Prospective relations between anxiety sensitivity and transdiagnostic anxiety following cognitive-behavioral therapy: Evidence from the Coordinated Anxiety Learning management trial.
Prospective relations between anxiety sensitivity and transdiagnostic anxiety following cognitive-behavioral therapy: Evidence from the Coordinated Anxiety Learning management trial.
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认知行为治疗后焦虑敏感性与跨诊断焦虑之间的前瞻性关系：来自协调焦虑学习管理试验的证据。
DOI：
10.1016/j.brat.2022.104119
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发表时间：
2022
影响因子：
4.1
通讯作者：
Bomyea,Jessica
中科院分区：
文献类型：
--
作者：
Hunt,Christopher;Campbell-Sills,Laura;Chavira,Denise;Craske,Michelle;Sherbourne,Cathy;Sullivan,Greer;Roy-Byrne,Peter;Stein,MurrayB;Bomyea,Jessica
先前的研究表明，焦虑敏感性（AS）的降低（即害怕与焦虑相关的感觉的倾向）对于焦虑认知行为疗法（CBT）期间的改变至关重要。然而，AS 与 CBT 后焦虑症状缓解的关系仍然很大程度上未知。为了弥补这一差距，当前的研究在完成协调焦虑学习和管理（CALM）研究后评估了 AS 与各种焦虑症症状之间的前瞻性关联，该研究是一项大型临床试验，评估了初级保健中简短的、计算机辅助的 CBT 干预对跨诊断焦虑的疗效。参与者被随机分配接受 CALM (n= 460) 或对照治疗 (n= 501)，并在治疗前以及 6 个月、12 个月和 18 个月随访时完成一般焦虑症状和特定疾病焦虑症状的自我报告测量。使用交叉滞后面板模型评估不同时间点和每个治疗组内 AS 与每个焦虑测量值之间的纵向关系。结果表明，CALM 后较高的 AS 预示着除社交焦虑症状外的所有焦虑症状在随后的时间点会出现更大的焦虑症状。治疗后较高的焦虑也预示着以后的 AS。这些发现表明 AS 是跨诊断焦虑缓解的一个指标，并表明针对 AS 可能有助于减少 CBT 后的临床焦虑复发。
Previous research has implicated reductions in anxiety sensitivity (AS) – the dispositional tendency to fear anxiety-related sensations – as critical to change during cognitive behavioral therapy (CBT) for anxiety. However, the relationship of AS to anxiety symptom remittance following CBT remains largely unknown. To address this gap, the current study evaluated prospective associations between AS and symptoms of various anxiety disorders following completion of the Coordinated Anxiety Learning and Management (CALM) study– a large clinical trial evaluating the efficacy of a brief, computer-facilitated CBT intervention for transdiagnostic anxiety within primary care. Participants were randomized to CALM (n= 460) or a control treatment (n= 501) and completed self-report measures of general and disorder-specific anxiety symptoms at pretreatment and at 6-month, 12-month, and 18-month follow-up. Longitudinal relations between AS and each anxiety measure across timepoints and within each treatment group were assessed using cross-lagged panel models. Results indicated that higher AS following CALM predicted greater anxiety symptoms at the subsequent timepoint for all anxiety symptoms except social anxiety symptoms. Higher anxiety following treatment also predicted later AS. These findings implicate AS as an indicator of transdiagnostic anxiety remittance and suggest that targeting AS could be useful for reducing clinical anxiety relapse following CBT.
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影响因子：
17.7
作者：
Shear, MK;Brown, TA;Papp, LA
通讯作者：
Papp, LA
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DOI：
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发表时间：
1995
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影响因子：
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作者：
M. Otto;M. Pollack;M. Fava;R. Uccello;J. Rosenbaum
通讯作者：
J. Rosenbaum
影响因子：
4.1
作者：
Ali, Shehzad;Rhodes, Laura;Delgadillo, Jaime
通讯作者：
Delgadillo, Jaime
加藤博文：假肢15（1）183-185（1986）。
DOI：
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发表时间：
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作者：
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DOI：
10.1016/j.ijchp.2018.04.001
发表时间：
2018-09
期刊：
International journal of clinical and health psychology : IJCHP
影响因子：
--
作者：
Ho SMY;Dai DWT;Mak C;Liu KWK
通讯作者：
Liu KWK