基于接受的广泛性焦虑障碍行为疗法：对三种理论模型结果的影响。
Acceptance-based behavioral therapy for GAD: effects on outcomes from three theoretical models.
机构信息
Department of Psychology, University of Massachusetts, Boston, 100 Morrissey Boulevard, Boston, MA 02125, USA.
出版信息
Depress Anxiety. 2011 Feb;28(2):127-36. doi: 10.1002/da.20766. Epub 2010 Dec 13.
BACKGROUND
Although cognitive-behavioral therapy (CBT) is efficacious in the treatment of generalized anxiety disorder (GAD), many individuals remain symptomatic following treatment, indicating a need for further treatment development. As a result, many researchers have developed unique cognitive-behavioral therapies that highlight specific targets for intervention.
METHODS
The current study examined the effect of an acceptance-based behavioral therapy for GAD on the proposed targets for intervention highlighted in several theoretical models: emotion regulation difficulties, intolerance of uncertainty, and low perceptions of control. Clients were randomly assigned to immediate (n=15) or delayed (n=16) treatment.
RESULTS
Individuals treated with the acceptance-based behavioral therapy reported significantly fewer difficulties in emotion regulation and fear of emotional responses, as well as greater tolerance of uncertainty and perceived control over anxiety than individuals in the waitlist control condition. In addition, these effects were maintained at 3- and 9-month follow-up assessments.
CONCLUSIONS
The present study provides promising evidence that an acceptance-based behavioral therapy for GAD has significant effects on the unique targets of intervention highlighted in several prominent theoretical models of GAD.
背景
尽管认知行为疗法（CBT）在治疗广泛性焦虑症（GAD）方面是有效的，但许多患者在治疗后仍存在症状，这表明需要进一步开发治疗方法。因此，许多研究人员开发了独特的认知行为疗法，强调干预的特定目标。
方法
本研究考察了基于接受的行为疗法对几个理论模型中强调的干预目标的影响：情绪调节困难、不确定性容忍度低和控制感低。参与者被随机分配到即时治疗组（n=15）或延迟治疗组（n=16）。
结果
接受基于接受的行为疗法治疗的个体在情绪调节和对情绪反应的恐惧方面的困难明显减少，对不确定性的容忍度更高，对焦虑的控制感更强，而等待治疗的对照组个体则没有这种情况。此外，这些效果在 3 个月和 9 个月的随访评估中得以维持。
结论
本研究提供了有希望的证据，表明基于接受的行为疗法对 GAD 的几个突出理论模型中强调的干预的独特目标具有显著影响。
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