Marboutin J P, Légeron P, Rivière B
Service de Psychiatrie, Centre Hospitalier, Villeneuve-Saint-Georges.
Encephale. 1990 May-Jun;16(3):189-96.
Nowadays, two major therapeutic approaches (pharmacological and behavioural) have proven their efficiency and efficacy in the treatment of anxious disorders. These two methods have been used separately, alternatively or simultaneously. The prescription of benzodiazepines is necessary, because they are efficient and fast-acting. But this is not enough and may be hazardous for a prolonged period. Behavioural methodology and therapeutics improve the assessment of anxious disorders and offer a large variety of specific techniques to the physician. The innovative and integrative behavioural prescription (BP) is pragmatic and reliable. For instance, drugs are markers for assessment of anxious behaviours, in an agenda and may be used both to support functional analysis, and as agents of therapeutic contracts. The synergic action of behavioural prescription is clear in three dimensions: BP deepens muscle relaxation and gives better self-control and self-regulation of arousal level. BP alleviates social inhibition by developing social skills. BP modifies cognitions and affective disorders, which is necessary for permanent results and drug withdrawal. Other applications of BP will be considered in the future.
如今,两种主要的治疗方法(药物治疗和行为治疗)已在焦虑症的治疗中证明了其有效性和疗效。这两种方法已分别、交替或同时使用。苯二氮䓬类药物的处方是必要的,因为它们起效迅速且有效。但这还不够,长期使用可能有风险。行为方法和治疗学改善了对焦虑症的评估,并为医生提供了多种具体技术。创新的综合行为处方(BP)实用且可靠。例如,药物是评估焦虑行为的标志物,可列入日程安排,既能用于支持功能分析,又可作为治疗合同的手段。行为处方的协同作用在三个方面很明显:BP能加深肌肉放松,并能更好地自我控制和调节唤醒水平。BP通过培养社交技能减轻社交抑制。BP能改变认知和情感障碍,这对于取得持久疗效和停药是必要的。BP的其他应用将在未来加以考虑。