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惊恐障碍青少年的注意偏向:在 8 天强化治疗方案中的变化。

Attentional bias in adolescents with panic disorder: changes over an 8-day intensive treatment program.

机构信息

Boston University, Massachusetts, USA.

出版信息

Behav Cogn Psychother. 2012 Mar;40(2):193-204. doi: 10.1017/S1352465811000580. Epub 2011 Oct 24.

DOI:10.1017/S1352465811000580
PMID:22017797
Abstract

BACKGROUND

The present study evaluated attentional bias in adolescents diagnosed with panic disorder. Although a large body of research exists in the area of attentional bias in adults, this feature of panic disorder is not well understood in adolescents.

METHOD

Twenty-five adolescents, aged 12-17, with a panic disorder diagnosis were included in the study. An emotional Stroop task was utilized to assess whether: (1) adolescents with panic disorder exhibit an attentional bias to panic-relevant stimuli; (2) this bias diminishes after completing a course of CBT; and (3) a specific attentional bias towards disorder-relevant stimuli exists.

RESULTS

An attentional bias to panic-relevant stimuli was found at pre-treatment but was no longer present following an intensive CBT intervention. Contrary to some findings in the adult literature, no significant differences were found between panic-relevant versus other threatening stimuli.

CONCLUSIONS

These results suggest that adolescents with panic disorder, similar to adults, do exhibit an attentional bias towards panic-relevant stimuli, and treatment seems to normalize this cognitive process.

摘要

背景

本研究评估了被诊断患有惊恐障碍的青少年的注意偏向。尽管成年人注意偏向领域有大量的研究,但青少年的惊恐障碍这一特征还没有得到很好的理解。

方法

本研究纳入了 25 名年龄在 12-17 岁之间的患有惊恐障碍的青少年。采用情绪 Stroop 任务来评估:(1)患有惊恐障碍的青少年是否表现出对惊恐相关刺激的注意偏向;(2)这种偏向是否在完成认知行为治疗(CBT)课程后减少;(3)是否存在对障碍相关刺激的特定注意偏向。

结果

在治疗前发现了对惊恐相关刺激的注意偏向,但在密集的 CBT 干预后这种偏向不再存在。与成人文献中的一些发现相反,惊恐相关刺激与其他威胁性刺激之间没有发现显著差异。

结论

这些结果表明,患有惊恐障碍的青少年与成年人一样,确实表现出对惊恐相关刺激的注意偏向,并且治疗似乎使这种认知过程正常化。

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