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扩展惊恐障碍图书疗法的界限:无支持但有明确截止日期的自助式随机试验。

Expanding the limits of bibliotherapy for panic disorder: randomized trial of self-help without support but with a clear deadline.

机构信息

Linköping University.

出版信息

Behav Ther. 2010 Sep;41(3):267-76. doi: 10.1016/j.beth.2009.06.001. Epub 2010 Jan 28.

DOI:10.1016/j.beth.2009.06.001
PMID:20569776
Abstract

Cognitive behavioral bibliotherapy for panic disorder has been found to be less effective without therapist support. In this study, participants were randomized to either unassisted bibliotherapy (n=20) with a scheduled follow-up telephone interview or to a waiting list control group (n=19). Following a structured psychiatric interview, participants in the treatment group were sent a self-help book consisting of 10 chapters based on cognitive behavioral strategies for the treatment of panic disorder. No therapist contact of any kind was provided during the treatment phase, which lasted for 10 weeks. Results showed that the treatment group had, in comparison to the control group, improved on all outcome measures at posttreatment and at 3-month follow-up. The tentative conclusion drawn from these results is that pure bibliotherapy with a clear deadline can be effective for people suffering from panic disorder with or without agoraphobia.

摘要

认知行为的恐慌症自助式图书疗法如果没有治疗师的支持,效果会较差。在这项研究中,参与者被随机分为无辅助自助式图书疗法组(n=20),并在治疗后安排电话随访,或为等候名单对照组(n=19)。经过结构化的精神病学访谈后,治疗组的参与者收到了一本自助书籍,共 10 章,内容基于认知行为策略治疗恐慌症。在治疗阶段,即持续 10 周的时间内,不提供任何形式的治疗师联系。结果表明,与对照组相比,治疗组在治疗后和 3 个月随访时,所有结果测量指标都有所改善。从这些结果中得出的初步结论是,对于伴有或不伴有广场恐惧症的恐慌症患者,有明确截止日期的纯自助式图书疗法可能是有效的。

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