COMPARISON OF COGNITIVE THERAPY AND RELAXATION TRAINING FOR PANIC DISORDER
COMPARISON OF COGNITIVE THERAPY AND RELAXATION TRAINING FOR PANIC DISORDER
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DOI：
10.1037/0022-006x.62.4.818
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发表时间：
1994-08-01
影响因子：
5.9
通讯作者：
AVERILL, PM
中科院分区：
文献类型：
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作者：
BECK, JG;STANLEY, MA;AVERILL, PM
目前治疗惊恐障碍（PD）的方法包括由放松训练（RT）、认知疗法（CT）和基于焦虑的成分组成的治疗包。在检查RT和CT的单独作用时，没有正式教导任何形式的暴露，64名PD患者被随机分配到这些治疗方案之一或最小接触对照（MCC）条件。RT和CT在与恐慌、整体心理功能、广场恐惧和其他相关恐惧有关的各种指标上均上级MCC条件。与对照组（36%）相比，CT（82%）和RT（68%）后归类为治疗应答者（基于复合指数）的患者百分比显著更高。在广场恐惧的测量中，CT患者的表现略好于RT患者。CT后的特定认知变化得到了一定的支持，尽管总体上没有强烈支持治疗特异性。这些结果进行了讨论，根据目前的理论PD和假定的重要性，暴露在其治疗。
Current approaches to the treatment of panic disorder (PD) include a treatment package consisting of relaxation training (RT), cognitive therapy (CT), and exposure-based components. In an examination of the separate effects of RT and CT without formally taught exposure of any form, 64 PD patients were assigned randomly to one of these treatment protocols or to a minimal-contact control (MCC) condition. Both RT and CT were superior to the MCC condition on a variety of measures pertaining to panic, global psychological functioning, agoraphobic fear, and other associated fears. A significantly greater percentage of patients were classified as treatment responders (based on a composite index) after CT (82%) and RT (68%), compared with the control group (36%). On measures of agoraphobic fear, CT patients fared slightly better than RT patients. Some support was demonstrated for specific cognitive changes after CT, although treatment specificity was not strongly supported overall. These results are discussed in light of current theories of PD and the presumed importance of exposure in its treatment.