u00faz\u00f3d\u00f3 t\u00e9ves v\u00e9leked\u00e9seket, hiedelmeket pr\u00f3b\u00e1lj\u00e1k felismertetni a szakemberek.<\/p>\n<p style=\"text-align: justify;\">A tanulm\u00e1ny azokra a tudom\u00e1nyosan nem megalapozott vagy k\u00e9tes megalapozotts\u00e1g\u00fa v\u00e1dakra reag\u00e1l, melyek a kognit\u00edv viselked\u00e9ster\u00e1pi\u00e1t a pszichoter\u00e1pi\u00e1s kezel\u00e9sek ter\u00fclet\u00e9n m\u00e1r nem l\u00e1tj\u00e1k alkalmasnak az aranystandard szerep bet\u00f6lt\u00e9s\u00e9re.<\/p>\n<p style=\"text-align: justify;\">A kognit\u00edv viselked\u00e9ster\u00e1pia st\u00e1tus\u00e1t \u00e9rint\u0151 v\u00e1dak k\u00f6z\u00f6tt visszat\u00e9r\u0151nek sz\u00e1m\u00edt az, mely szerint az ide sorolhat\u00f3 vizsg\u00e1latok egy r\u00e9sze gyenge min\u0151s\u00e9g\u0171 \u00f6sszehasonl\u00edt\u00e1sokat tartalmaz, vagyis nem akt\u00edv kontrollcsoportok eredm\u00e9nyei alapj\u00e1n, hanem v\u00e1r\u00f3list\u00e1s p\u00e1ciensek bevon\u00e1s\u00e1val m\u00e9ri a kezel\u00e9sek hat\u00e9konys\u00e1g\u00e1t. Pim Cujipers \u00e9s t\u00e1rsai bizony\u00edt\u00e1s\u00e1ra v\u00e1laszolva a szerz\u0151k elismerik, hogy a kognit\u00edv viselked\u00e9ster\u00e1pia ter\u00fclet\u00e9n is el\u0151fordulnak gyenge min\u0151s\u00e9g\u0171 (p\u00e9ld\u00e1ul nem akt\u00edv kontrollcsoportot alkalmaz\u00f3) vagy a kezel\u00e9s alacsony hat\u00e1sfok\u00e1r\u00f3l tan\u00faskod\u00f3 vizsg\u00e1latok. Ugyanakkor hozz\u00e1teszik, hogy a Cujipers\u00e9k metavizsg\u00e1lataiban szerepl\u0151 egy\u00e9b pszichoter\u00e1pi\u00e1s kutat\u00e1sok (pl. a pszichodinamikus ter\u00e1pia) az akt\u00edv kontrollcsoportok sz\u00e1ma, illetve a min\u0151s\u00e9g szempontj\u00e1b\u00f3l tov\u00e1bbra is j\u00f3csk\u00e1n alulmaradnak a kognit\u00edv viselked\u00e9ster\u00e1pi\u00e1s kutat\u00e1sokkal szemben. Tov\u00e1bb\u00e1 f\u00f6lvetik a k\u00e9rd\u00e9st, hogy a kognit\u00edv viselked\u00e9ster\u00e1pia sor\u00e1n olykor beismerten alacsonynak bizonyul\u00f3 hat\u00e1sfok nem \u00e9pp a kognit\u00edv viselked\u00e9ster\u00e1pia ter\u00fclet\u00e9n zajl\u00f3 kutat\u00e1sok \u00f6nmagukkal szembeni szigor\u00e1r\u00f3l tan\u00faskodik-e, illetve nem kellene-e sz\u00e1m\u00edt\u00e1sba venni, hogy a kezdetben alacsony hat\u00e1sfok kumulat\u00edv jelleg\u0171 is lehet, azaz hossz\u00fa t\u00e1von megn\u00f6vekedhet.<\/p>\n<p style=\"text-align: justify;\">A kognit\u00edv viselked\u00e9ster\u00e1pia a pszichoter\u00e1pi\u00e1s kutat\u00e1sok k\u00f6zt az els\u0151 szigor\u00fa \u00f6sszehasonl\u00edt\u00e1si krit\u00e9riumok szerint (pl. randomiz\u00e1lt kontroll\u00e1lt vizsg\u00e1latokkal) tesztelt, empirikusan al\u00e1t\u00e1masztott, bizony\u00edt\u00e9kalap\u00fa (evidence based) kezel\u00e9sm\u00f3d. \u00d6tv\u00f6zi a transzdiagnosztikus \u00e9s a szem\u00e9lyk\u00f6zpont\u00fa megk\u00f6zel\u00edt\u00e9st, szorosan \u00f6sszehangolja a ter\u00e1pi\u00e1s technik\u00e1t, a kezel\u00e9si folyamatot \u00e9s a p\u00e1ciensk\u00f6zpont\u00fa szeml\u00e9letet. Jelenleg nem l\u00e9tezik olyan pszichoter\u00e1pia, melynek elm\u00e9leti alapjait ilyen m\u00e9rt\u00e9kben \u00e9s sz\u00e1mban t\u00e1masztan\u00e1k al\u00e1 klinikai kutat\u00e1sok. M\u00edg sz\u00e1mos ter\u00e1pia szinte alig v\u00e1ltozott l\u00e9trej\u00f6tte \u00f3ta, a kognit\u00edv viselked\u00e9ster\u00e1pia egy dinamikusan fejl\u0151d\u0151, folyamatosan kutatott ter\u00fclet, mely ir\u00e1nyults\u00e1g\u00e1ban \u00f6sszhangban \u00e1ll a kort\u00e1rs elme- \u00e9s viselked\u00e9studom\u00e1ny legaktu\u00e1lisabb \u00e1ramlataival, \u00edgy p\u00e9ld\u00e1ul az inform\u00e1ci\u00f3feldolgoz\u00e1si paradigm\u00e1val. Nem v\u00e9letlen teh\u00e1t, hogy az Eg\u00e9szs\u00e9g \u00e9s Klinikai Kiv\u00e1l\u00f3s\u00e1g Nemzeti Int\u00e9zete (NICE), valamint az Amerikai Pszichol\u00f3giai Egyes\u00fclet (APA) egyar\u00e1nt elismeri \u00e9s ir\u00e1nyelvei k\u00f6z\u00e9 emeli m\u00f3dszereit.<\/p>\n<p>[* ] Daniel David, Ioana Cristea, Stefan G. Hofmann (2018): Why Cognitive Behavioral Therapy Is the Current Gold Standard of Psychotherapy. <em>Frontiers in Psychiatry<\/em>, 9\/4, doi: 10.3389\/fpsyt.2018.00004<\/p>\n<figure id=\"attachment_2773\" aria-describedby=\"caption-attachment-2773\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/news.ubbcluj.ro\/hu\/wp-content\/uploads\/2018\/10\/Clipboard01-6.jpg\" data-rel=\"lightbox-gallery-q4N7F7Gj\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2773 size-full\" src=\"https:\/\/news.ubbcluj.ro\/hu\/wp-content\/uploads\/2018\/10\/Clipboard01-6.jpg\" alt=\"\" width=\"400\" height=\"400\" data-id=\"2773\" srcset=\"https:\/\/news.ubbcluj.ro\/hu\/wp-content\/uploads\/2018\/10\/Clipboard01-6.jpg 400w, https:\/\/news.ubbcluj.ro\/hu\/wp-content\/uploads\/2018\/10\/Clipboard01-6-200x200.jpg 200w, https:\/\/news.ubbcluj.ro\/hu\/wp-content\/uploads\/2018\/10\/Clipboard01-6-300x300.jpg 300w, https:\/\/news.ubbcluj.ro\/hu\/wp-content\/uploads\/2018\/10\/Clipboard01-6-150x150.jpg 150w, https:\/\/news.ubbcluj.ro\/hu\/wp-content\/uploads\/2018\/10\/Clipboard01-6-100x100.jpg 100w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/a><figcaption id=\"caption-attachment-2773\" class=\"wp-caption-text\">(A kognit\u00edv viselked\u00e9ster\u00e1pia modellje. Forr\u00e1s: www.medikoe.com)<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A BBTE Pszichoter\u00e1piai \u00e9s Alkalmazott Eg\u00e9szs\u00e9gpszichol\u00f3giai Tanulm\u00e1nyok Nemzetk\u00f6zi Int\u00e9zet\u00e9nek igazgat\u00f3ja, Daniel David ir\u00e1ny\u00edt\u00e1s\u00e1val k\u00e9sz\u00fclt tanulm\u00e1ny amellett \u00e9rvel, hogy pillanatnyilag nincs a pszichoter\u00e1pi\u00e1s kezel\u00e9sek ter\u00e9n olyan m\u00f3dszer, amely megingatn\u00e1 a kognit\u00edv viselked\u00e9ster\u00e1pia aranystandard st\u00e1tus\u00e1t. Aaron Beck amerikai pszichi\u00e1ter az 1960-as \u00e9vekben &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/news.ubbcluj.ro\/hu\/mert-tekintheto-a-kognitiv-viselkedesterapia-a-pszichoterapia-aranystandardjanak\/\"> <span class=\"screen-reader-text\">M\u00e9rt tekinthet\u0151 a kognit\u00edv viselked\u00e9ster\u00e1pia a pszichoter\u00e1pia aranystandardj\u00e1nak?[*]<\/span> Tov\u00e1bb &raquo;<\/a><\/p>\n","protected":false},"author":9,"featured_media":2773,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52,12],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.9.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>M\u00e9rt tekinthet\u0151 a kognit\u00edv viselked\u00e9ster\u00e1pia a pszichoter\u00e1pia aranystandardj\u00e1nak?[*] - Kommunik\u00e1ci\u00f3 \u00e9s PR iroda<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.ubbcluj.ro\/hu\/mert-tekintheto-a-kognitiv-viselkedesterapia-a-pszichoterapia-aranystandardjanak\/\" \/>\n<meta property=\"og:locale\" content=\"hu_HU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u00e9rt tekinthet\u0151 a kognit\u00edv viselked\u00e9ster\u00e1pia a pszichoter\u00e1pia aranystandardj\u00e1nak?[*] - Kommunik\u00e1ci\u00f3 \u00e9s PR iroda\" \/>\n<meta property=\"og:description\" content=\"A BBTE Pszichoter\u00e1piai \u00e9s Alkalmazott Eg\u00e9szs\u00e9gpszichol\u00f3giai Tanulm\u00e1nyok Nemzetk\u00f6zi Int\u00e9zet\u00e9nek igazgat\u00f3ja, Daniel David ir\u00e1ny\u00edt\u00e1s\u00e1val k\u00e9sz\u00fclt tanulm\u00e1ny amellett \u00e9rvel, hogy pillanatnyilag nincs a pszichoter\u00e1pi\u00e1s kezel\u00e9sek ter\u00e9n olyan m\u00f3dszer, amely megingatn\u00e1 a kognit\u00edv viselked\u00e9ster\u00e1pia aranystandard st\u00e1tus\u00e1t. 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