Moderators of intensive CBT for adolescent panic disorder: the of fear and avoidance.
Moderators of intensive CBT for adolescent panic disorder: the of fear and avoidance.
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DOI：
10.1111/camh.12122
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发表时间：
2016-02-01
影响因子：
6.1
通讯作者：
Comer JS
中科院分区：
文献类型：
--
作者：
Elkins RM;Gallo KP;Pincus DB;Comer JS
研究支持强化认知行为疗法（CBT）治疗伴有或不伴有广场恐怖症（PDA）的青少年惊恐障碍的疗效。然而，人们对强化治疗最有效的条件知之甚少。目前的调查研究的调节作用的基线恐惧和回避的强化治疗青少年PDA。患有PDA的青少年（11-17岁; N = 54）被随机分配到强化CBT治疗组（n = 37）或候补对照组（n = 17）。在基线和治疗后6周/等待名单后评估PDA诊断、症状严重程度以及害怕和避免的情况数量。分层回归分析检查了治疗条件的相对贡献，基线恐惧或避免的情况，以及它们在预测治疗后/等待名单PDA症状中的相互作用。强化CBT对治疗后PDA症状的主要影响在参与者中并不一致，在基线水平较低（相对于较高）的参与者中发现了较大的治疗效果。研究结果有助于澄清哪些患有PDA的青少年可能从强化治疗中获益最多。
Research supports the efficacy of intensive cognitive behavioral therapy (CBT) for the treatment of adolescent panic disorder with or without agoraphobia (PDA). However, little is known about the conditions under which intensive treatment is most effective. The current investigation examined the moderating roles of baseline fear and avoidance in the intensive treatment of adolescent PDA. Adolescents with PDA (ages 11–17; N = 54) were randomized to either an intensive CBT treatment (n = 37) or a waitlist control condition (n = 17). PDA diagnosis, symptom severity, and number of feared and avoided situations were assessed at baseline and 6-week post-treatment/post-waitlist. Hierarchical regression analyses examined the relative contributions of treatment condition, number of baseline feared or avoided situations, and their interactions in the prediction of post-treatment/waitlist PDA symptoms. The main effect of intensive CBT on post-treatment PDA symptoms was not uniform across participants, with larger treatment effects found among participants with lower, relative to higher, baseline levels of fear and avoidance. Findings help clarify which adolescents suffering with PDA may benefit most from an intensive treatment format.