Brief cognitive therapy for panic disorder: A randomized controlled trial
Brief cognitive therapy for panic disorder: A randomized controlled trial
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DOI：
10.1037/0022-006x.67.4.583
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发表时间：
1999-08-01
影响因子：
5.9
通讯作者：
Gelder, M
中科院分区：
文献类型：
--
作者：
Clark, DM;Salkovskis, PM;Gelder, M
认知疗法（CT）是治疗惊恐障碍（PD）的一种特异性和高效的治疗方法。治疗通常包括12-15个1小时的疗程。在试图产生一个更具成本效益的版本，一个简短的治疗，广泛使用会话之间的病人自学模块被创建。43例PD患者被随机分配至完整CT（FCT）、简要CT（BCT）或3个月等待名单。FCT和BCT在所有指标上均上级等待名单，治疗中获得的收益在12个月随访时保持不变。FCT和BCT之间无显著差异。两种治疗的效应量均较大（约为3.0）且基本相同。BCT需要6.5小时的治疗时间，包括助推器会议。患者对治疗成功的初始期望与治疗后的恐慌焦虑呈负相关。治疗结束时的认知测量预测了12个月随访时的恐慌焦虑。
Cognitive therapy (CT) is a specific and highly effective treatment for panic disorder (PD). Treatment normally involves 12-15 1-hr sessions. In an attempt to produce a more cost-effective version, a briefer treatment that made extensive use of between-sessions patient self-study modules was created. Forty-three PD patients were randomly allocated to full CT (FCT), brief CT (BCT), or a 3-month wait list. FCT and BCT were superior to wait list on all measures, and the gains obtained in treatment were maintained at 12-month follow-up. There were no significant differences between FCT and BCT. Both treatments had large (approximately 3.0) and essentially identical effect sizes. BCT required 6.5 hr of therapist lime, including booster sessions. Patients' initial expectation of therapy success was negatively correlated with posttreatment panic-anxiety. Cognitive measures at the end of treatment predicted panic-anxiety at 12-month follow-up.