The Effects of Attention Training on the Perception of Bodily Sensations in Patients with Hypochondriasis: A Randomized Controlled Pilot Trial
The Effects of Attention Training on the Perception of Bodily Sensations in Patients with Hypochondriasis: A Randomized Controlled Pilot Trial
复制标题
注意力训练对疑病症患者身体感觉感知的影响：一项随机对照试点试验
DOI：
10.1007/s10608-012-9482-3
复制
发表时间：
2013
影响因子：
2.8
通讯作者：
U. Stangier
中科院分区：
文献类型：
--
作者：
Florian Weck;Julia M. B. Neng;U. Stangier
躯体感觉放大理论、认知行为模型和实证研究强调了选择性注意身体感觉对维持低血糖的重要性。36例诊断为DSM-IV脑功能减退的患者被随机分配到认知疗法（CT）或暴露疗法（ET）。在本研究中，前三次CT作为注意力调整组（AMG），包括注意力训练，前三次ET作为主动对照组（ACG），不包括任何注意力相关干预。在AMG和ACG之后，患者和治疗师都报告了与健康相关的焦虑显着减少，两组之间没有显着差异。注意力集中干预能有效地降低对身体感觉的注意力，但身体注意力的降低不是健康焦虑改变的必要条件。
The theory of somatosensory amplification, cognitive-behavioral models, and empirical research underline the importance of selective attention to bodily sensations for the maintenance of hypochondriasis. Thirty-six patients with the diagnosis of DSM-IV hypochondriasis were randomly assigned to Cognitive Therapy (CT) or Exposure Therapy (ET). In the current study, the first three sessions of CT served as an attention modification group (AMG), including attention training, and the first three sessions of ET served as an active control group (ACG), which did not include any attention-related interventions. After AMG and ACG, both patients and therapists reported a significant reduction of health-related anxieties, which did not differ significantly between the two groups. However, only in the AMG was a significant reduction of body-focused attention (d = 0.36) found. Attention-focused interventions were effective in reducing attention to bodily sensations, but the reduction of body-focused attention was not a necessary condition for the change in health anxiety.