Long-term effectiveness of CBT for anxiety disorders in an adult outpatient clinic sample: A follow-up study
Long-term effectiveness of CBT for anxiety disorders in an adult outpatient clinic sample: A follow-up study
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DOI：
10.1016/j.brat.2012.10.003
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发表时间：
2013-02-01
影响因子：
4.1
通讯作者：
Tolin, David F.
中科院分区：
文献类型：
--
作者：
DiMauro, Jennifer;Domingues, Janine;Tolin, David F.
认知行为疗法（CBT）治疗成人焦虑症的短期疗效和有效性已通过大量临床研究和对照良好的随机试验得到充分证实。然而，尽管CBT作为一种治疗方式的长期疗效已经相当成熟，但其长期有效性的程度尚未得到充分评估。因此，本研究旨在评估在门诊心理诊所中，个体管理的CBT治疗焦虑症的即时和长期有效性。在开始治疗前、治疗后和一年随访时，对初步诊断为惊恐障碍、社交恐惧症、创伤后应激障碍、广泛性焦虑障碍或强迫症并接受过3次或3次以上CBT治疗的个体进行症状严重程度和改善评估。使用症状严重程度和改善评级将患者分类为治疗后的“应答者”或“缓解者”，以及随访时的“维持应答者”或“维持缓解者”。结果表明，治疗后成功的反应和缓解显着保持在一年的随访。此外，治疗前和治疗后严重程度和治疗后改善评分也可预测维持。此外，使用效应量来比较CBT在当前临床样本中的有效性与先前疗效研究所证明的研究治疗结果。(C)2012爱思唯尔有限公司版权所有。
The short-term efficacy and effectiveness of Cognitive-Behavioral Therapy (CBT) for treating anxiety disorders in adults has been well established by a multitude of clinical studies and well-controlled randomized trials. However, though the long-term efficacy of CBT as a treatment modality is fairly well established, the degree of its long-term effectiveness has yet to be fully evaluated. Thus, the present study sought to assess both the immediate and long-term effectiveness of individually-administered CBT for the treatment of anxiety disorders in an outpatient psychological clinic. Individuals with a primary diagnosis of Panic Disorder, Social Phobia, Posttraumatic Stress Disorder, Generalized Anxiety Disorder, or Obsessive-Compulsive Disorder who had received 3 or more sessions of CBT were assessed for symptom severity and improvement prior to initiating treatment, at posttreatment, and at one-year follow-up. Symptom severity and improvement ratings were used to categorize patients as "responders" or "remitters" at posttreatment, and "maintained responders" or "maintained remitters" at follow-up. Findings demonstrated that posttreatment success as responder and remitter was significantly maintained at one-year follow-up. Additionally, pre- and posttreatment severity and posttreatment improvement scores were also predictive of maintenance. Furthermore, effect sizes were used to compare the effectiveness of CBT in the present clinical sample to research treatment outcomes demonstrated by previous efficacy studies. (C) 2012 Elsevier Ltd. All rights reserved.