A Pilot Open Trial of Cognitive Bias Modification for Panic Disorder
A Pilot Open Trial of Cognitive Bias Modification for Panic Disorder
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DOI：
10.1007/s10608-016-9790-0
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发表时间：
2016-12-01
影响因子：
2.8
通讯作者：
Weisberg, Risa B.
中科院分区：
文献类型：
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作者：
Beard, Courtney;Fuchs, Cara;Weisberg, Risa B.
尽管认知偏差与惊恐障碍 (PD) 的维持有关，但认知偏差修正 (CBM) 尚未在 PD 中进行测试。当前的研究开发并试行了 CBM-注意力/CBM-解释 PD 联合治疗，以确定最初的可接受性和疗效。 10 名被诊断患有 PD 的人（9 名患有广场恐惧症）被要求完成 8 个 20 分钟的 CBM-A（带有恐惧面孔的点探针任务）和 CBM-I（词句关联范式）干预。在评估前和评估后评估认知偏差、恐慌症状严重程度和内感受练习期间的焦虑。在治疗后，参与者表现出更多的良性解释，减少了对模糊恐慌情况的威胁解释，并报告严重的恐慌症状明显减轻，其中六人符合缓解标准。治疗后，内感受练习的预期焦虑减少，但练习持续时间和练习后的焦虑却没有减少。结果表明，有必要进一步测试治疗方法和假定的作用机制。
Although cognitive biases are involved in the maintenance of panic disorder (PD), cognitive bias modification (CBM) has not been tested in PD. The current study developed and piloted a combined CBM-attention/CBM-interpretation PD treatment to determine initial acceptability and efficacy. Ten individuals diagnosed with PD (nine with Agoraphobia) were asked to complete 8, 20-min sessions of a CBM-A (Dot Probe task with fearful faces) and CBM-I (Word-Sentence Association Paradigm) intervention. Cognitive bias, panic symptom severity, and anxiety during interoceptive exercises were assessed at pre- and post-assessments. At post-treatment, participants showed increased benign interpretations, reduced threat interpretations of ambiguous panic situations, and reported significantly less severe panic symptoms with six individuals meeting criteria for remission. Anticipatory anxiety for interoceptive exercises decreased following treatment, but duration of exercises and anxiety following the exercises did not. Results suggest that further testing of the treatment and putative mechanisms of action is warranted.