认知行为压力管理在冠心病患者中的研究进展
Research Progress of Cognitive Behavioral Stress Management in Patients with Coronary Heart Disease
DOI: 10.12677/acm.2025.1592610, PDF,   
作者: 王 敏:延安大学医学院,陕西 延安;高 峰*:延安大学附属医院心血管病中心,陕西 延安
关键词: 认知行为压力管理冠心病心理干预CBSM CHD Psychological Intervention
摘要: 冠心病(Coronary heart disease, CHD)作为目前全球主要的致死性疾病,其防治工作面临严峻挑战。随着医学模式从传统模式向生物–心理–社会医学模式的转变,心理社会因素在冠心病发生发展中的作用日益受到重视。认知行为压力管理(Cognitive behavioral stress management, CBSM)作为一种整合认知行为疗法和压力管理应对技术的干预方法,通过改善患者的认知模式和行为反应,在冠心病二级预防中展现出独特价值。本文旨在回顾CBSM的理论基础、核心内容、实施方式、临床效果及作用机制等方面的研究进展,为临床实践提供参考依据。
Abstract: As the main fatal disease in the world, the prevention and treatment of coronary heart disease (CHD) is facing severe challenges. With the transformation of medical model from traditional model to bio-psychological-social medical model, the role of psychosocial factors in the occurrence and development of coronary heart disease has been paid more and more attention. Cognitive behavioral stress management (CBSM), as an intervention method integrating cognitive behavioral therapy and stress management coping techniques, shows unique value in the secondary prevention of coronary heart disease by improving patients’ cognitive patterns and behavioral responses. The purpose of this paper is to review the theoretical basis, core content, implementation mode, clinical effect and mechanism of CBSM, and provide reference for clinical practice.
文章引用:王敏, 高峰. 认知行为压力管理在冠心病患者中的研究进展[J]. 临床医学进展, 2025, 15(9): 1195-1200. https://doi.org/10.12677/acm.2025.1592610

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