Promoting walking as an adjunct intervention to group cognitive behavioral therapy for an anxiety disorders - A pilot group randomized trial

Promoting walking as an adjunct intervention to group cognitive behavioral therapy for an anxiety disorders - A pilot group randomized trial
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DOI:
10.1016/j.janxdis.2007.09.010
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发表时间:
2008-08-01
影响因子:
10.3
通讯作者:
Bauman, Adrian
Bauman, Adrian
中科院分区:
医学2区
文献类型:
--
作者:
Merom, Dafna;Phongsavan, Philayrath;Bauman, Adrian

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一项在标准团体认知行为疗法 (GCBT + EX) 中添加家庭步行计划的团体随机试验与接受 GCBT 和教育课程 (GCBT + ED) 的团体进行了比较。该研究是在一家为诊断患有恐慌症、广泛性焦虑症或社交恐惧症的客户提供 GCBT 的门诊诊所中进行的。治疗前和治疗后的测量包括自我报告抑郁、焦虑和压力量表 (DASS-21) 以及体力活动测量。从2004年1月到2005年5月,6组被分配到GCBT + EX(n = 38),5组被分配到GCBT + ED(n = 36)。对已完成病例(GCBT + EX,it = 21;GCBT + ED,n = 20)的协方差分析,调整组设计、基线 DASS-21 评分和焦虑诊断显示,与 GCBT + ED 相比,GCBT + EX 对抑郁、焦虑和压力有显着影响(回归系数分别 = -6.21、-3.41 和 -5.14,p < 0.05)。运动干预作为 GCBT 辅助治疗焦虑症的潜力需要进一步探索。 (c) 2007 年,爱思唯尔有限公司出版。
A group randomized trial of adding a home-based walking program to a standard group cognitive behavioral therapy (GCBT + EX) was compared with groups receiving GCBT and educational sessions (GCBT + ED). The study was implemented in an outpatient clinic providing GCBT for clients diagnosed with panic disorder, generalized anxiety disorder or social phobia. Pre- and post-treatment measures included the self-report depression, anxiety, and stress scale (DASS-21) and measures of physical activity. From January 2004 to May 2005, six groups were allocated to GCBT + EX (n = 38) and five to GCBT + ED (n = 36). Analysis of covariance for completed cases (GCBT + EX, it = 21; GCBT + ED, n = 20), adjusting for the group design, baseline DASS-21 scores, and anxiety diagnosis showed significant effect for GCBT + EX on depression, anxiety, and stress (regression coefficients = -6.21, -3.41, and -5.14, respectively, p < 0.05) compared to the GCBT + ED. The potential of exercise interventions as adjunct to GCBT for anxiety disorder needs to be further explored. (c) 2007 Published by Elsevier Ltd.