From psychological to physical health: Exploring temporal precedence throughout emotion regulation therapy.
From psychological to physical health: Exploring temporal precedence throughout emotion regulation therapy.
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DOI：
10.1016/j.janxdis.2021.102403
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发表时间：
2021-05
影响因子：
10.3
通讯作者：
Mennin DS
中科院分区：
文献类型：
--
作者：
Renna ME;O'Toole MS;Fresco DM;Heimberg RG;Mennin DS
广泛性焦虑症 (GAD) 的部分特征是身体症状，如肌肉紧张和胃肠道 (GI) 不适。迄今为止，很少有研究探讨与广泛性焦虑症相关的心理症状的变化如何影响身体症状。这项研究调查了在整个心理治疗过程中，担忧、焦虑和抑郁的减少是否先于肌肉紧张和胃肠道不适的变化。患有 GAD 的参与者 (N = 85) 除了治疗前、治疗中和治疗后的评估外，还完成了 20 周的情绪调节治疗 (ERT)。他们完成了身体症状调查问卷，评估肌肉紧张和胃肠道不适。参与者还完成了心理症状问卷，包括州特质焦虑量表（STAI-7）、宾夕法尼亚州立大学忧虑问卷（PSWQ）和贝克抑郁量表（BDI-II）。对照参与者 (N = 44) 在基线时完成了这些测量。与没有 GAD 的对照参与者相比，患有 GAD 的参与者的肌肉紧张 (p < .001) 和胃肠道不适 (p < .001) 明显更大。担忧、抑郁和特质焦虑的减少并不先于肌肉张力的变化（效应大小范围 (r)：0.05 至 0.12）。抑郁症 (p = .04) 和特质焦虑 (p < .01) 的减少先于胃肠道不适的减少。担忧的减少并不先于胃肠道不适的减少（p = .25）。这些数据提供了初步证据，证明心理症状的减轻对广泛性焦虑症胃肠道不适的减轻具有时间效应，强调了心理治疗改善身体结果的潜力。
Generalized anxiety disorder (GAD) is characterized, in part, by physical symptoms such as muscle tension and gastrointestinal (GI) distress. To date, little research has examined how changes in psychological symptoms associated with GAD may impact physical symptoms. This study investigated if reductions in worry, anxiety, and depression precede changes in muscle tension and GI distress throughout psychotherapy. Participants with GAD (N = 85) completed 20 weeks of emotion regulation therapy (ERT) in addition to assessments pre, mid, and post treatment. They completed a physical symptom questionnaire, evaluating muscle tension and GI distress. Participants also completed psychological symptoms questionnaires, including the State Trait Anxiety Inventory (STAI-7), Penn State Worry Questionnaire (PSWQ), and Beck Depression Inventory (BDI-II). Control participants (N = 44) completed these measures at baseline. Participants with GAD had significantly greater muscle tension (p < .001) and GI distress (p < .001) compared to control participants without GAD. Reductions in worry, depression, and trait anxiety did not precede changes in muscle tension (range of effect size (r): .05 to .12). Reductions in both depression (p = .04) and trait anxiety (p < .01) preceded reductions in GI distress. Reductions in worry did not precede reductions in GI distress (p = .25). These data provide preliminary evidence for the temporal effect of reductions in psychological symptoms on reductions in GI distress in GAD, highlighting the potential of psychotherapy to improve physical outcomes.
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影响因子：
29.4
作者：
Lackner JM;Jaccard J;Keefer L;Brenner DM;Firth RS;Gudleski GD;Hamilton FA;Katz LA;Krasner SS;Ma CX;Radziwon CD;Sitrin MD
通讯作者：
Sitrin MD
影响因子：
6.6
作者：
Bekhuis, Ella;Boschloo, Lynn;Schoevers, Robert A.
通讯作者：
Schoevers, Robert A.
影响因子：
7.4
作者：
Mennin, Douglas S.;Fresco, David M.;Heimberg, Richard G.
通讯作者：
Heimberg, Richard G.
影响因子：
5.9
作者：
Mennin DS;Fresco DM;O'Toole MS;Heimberg RG
通讯作者：
Heimberg RG
影响因子：
4.7
作者：
Hazlett-Stevens, H;Craske, MG;Naliboff, BD
通讯作者：
Naliboff, BD