Department of Psychology, Umeå University, Umeå, Sweden.
Cogn Behav Ther. 2011;40(3):228-35. doi: 10.1080/16506073.2011.553629. Epub 2011 Jun 28.
Bibliotherapy is potentially effective in the treatment of panic disorder (PD). A still unanswered question is whether pacing is important. This study was designed to test whether there is a difference between being assigned a full book as therapy and receiving one individual chapter every week (i.e. pacing). A total of 28 participants were randomized to either 10 paced chapters or one book with 10 chapters. To maximize compliance, short weekly telephone calls were added in both conditions (M = 17.8 min, SD = 4.2). Both treatments showed promising results, with effects maintained up to 2 years and with within-group effect sizes (Cohen's d) between 0.95 and 1.11. Pretreatment ratings of credibility were positively correlated with the change scores at both posttest and 2-year follow-up for three panic measures. Pacing of text material in bibliotherapy for PD is not needed, and all material can be provided at once when the treatment is guided by a therapist.
文献疗法可能对治疗恐慌症（PD）有效。一个尚未得到解答的问题是，是否需要控制节奏。本研究旨在测试分配一整本书作为治疗和每周接受一章（即控制节奏）是否存在差异。共有 28 名参与者被随机分配到 10 个有节奏的章节或 10 个章节的一本书中。为了最大限度地提高依从性，在两种情况下都增加了每周的简短电话（M = 17.8 分钟，SD = 4.2）。两种治疗方法都显示出有希望的结果，效果持续到 2 年，并且组内效应大小（Cohen's d）在 0.95 到 1.11 之间。三个恐慌措施的治疗前可信度评分与后测和 2 年随访的变化分数呈正相关。当治疗由治疗师指导时，无需对 PD 文献疗法中的文本材料进行节奏控制，可以一次性提供所有材料。
