Hunt Melissa, Fenton Miriam
University of Pennsylvania, 3720 Walnut Street, Philadelphia, PA 19104-6241, USA.
J Behav Ther Exp Psychiatry. 2007 Dec;38(4):329-44. doi: 10.1016/j.jbtep.2007.09.001. Epub 2007 Sep 21.
This study compared imagery rescripting, in vivo exposure therapy and their combination in the treatment of snake fear. Imaginal ability was assessed pre-treatment, and was correlated with baseline avoidance. Snake fearful individuals were randomly assigned to cognitive therapy involving imagery rescripting, in vivo exposure, a combination of the two, or a relaxation control. All active treatment groups improved significantly more than the control group in both fearfulness and behavioral approach. There were no significant differences between the active treatment groups, although the combined treatment tended to be slightly more efficacious.
本研究比较了意象改写、现场暴露疗法及其联合疗法在治疗恐蛇症中的效果。在治疗前评估了意象能力,并将其与基线回避情况相关联。恐蛇个体被随机分配至接受涉及意象改写的认知疗法、现场暴露疗法、两者联合疗法或放松对照疗法。所有积极治疗组在恐惧程度和行为趋近方面的改善均显著超过对照组。尽管联合治疗往往略为有效,但积极治疗组之间并无显著差异。