Therapist perceptions and delivery of interoceptive exposure for panic disorder
Therapist perceptions and delivery of interoceptive exposure for panic disorder
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DOI：
10.1016/j.janxdis.2013.02.004
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发表时间：
2013-03-01
影响因子：
10.3
通讯作者：
Hipol, Leilani J.
中科院分区：
文献类型：
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作者：
Deacon, Brett J.;Lickel, James J.;Hipol, Leilani J.
交互感受暴露(IE)被广泛认为是惊恐障碍(PD)认知行为治疗的重要步骤。然而，治疗手册在IE的规定交付方面有很大的不同，几乎没有研究来告知其实施的最佳方式。本研究调查了治疗师对IE治疗帕金森病的认知和交付情况。结果显示，临床医生提供IE的方式有很大的变异性。与传统应用暴露技术的长时间和密集方式不同，许多治疗师报告说，在控制呼吸策略的同时，提供低剂量的IE。对IE的潜在不利影响的担忧是普遍的，尽管参与者报告IE在他们自己的实践中实际发生负面结果的情况非常罕见。一些治疗师可能会以谨慎的方式提供IE，试图将与这种治疗相关的已知风险降至最低。(C)2013爱思唯尔有限公司。保留所有权利。
Interoceptive exposure (IE) is widely regarded as an essential procedure in the cognitive-behavioral treatment of panic disorder (PD). However, treatment manuals differ substantially in their prescribed delivery of IE, and little research exists to inform the optimal manner of its implementation. The present study examined therapists' perceptions and delivery of IE for PD. Results revealed substantial variability in how clinicians provide IE. In contrast to the prolonged and intense manner in which exposure techniques are traditionally applied, many therapists reported delivering a low dose of IE accompanied by controlled breathing strategies. Concerns about the potential adverse effects of IE were common despite the fact that participants reported the actual occurrence of negative outcomes of IE in their own practice to be extremely infrequent. It is possible that some therapists deliver IE in a cautious manner in an attempt to minimize the perceived risks associated with this treatment. (C) 2013 Elsevier Ltd. All rights reserved.