PANIC CONTROL THERAPY IN A MANAGED CARE SETTING

描述(申请人摘要)：惊恐障碍(PD)是一种严重的 精神疾病，如果不治疗，可能与 严重的生命功能障碍和痛苦。尽管有一些受控制的 实验研究支持恐慌控制疗法的有效性 (PCT)作为帕金森病的认知行为治疗，还没有研究评估 PCT可移植到现实世界的临床实践。调查 一项经验性验证的手动心理治疗的结果 临床实践是传播有效治疗方法的关键一步 并致力于制定以经验为基础的护理标准。目的 本研究旨在探讨PCT培训对硕士研究生的影响 在管理型医疗环境中工作的水平治疗师。十名临床医生将成为 随机分配到PCT培训或照常治疗(TAU)。病人 符合帕金森病的标准 =120)严重程度不一，有或没有广场恐惧症 将被随机分配到经过PCT培训或TAU培训的治疗师。结果将会 在治疗后、3个月、1年和2年进行评估 治疗。对治疗师对PCT依从性的盲目评级将提供 评估临床医生学习和实施该方案的情况 按照最先进的培训进行临床实践。通过维护 随机分配治疗师和患者，这项研究将拥有 就有效性得出结论所需的内部有效性 PCT在临床上的应用。非专家大师级别的使用 临床医生，以及比以前更多样化的患者样本 研究，将大大提高研究结果的概括性，以及 谈谈PCT在现实世界临床实践中的有效性。

DESCRIPTION (Applicant's Abstract): Panic Disorder (PD) is a serious psychiatric illness which, if left untreated, can be associated with significant life dysfunction and distress. Although a number of controlled experimental studies have supported the efficacy of Panic Control Therapy (PCT) as a cognitive-behavioral treatment for PD, no studies have evaluated the transportability of PCT to real-world clinical practice. Investigating the outcomes of an empirically validated manual-based psychotherapy in clinical practice is a crucial step in disseminating effective treatments and working towards empirically-based standards of care. The purpose of this study is to investigate the impact of training in PCT for master's level therapists working in a managed care context. Ten clinicians will be randomly assigned to PCT training or treatment as usual (TAU). Patients meeting criteria for PD = 120) with varying degrees of severity and with or without agoraphobia will be randomly assigned to PCT-trained or TAU therapists. Outcomes will be evaluated at post-treatment, 3 months 1 year, and 2 years following treatment. Blind ratings of therapist adherence to PCT will provide an assessment of how well clinicians can learn and implement the protocol in clinical practice following state of the art training. By maintaining random assignment of therapists and patients, this study will possess the necessary internal validity to draw conclusions regarding the effectiveness of PCT in clinical practice. The use of non- expert master's level clinicians, and a more heterogeneous sample of patients than previous studies, will greatly enhance the generalizability of the findings, and speak to the effectiveness of PCT in real-world clinical practice.