Perceived Control is a Transdiagnostic Predictor of Cognitive-Behavior Therapy Outcome for Anxiety Disorders
Perceived Control is a Transdiagnostic Predictor of Cognitive-Behavior Therapy Outcome for Anxiety Disorders
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DOI：
10.1007/s10608-013-9587-3
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发表时间：
2014-02-01
影响因子：
2.8
通讯作者：
Brown, Timothy A.
中科院分区：
文献类型：
--
作者：
Gallagher, Matthew W.;Naragon-Gainey, Kristin;Brown, Timothy A.
知觉控制被认为是一个普遍的心理脆弱性因素，赋予发展焦虑症的风险增加，但有有限的研究检查知觉控制在认知行为疗法（CBT）。本研究探讨了治疗是否会导致感知控制的改善，以及CBT通过感知控制的变化对强迫症，社交恐惧症，广泛性焦虑症和惊恐障碍症状变化的间接影响。参与者（n = 606）是一个大的临床样本，在门诊焦虑症诊所治疗。参与者完成了一系列自我报告问卷和结构化临床访谈，在摄入评估和12个月和24个月后的两次随访评估中，大多数参与者在前两次评估之间开始CBT。潜在的增长曲线模型的结果表明，启动CBT的个人随后报告的大幅增加，在感知控制和显着的间接影响，治疗对个体内的变化，在每一个四种焦虑症检查通过个体内的变化，感知控制。这些结果表明，促进更适应性的控制感与焦虑症的恢复有关。此外，对四种焦虑症的间接影响的一致发现强调了感知控制在预测CBT结果中的跨诊断重要性。
Perceived control has been proposed to be a general psychological vulnerability factor that confers an elevated risk for developing anxiety disorders, but there is limited research examining perceived control during cognitive-behavioral therapies (CBT). The present study examined whether treatment resulted in improvements in perceived control, and the indirect effects of CBT on changes in symptoms of obsessive-compulsive disorder, social phobia, generalized anxiety disorder, and panic disorder via changes in perceived control. Participants (n = 606) were a large clinical sample presenting for treatment at an outpatient anxiety disorders clinic. Participants completed a series of self-report questionnaires and a structured clinical interview at an intake evaluation and at two follow-up assessments 12 and 24 months later, with the majority of participants initiating CBT between the first two assessments. Results of latent growth curve models indicated that individuals initiating CBT subsequently reported large increases in perceived control and significant indirect effects of treatment on intraindividual changes in each of the four anxiety disorders examined via intraindividual changes in perceived control. These results suggest that the promotion of more adaptive perceptions of control is associated with recovery from anxiety disorders. Furthermore, the consistent finding of indirect effects across the four anxiety disorders examined underscores the transdiagnostic importance of perceived control in predicting CBT outcomes.