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动物和人类恐惧习得与消退过程中的认知过程:对焦虑症暴露疗法的启示

Cognitive processes during fear acquisition and extinction in animals and humans: implications for exposure therapy of anxiety disorders.

作者信息

Hofmann Stefan G

机构信息

Department of Psychology, Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02215-2002, United States.

出版信息

Clin Psychol Rev. 2008 Feb;28(2):199-210. doi: 10.1016/j.cpr.2007.04.009. Epub 2007 May 3.

DOI:10.1016/j.cpr.2007.04.009
PMID:17532105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2268629/
Abstract

Anxiety disorders are highly prevalent. Fear conditioning and extinction learning in animals often serve as simple models of fear acquisition and exposure therapy of anxiety disorders in humans. This article reviews the empirical and theoretical literature on cognitive processes in fear acquisition, extinction, and exposure therapy. It is concluded that exposure therapy is a form of cognitive intervention that specifically changes the expectancy of harm. Implications for therapy research are discussed.

摘要

焦虑症非常普遍。动物中的恐惧条件作用和消退学习常常作为人类恐惧获得和焦虑症暴露疗法的简单模型。本文综述了关于恐惧获得、消退和暴露疗法中认知过程的实证和理论文献。得出的结论是,暴露疗法是一种认知干预形式,它能特别改变对伤害的预期。文中还讨论了对治疗研究的启示。

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本文引用的文献

1
Effects of D-cycloserine on extinction: translation from preclinical to clinical work.D-环丝氨酸对消退的影响:从临床前研究到临床应用的转化
Biol Psychiatry. 2006 Aug 15;60(4):369-75. doi: 10.1016/j.biopsych.2006.03.084.
2
Extinction: new excitement for an old phenomenon.消退:旧现象引发新热潮。
Biol Psychiatry. 2006 Aug 15;60(4):317-8. doi: 10.1016/j.biopsych.2006.05.023.
3
Augmentation of exposure therapy with D-cycloserine for social anxiety disorder.用D-环丝氨酸增强暴露疗法治疗社交焦虑障碍。
Arch Gen Psychiatry. 2006 Mar;63(3):298-304. doi: 10.1001/archpsyc.63.3.298.
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Causal reasoning in rats.大鼠的因果推理
Science. 2006 Feb 17;311(5763):1020-2. doi: 10.1126/science.1121872.
5
Extending animal models of fear conditioning to humans.将恐惧条件反射的动物模型扩展至人类。
Biol Psychol. 2006 Jul;73(1):39-48. doi: 10.1016/j.biopsycho.2006.01.006. Epub 2006 Feb 10.
6
A contemporary learning theory perspective on the etiology of anxiety disorders: it's not what you thought it was.当代学习理论视角下焦虑症的病因:并非你所想的那样。
Am Psychol. 2006 Jan;61(1):10-26. doi: 10.1037/0003-066X.61.1.10.
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Reinstatement of fear responses in human aversive conditioning.人类厌恶条件反射中恐惧反应的恢复
Behav Res Ther. 2005 Apr;43(4):533-51. doi: 10.1016/j.brat.2004.03.013.
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Cognitive enhancers as adjuncts to psychotherapy: use of D-cycloserine in phobic individuals to facilitate extinction of fear.认知增强剂作为心理治疗的辅助手段:D-环丝氨酸在恐惧症患者中的应用以促进恐惧消退。
Arch Gen Psychiatry. 2004 Nov;61(11):1136-44. doi: 10.1001/archpsyc.61.11.1136.
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Reinstatement of extinguished conditioned responses and negative stimulus valence as a pathway to return of fear in humans.消退的条件反应的恢复以及负性刺激效价作为人类恐惧复发的一条途径。
Learn Mem. 2004 Sep-Oct;11(5):549-54. doi: 10.1101/lm.78004.
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Facilitation of fear extinction by D-cycloserine: theoretical and clinical implications.D-环丝氨酸促进恐惧消退:理论与临床意义
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