Cognitive-behavioral Treatment of Anxiety/ Primary Care

焦虑的认知行为治疗/初级保健

• 批准号: 7090602
• 负责人: RISA B WEISBERG
• 金额: $ 17.76万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-25 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7090602
• 关键词: adult human (21+); anxiety disorders; behavioral /social science research tag; clinical research; cognitive behavior therapy; handbook; human subject; human therapy evaluation; panic disorder; patient care management; patient oriented research; therapy design /development; training

DESCRIPTION (provided by candidate): This Mentored Patient-Oriented Research Career Development Award (K23) will enable Dr. Weisberg to begin a programmatic line of research in the development and evaluation of intervention programs for medical patients with anxiety disorders. Her emphasis will be on developing a cognitive behavioral group treatment for primary care patients with anxiety disorders. Anxiety disorders are highly prevalent and impairing. Individuals seeking help for anxiety are more likely to be seen in primary care than in mental health settings, and the majority of these patients do not receive adequate treatment. Dr. Weisberg's training goals include: (1) broadening her knowledge and experience in treatment development, with a focus on developing and evaluating treatments for anxiety disorders in medical settings; (2) acquiring expertise in conducting interventions in primary care settings; (3) expanding her understanding of the conduct of treatment outcome studies; and (4) further developing her statistical skills, with particular emphasis on techniques relevant to intervention / clinical trials research. These training goals will be achieved through (1) the resources available at Brown Medical School; (2) the high quality mentorship provided by Drs. Martin Keller, Michelle Craske, Kay Dickersin, and the expertise of the assembled consultant team (Drs. David Barlow, Charles Eaton, and Robert Stout); (3) focused coursework, training, and clinical experiences; and (4) the proposed research project. The proposed research plan involves developing and empirically testing a new treatment for primary care patients with panic disorder, generalized anxiety disorder, and/or social anxiety disorder. The new treatment, Learning to Ease Anxiety in Primary care (LEAP) will incorporate methods universal to CBT for specific anxiety disorders (i.e., cognitive restructuring and exposure) and adapted for primary care patients with a range of anxiety diagnoses. The specific research aims are to: (1) develop the LEAP treatment, its manual, therapist training procedures, and treatment fidelity measures and (2) conduct a randomized, controlled pilot study comparing LEAP to treatment as usual, in order to evaluate the feasibility and acceptability of the proposed treatment, and obtain a treatment effect size to support an examination of the protocol in a future, larger trial.

描述（由候选人提供）：这项以患者为导向的研究职业发展奖（K23）将使 Weisberg 博士能够开始一项针对焦虑症患者的干预计划的开发和评估的计划性研究。她的重点是为患有焦虑症的初级保健患者开发认知行为团体治疗方法。焦虑症非常普遍且具有损害性。寻求焦虑症帮助的人更有可能在初级保健机构而不是在心理健康机构就诊，而且这些患者中的大多数没有得到足够的治疗。 Weisberg 博士的培训目标包括：(1) 拓宽她在治疗开发方面的知识和经验，重点是开发和评估医疗环境中焦虑症的治疗方法； (2) 获得在初级保健机构中实施干预措施的专业知识； (3) 扩大她对治疗结果研究进行的理解； (4) 进一步发展她的统计技能，特别强调与干预/临床试验研究相关的技术。这些培训目标将通过以下方式实现：(1) 布朗医学院提供的资源； (2) 博士提供的高质量指导。 Martin Keller、Michelle Craske、Kay Dickersin 以及顾问团队的专业知识（David Barlow 博士、Charles Eaton 和 Robert Stout）； (3) 重点课程、培训和临床经验； (4) 拟议的研究项目。拟议的研究计划涉及为患有恐慌症、广泛性焦虑症和/或社交焦虑症的初级保健患者开发和实证测试一种新疗法。新疗法“学习缓解初级保健中的焦虑”（LEAP）将结合针对特定焦虑症（即认知重建和暴露）的 CBT 通用方法，并适用于患有一系列焦虑诊断的初级保健患者。具体研究目的是：(1) 开发 LEAP 治疗、其手册、治疗师培训程序和治疗保真度测量，以及 (2) 进行一项随机对照试点研究，将 LEAP 与常规治疗进行比较，以评估拟议治疗的可行性和可接受性，并获得治疗效果大小，以支持在未来更大规模的试验中对方案进行检查。