老年人特定恐惧症的治疗。
Treatment of specific phobia in older adults.
作者信息
Pachana Nancy A, Woodward Rana M, Byrne Gerard J A
机构信息
School of Psychology, University of Queensland, Brisbane, Australia.
出版信息
Clin Interv Aging. 2007;2(3):469-76.
Phobias are common in later life, yet treatment research in this population remains scant. The efficacy of exposure therapy, in combination with other Cognitive-Behavioral Therapy (CBT) components, in the treatment of specific phobia with a middle and older aged sample was examined. Sixteen adults aged 45-68 with DSM-IV diagnosis of a specific phobia received a manualized intervention over ten weeks, and were compared with a control group. Results indicated significant time effects in the treatment group for the primary outcome variables of phobic severity and avoidance as well as secondary outcome variables including depression and anxiety. Symptom presence and severity also significantly declined in the treatment group. No significant changes in state anxiety were noted across the treatment period. Such results provide support for the efficacy of exposure combined with CBT treatment for specific phobia in middle to older aged adults.
恐惧症在晚年很常见，但针对这一人群的治疗研究仍然很少。研究考察了暴露疗法与其他认知行为疗法（CBT）成分相结合，对中老年样本中特定恐惧症的治疗效果。16名年龄在45 - 68岁、被诊断患有DSM-IV特定恐惧症的成年人接受了为期十周的手册化干预，并与一个对照组进行比较。结果表明，治疗组在恐惧严重程度和回避等主要结局变量以及包括抑郁和焦虑在内的次要结局变量上有显著的时间效应。治疗组的症状出现频率和严重程度也显著下降。在整个治疗期间，状态焦虑没有显著变化。这些结果为暴露疗法联合CBT治疗中老年成年人特定恐惧症的疗效提供了支持。
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