BEHAVIORAL TREATMENT OF PANIC DISORDER
BEHAVIORAL TREATMENT OF PANIC DISORDER
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DOI：
10.1016/s0005-7894(89)80073-5
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发表时间：
1989-03-01
期刊：
影响因子：
3.7
通讯作者：
KLOSKO, JS
中科院分区：
文献类型：
--
作者：
BARLOW, DH;CRASKE, MG;KLOSKO, JS
我们报告了一项长期临床结果研究的结果，该研究测试了在没有广场恐惧症回避的情况下治疗惊恐障碍的行为疗法的变化。将暴露于躯体线索与认知疗法相结合与专为惊恐障碍设计的放松疗法进行比较。在第三种治疗条件下，将这些技术结合起来。所有三种治疗方法在多种指标上均优于等待名单对照组。在包含暴露于躯体线索和认知疗法的两种治疗条件中，85％或更多的客户在治疗后没有恐慌。这些是唯一在这项措施上明显优于等候名单控制的群体。另一方面，放松往往会更大程度地减少与惊恐发作相关的广泛性焦虑，但与高辍学率相关。这些结果表明我们对惊恐障碍进行了成功的行为治疗，但仍未解答有效成分和作用机制的问题。
We report the results of a long-term clinical outcome study testing variations of behavioral treatments for panic disorder without agoraphobic avoidance. Exposure to somatic cues combined with cognitive therapy was compared to relaxation therapy designed specifically for panic disorder. In a third treatment condition, these techniques were combined. All three treatments were superior on a variety of measures to a wait-list control group. In the two treatment conditions containing exposure to somatic cues and cognitive therapy, 85% or more of clients were panic free at post-treatment. These were the only groups significantly better than wait-list control on this measure. Relaxation, on the other hand, tended to effect greater reductions in generalized anxiety associated with panic attacks but was associated with high drop-out rates. These results suggest that we have a successful behavioral treatment for panic disorder, but leave questions on effective components and mechanisms of action unanswered.