Belief disconfirmation versus habituation approaches to situational exposure in panic disorder with agoraphobia: a pilot study.
Belief disconfirmation versus habituation approaches to situational exposure in panic disorder with agoraphobia: a pilot study.
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信念否定与习惯化方法对惊恐障碍伴广场恐惧症的情境暴露的影响：一项试点研究。
DOI：
10.1016/j.brat.2006.02.008
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发表时间：
2007
影响因子：
4.1
通讯作者：
D. Clark
中科院分区：
文献类型：
--
作者：
P. Salkovskis;A. Hackmann;A. Wells;M. Gelder;D. Clark
暴露疗法和认知行为疗法（CBT）都是治疗惊恐障碍伴广场恐怖症的有效方法。认知理论表明，在任何一种治疗中，暴露于避免的情况的方式都可能是至关重要的。特别是，它建议，临床改善将是最大的，如果机会不确认的恐惧灾难是最大化的。在一项小型试点研究中，16例惊恐障碍和（中度或重度）广场恐怖症患者被随机分配到基于习惯化的暴露疗法（HBET）或计划作为信念不确认策略的暴露，并伴随着寻求安全行为的下降。两种治疗都很短暂（总共暴露3.25小时），并且在预期变化方面相似。CBT条件下的患者在焦虑，恐慌和情景回避的自我报告措施方面表现出显着的改善。他们还在标准化行为步行中完成了更多的步骤，在此期间他们经历了显着减少的焦虑。CBT的控制效应量是相当大的（范围1.7-2.7），这表明它可能是一种特别有效的方法来管理治疗暴露于惊恐障碍与广场恐怖症的恐惧情况。需要进一步的研究来澄清所涉及的变化机制。
Exposure therapy and cognitive behaviour therapy (CBT) are both effective in the treatment of panic disorder with agoraphobia. Cognitive theories suggest that the way in which exposure to avoided situations is implemented in either treatment may be crucial. In particular, it is suggested that clinical improvement will be greatest if opportunities for disconfirmation of feared catastrophes are maximized. In a small pilot study, 16 patients with panic disorder and (moderate or severe) agoraphobia were randomly allocated to either habituation based exposure therapy (HBET) or exposure planned as a belief disconfirmation strategy and accompanied by dropping of safety-seeking behaviours. Both treatments were brief (total of 3.25h of exposure) and were similar in terms of expectancy of change. Patients in the CBT condition showed significantly greater improvements in self-report measures of anxiety, panic and situational avoidance. They also completed significantly more steps in a standardized behavioural walk, during which they experienced significantly less anxiety. The controlled effect sizes for CBT were substantial (range 1.7–2.7), which suggests it may be a particularly efficient way of managing therapeutic exposure to feared situations in panic disorder with agoraphobia. Further research is needed to clarify the mechanism of change involved.
针对不同程度广场恐惧症患者的惊恐发作进行基于认知和表现的治疗。
影响因子：
4.1
作者：
Williams,SL;Falbo,J
通讯作者：
Falbo,J
影响因子：
5.9
作者：
BECK, AT;BROWN, G;STEER, RA
通讯作者：
STEER, RA