Do Cognitive Reappraisal and Diaphragmatic Breathing Augment Interoceptive Exposure for Anxiety Sensitivity?
Do Cognitive Reappraisal and Diaphragmatic Breathing Augment Interoceptive Exposure for Anxiety Sensitivity?
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DOI：
10.1891/0889-8391.26.3.257
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发表时间：
2012-01-01
影响因子：
0.7
通讯作者：
Wolitzky-Taylor, Kate
中科院分区：
文献类型：
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作者：
Deacon, Brett;Lickel, James;Wolitzky-Taylor, Kate
交互感觉暴露(IE)是降低焦虑敏感性(AS)和惊恐障碍症状的有效方法。然而，在临床医生之间提供IE的方式存在相当大的差异，同时使用认知重新评估(CR)和横隔膜呼吸(DB)在多大程度上增强IE尚不清楚。患有高AS的参与者(N=58)被随机分配到四个单次干预中的一个：(A)仅IE，(B)IE 1 CR，(C)IE 1 CR 1 DB，或(D)表情写作控制。IE在减少AS和相关的焦虑症状方面优于表达写作。无论是在治疗后还是在1周的随访中，CR和DB的加入都没有增强IE的益处。这些发现突出了IE在减少AS方面的具体效果，并对IE与认知和呼吸策略相结合的常见做法提出了质疑。文中还讨论了理论和临床意义。
Interoceptive exposure (IE) is an effective procedure for reducing anxiety sensitivity (AS) and the symptoms of panic disorder. However, considerable variance exists in how IE is delivered among clinicians, and the extent to which IE is enhanced by the concurrent use of cognitive reappraisal (CR) and diaphragmatic breathing (DB) is unclear. Participants (N = 58) with high AS were randomly assigned to one of four single-session interventions: (a) IE only, (b) IE 1 CR, (c) IE 1 CR 1 DB, or (d) expressive writing control. IE was superior to expressive writing in reducing AS and associated anxiety symptoms. The addition of CR and DB did not enhance the benefits of IE at either posttreatment or 1-week follow-up. These findings highlight the specific efficacy of IE in reducing AS and call into question the common practice of combining IE with cognitive and breathing strategies. Theoretical and clinical implications are discussed.