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 严重的生活障碍和痛苦。 虽然一些受控制的 实验研究支持恐慌控制疗法的有效性 (PCT)作为PD的认知行为治疗，没有研究评估 PCT在实际临床实践中的可移植性。 调查 一个经验验证的手动为基础的心理治疗， 临床实践是传播有效治疗方法的关键一步 并努力实现基于医疗的护理标准。 的目的 本研究旨在调查PCT培训对硕士研究生的影响， 在管理式护理环境中工作的高级治疗师。 10名临床医生将 随机分配至PCT培训或常规治疗（TAU）。 患者 符合PD标准 ≥ 120），严重程度不同，伴有或不伴有广场恐怖症 将被随机分配给接受过PCT培训的治疗师或TAU治疗师。 成果将 在治疗后、3个月、1年和2年后进行评价 治疗 治疗师对PCT依从性的盲法评级将提供 评估临床医生学习和实施方案的能力， 临床实践后，最先进的培训。 通过保持 随机分配的治疗师和患者，这项研究将拥有 必要的内部有效性，以得出关于有效性的结论 PCT在临床实践中的应用 使用非专家级高手 临床医生，以及比以前更异质的患者样本 研究，将大大提高调查结果的普遍性， 在现实世界的临床实践中证明PCT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.