Cognitive therapy by allocation versus cognitive therapy by preference in the treatment of panic disorder
Cognitive therapy by allocation versus cognitive therapy by preference in the treatment of panic disorder
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DOI：
10.1159/000012402
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发表时间：
2000-09-01
影响因子：
22.8
通讯作者：
van Dyck, R
中科院分区：
文献类型：
--
作者：
Bakker, A;Spinhoven, P;van Dyck, R
背景：对于特定疗法的偏好或对某种治疗方式的反感对该治疗结果的影响知之甚少。到目前为止，结果相互矛盾。本研究的主要目的是调查接受首选认知疗法治疗的惊恐障碍患者与通过随机分配接受相同干预治疗的患者在治疗结果上可能存在的差异。
方法：一项为期12周的研究，对35名按分配接受治疗的患者和31名按偏好接受治疗的患者进行比较。
结果：在人口统计学或结果测量方面，两种情况在预测试时没有差异。通过对惊恐发作频率以及广场恐惧症、广泛性焦虑和抑郁的严重程度进行评级来评估结果。两种情况在几乎所有评级上都有显著改善。在任何结果测量方面，两种情况之间都没有显示出显著差异。
结论：在惊恐障碍的心理治疗中，对特定疗法的偏好不是一个强大的效果调节因素。版权所有 (C) 2000 S. Karger AG，巴塞尔。
Background: Little is known about the influence of preference for a given therapy or preference against a modality of treatment on the outcome of that treatment. Results so far have been conflicting. The primary aim of this study was to investigate possible differences in outcome between panic disorder patients treated with preferred cognitive therapy and patients treated by randomization with the same intervention. Methods: A 12-week study comparing 35 patients treated by allocation with 31 patients treated by preference. Results: There were no differences at pretest between the two conditions on demographic or outcome measures. Outcome was assessed with measurements rating the panic frequency and severity of agoraphobia, general anxiety and depression. Both conditions improved significantly on nearly all ratings. There were no significant differences demonstrable between the two conditions on any of the outcome measures. Conclusion: Preference for a given therapy is not a powerful moderator of effect in the psychological treatment of panic disorder. Copyright (C) 2000 S. Karger AG, Basel.