Treatment of GAD - Targeting intolerance of uncertainty in two types of worry
Treatment of GAD - Targeting intolerance of uncertainty in two types of worry
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DOI：
10.1177/0145445500245002
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发表时间：
2000-10-01
影响因子：
2.3
通讯作者：
Ladouceur, R
中科院分区：
文献类型：
--
作者：
Dugas, MJ;Ladouceur, R
本研究评估了广泛性焦虑症（GAD）的认知行为治疗的有效性，该治疗针对两种类型的担忧：（a）关于适合解决问题的情况的担忧，以及（B）关于不适合解决问题的情况的担忧。治疗的目标是通过区分两种类型的担忧并对每种类型应用正确的策略来帮助患者变得更加容忍不确定性。采用多基线设计，受试者为4名主要诊断为GAD的成人。通过每日自我监测、自我报告问卷和标准化临床医师评分评估治疗结果。在测试后和6个月的随访中，4例受试者中有3例不再符合广泛性焦虑症的诊断标准，并获得了高终末状态功能。在12个月随访时，没有受试者符合GAD诊断标准，但终末状态功能是可变的。结果还表明，治疗结果与不确定性不耐受的变化高度相关。
This study evaluates the efficacy of a cognitive-behavioral treatment for generalized anxiety disorder (GAD) that addresses two types of worries: (a) those about situations that are amenable to problem solving, and (b) those about situations that are not. The treatment's goal is to help patients become more tolerant of uncertainty by discriminating between both types of worry and applying the correct strategy to each type. A multiple baseline design was used and subjects were 4 adults with a primary diagnosis of GAD. Treatment outcome was assessed with daily self-monitoring, self-report questionnaires, and standardized clinician ratings. At posttest and 6-month follow-up, 3 of 4 subjects no longer met diagnostic criteria for GAD and had attained high end-state functioning. At 12-month follow-up, none of the subjects met GAD diagnostic criteria but end-state functioning was variable. The results also show that treatment outcome was highly related to change in intolerance of uncertainty.