Cognitive and performance-based treatments for panic attacks in people with varying degrees of agoraphobic disability.
Cognitive and performance-based treatments for panic attacks in people with varying degrees of agoraphobic disability.
复制标题
针对不同程度广场恐惧症患者的惊恐发作进行基于认知和表现的治疗。
DOI：
10.1016/0005-7967(95)00063-1
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发表时间：
1996
影响因子：
4.1
通讯作者：
Falbo,J
中科院分区：
文献类型：
--
作者：
Williams,SL;Falbo,J
比较认知疗法和基于表现的暴露作为治疗惊恐发作的有效性。受试者是48名在没有考虑广场恐惧症残疾的情况下选择的恐慌个体，他们在这方面差异很大。受试者被随机分配至认知治疗、基于表现的暴露治疗、认知/表现联合治疗或无治疗对照条件。所有三种治疗都导致了恐慌的显著和持久的改善，并且在有效性上彼此没有差异，而控制条件几乎没有产生任何好处。然而，在恐惧症和恐慌相关的认知的几个措施，表现曝光显着比认知疗法更有效。广场恐怖症残疾程度对惊恐治疗效果有显著影响。而94%的低广场恐怖症患者在治疗后没有恐慌，只有52%的高广场恐怖症患者没有恐慌。研究结果表明，当恐慌治疗研究排除了严重恐惧症的人时，正如近年来经常做的那样，可能会导致对恐慌治疗有效性的过度积极估计。
Compared the effectiveness of cognitive therapy and performance-based exposure as treatments for panic attacks. Subjects were 48 panicky individuals selected without regard to agoraphobic disability, and who varied widely in that respect. Subjects were assigned randomly to either cognitive treatment, performance-based exposure treatment, a combined cognitive/performance treatment, or a no-treatment control condition. All three treatments led to marked and enduring improvements in panic, and did not differ from one another in effectiveness, whereas the control condition produced little benefit. However, on several measures of phobia and panic-related cognitions, performance exposure was significantly more effective than cognitive therapy. Degree of agoraphobic disability had a significant bearing on panic treatment effectiveness. Whereas 94% of the low agoraphobia Ss were free of panic after treatment, only 52% of the high agoraphobia Ss became panic-free. The findings suggest that when panic treatment research excludes people with serious phobias, as it has routinely done in recent years, an overly positive estimate of panic treatment effectiveness can result.