Bakker A, Spinhoven P, van Balkom A J, Vleugel L, van Dyck R
Department of Psychiatry, Vrije Universiteit, Amsterdam, The Netherlands.
Psychother Psychosom. 2000 Sep-Oct;69(5):240-3. doi: 10.1159/000012402.
Little is known about the influence of preference for a given therapy or preference against a modality of treatment on the outcome of that treatment. Results so far have been conflicting. The primary aim of this study was to investigate possible differences in outcome between panic disorder patients treated with preferred cognitive therapy and patients treated by randomization with the same intervention.
A 12-week study comparing 35 patients treated by allocation with 31 patients treated by preference.
There were no differences at pretest between the two conditions on demographic or outcome measures. Outcome was assessed with measurements rating the panic frequency and severity of agoraphobia, general anxiety and depression. Both conditions improved significantly on nearly all ratings. There were no significant differences demonstrable between the two conditions on any of the outcome measures.
Preference for a given therapy is not a powerful moderator of effect in the psychological treatment of panic disorder.
对于偏好某种特定治疗方法或反对某种治疗方式对该治疗结果的影响，人们了解甚少。目前的研究结果相互矛盾。本研究的主要目的是调查接受首选认知疗法治疗的惊恐障碍患者与通过随机分配接受相同干预治疗的患者在治疗结果上可能存在的差异。
一项为期12周的研究，比较了35例按分配接受治疗的患者和31例按偏好接受治疗的患者。
在人口统计学或治疗结果指标的预测试中，两种情况之间没有差异。通过对惊恐发作频率、广场恐怖症严重程度、一般焦虑和抑郁进行评分来评估治疗结果。在几乎所有评分中，两种情况都有显著改善。在任何治疗结果指标上，两种情况之间均未显示出显著差异。
在惊恐障碍的心理治疗中，对特定治疗方法的偏好并非疗效的有力调节因素。
