Febbraro Greg A R
Department of Psychology, Drake University, Des Moines, IA 50311-4505, USA.
J Clin Psychol. 2005 Jun;61(6):763-79. doi: 10.1002/jclp.20097.
The present study investigated the effectiveness of bibliotherapy and minimal therapist-contact interventions in the treatment of panic attacks. Individuals were randomly assigned to one of three conditions: (1) bibliotherapy alone (BT); (2) bibliotherapy plus phone contact (BT+PC); or (3) phone contact alone (PC). Assessment (pre- and post-treatment) and treatment (8 weeks in duration) were conducted via mail and phone. Individuals receiving BT and BT+PC exhibited significant reductions from pre- to post-treatment on panic cognitions and fear of having a panic attack. Individuals receiving BT+PC exhibited significant reductions from pre- to post-treatment on panic symptoms and avoidance. In addition, individuals in the BT and BT+PC groups were more likely to exhibit clinically significant improvement on most dependent measures relative to PC alone. On some measures, individuals in the BT+PC group did clinically better than individuals in the BT group. Results of the present study also suggest that diagnosis may play some role in outcome.
本研究调查了阅读疗法和最低限度治疗师接触干预在治疗惊恐发作方面的有效性。个体被随机分配到三种情况之一：（1）仅阅读疗法（BT）；（2）阅读疗法加电话联系（BT+PC）；或（3）仅电话联系（PC）。评估（治疗前和治疗后）和治疗（为期8周）通过邮件和电话进行。接受BT和BT+PC的个体在治疗前到治疗后惊恐认知以及对惊恐发作的恐惧方面有显著降低。接受BT+PC的个体在治疗前到治疗后惊恐症状和回避行为方面有显著降低。此外，相对于仅接受PC的个体，BT组和BT+PC组的个体在大多数相关测量指标上更有可能表现出具有临床意义的改善。在某些测量指标上，BT+PC组的个体在临床上比BT组的个体表现更好。本研究结果还表明诊断可能在结果中起一定作用。
