Anxiety Sensitivity and Panic Disorder: Evaluation of the Impact of Cognitive-Behavioral Group Therapy
Anxiety Sensitivity and Panic Disorder: Evaluation of the Impact of Cognitive-Behavioral Group Therapy
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DOI：
10.1080/01612840.2020.1780527
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发表时间：
2020-07-08
影响因子：
2.1
通讯作者：
Heldt, Elizeth
中科院分区：
文献类型：
--
作者：
Behenck, Andressa da Silva;Wesner, Ana Cristina;Heldt, Elizeth
焦虑敏感性（AS）是一个与恐慌症（PD）症状的病因和维持相关的多维结构。然而，只有少数研究评估了认知行为团体疗法（CBGT）是否可以改善这种状况。本研究的目的是评估CBGT对PD患者AS的影响，并分析AS及其维度作为CBGT反应的预测因子。在本临床试验中，干预组（n = 37）参加了12次CBGT会议，而对照组（n = 52）没有接受任何干预。干预组在CBGT治疗前、后进行症状和AS严重程度评估，对照组进行一次评估。所有特定PD症状以及一般焦虑和抑郁症状均出现显著改善。此外，干预后AS评分显着降低。本研究证实，AS在更严重的PD患者中更高。还观察到CBGT在减少AS的身体、认知和社会方面的有效性，支持治疗的积极影响的假设。
Anxiety sensitivity (AS) is a multidimensional construct associated with the etiology and maintenance of panic disorder (PD) symptoms. However, only a few studies have evaluated whether cognitive-behavioral group therapy (CBGT) can modify the condition. The objective of this study was to evaluate the impact of CBGT on AS in patients with PD and to analyze AS and its dimensions as predictors of response to CBGT. In the present clinical trial, an intervention group (n = 37) attended 12 CBGT sessions, while a control group (n = 52) did not receive any intervention. The severity of symptoms and of AS were evaluated before and after CBGT in the intervention group and once in the control group. Significant improvement occurred in all specific PD symptoms and in general anxiety and depressive symptoms. Furthermore, AS scores reduced significantly after intervention. This study confirmed that AS is higher in patients with more severe PD. The effectiveness of CBGT for reducing the physical, cognitive, and social dimensions of AS was also observed, supporting the hypothesis of a positive impact of therapy.