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广泛性焦虑障碍心理治疗的进展。

Advances in psychotherapy for generalized anxiety disorder.

机构信息

Hunter College, Regulation of Emotion in Anxiety and Depression Laboratory, New York, NY 10065, USA.

出版信息

Curr Psychiatry Rep. 2012 Jun;14(3):203-10. doi: 10.1007/s11920-012-0263-1.

DOI:10.1007/s11920-012-0263-1
PMID:22403039
Abstract

Since the introduction of generalized anxiety disorder into the diagnostic system for psychiatric conditions, scientists have worked to develop effective treatments for the amelioration of chronic, excessive worry. In addition to traditional cognitive-behavioral therapy, more recent advances have focused on treatments targeting intolerance of uncertainty, meta-cognitions, emotion dysregulation, lack of acceptance of internal experiences, and emotional contrasts. This article reviews these therapeutic approaches and summarizes recent publications relevant to the psychological treatment of worry and generalized anxiety disorder.

摘要

自从广泛性焦虑障碍被引入精神疾病的诊断系统以来,科学家们一直致力于开发有效的治疗方法来改善慢性、过度担忧的情况。除了传统的认知行为疗法外,最近的进展还集中在针对不确定性容忍度、元认知、情绪调节、对内部体验的不接受和情绪对比的治疗方法上。本文综述了这些治疗方法,并总结了与担忧和广泛性焦虑障碍的心理治疗相关的最新文献。

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2
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3
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Complement Ther Clin Pract. 2020 May;39:101122. doi: 10.1016/j.ctcp.2020.101122. Epub 2020 Feb 22.
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Front Behav Neurosci. 2021 Mar 18;15:637426. doi: 10.3389/fnbeh.2021.637426. eCollection 2021.
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Uncertainty Potentiates Neural and Cardiac Responses to Visual Stimuli in Anxiety Disorders.焦虑障碍中,不确定性增强了视觉刺激的神经和心脏反应。
Biol Psychiatry Cogn Neurosci Neuroimaging. 2021 Jul;6(7):725-734. doi: 10.1016/j.bpsc.2021.02.003. Epub 2021 Feb 14.
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本文引用的文献

1
Combining computerized home-based treatments for generalized anxiety disorder: an attention modification program and cognitive behavioral therapy.结合基于家庭的计算机化治疗广泛性焦虑障碍:注意修正程序和认知行为疗法。
Behav Ther. 2012 Sep;43(3):546-59. doi: 10.1016/j.beth.2010.12.008. Epub 2011 May 30.
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A meta-analysis of the effect of cognitive bias modification on anxiety and depression.认知偏差修正对焦虑和抑郁影响的荟萃分析。
Psychol Bull. 2011 Nov;137(6):940-58. doi: 10.1037/a0024355.
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Changes in neuropsychological functioning following treatment for late-life generalised anxiety disorder.
腹内侧前额叶皮质损伤会改变预期的神经和生理相关性。
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CALM Pregnancy: results of a pilot study of mindfulness-based cognitive therapy for perinatal anxiety.CALM孕期项目:一项针对围产期焦虑的正念认知疗法试点研究结果
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老年广泛性焦虑障碍治疗后神经心理学功能的变化。
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4
A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive-compulsive disorder.一项关于不确定性容忍度与广泛性焦虑障碍、重度抑郁障碍和强迫症症状关系的荟萃分析。
Clin Psychol Rev. 2011 Aug;31(6):923-33. doi: 10.1016/j.cpr.2011.05.001. Epub 2011 May 15.
5
Client experiences of motivational interviewing for generalized anxiety disorder: a qualitative analysis.患者对广泛性焦虑障碍进行动机式访谈的体验:一项定性分析。
Psychother Res. 2011 Jul;21(4):447-61. doi: 10.1080/10503307.2011.578265. Epub 2011 Jun 9.
6
Interpersonal subtypes and change of interpersonal problems in the treatment of patients with generalized anxiety disorder: a pilot study.人际亚型与广泛性焦虑障碍患者治疗中人际问题的变化:一项初步研究。
Psychotherapy (Chic). 2011 Sep;48(3):304-10. doi: 10.1037/a0022013.
7
Interpersonal pathoplasticity in individuals with generalized anxiety disorder.广泛性焦虑障碍个体的人际易损性。
J Abnorm Psychol. 2011 May;120(2):286-98. doi: 10.1037/a0023334.
8
A randomized controlled trial of cognitive-behavioral therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies.一项结合情绪聚焦和人际治疗技术的认知行为疗法治疗广泛性焦虑障碍的随机对照试验。
J Consult Clin Psychol. 2011 Apr;79(2):171-81. doi: 10.1037/a0022489.
9
Altered cerebral blood flow patterns associated with pathologic worry in the elderly.老年人病理性担忧相关的脑血流模式改变。
Depress Anxiety. 2011 Mar;28(3):202-9. doi: 10.1002/da.20799.
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A novel theory of experiential avoidance in generalized anxiety disorder: a review and synthesis of research supporting a contrast avoidance model of worry.广泛性焦虑障碍中经验回避的新理论:支持担忧对比回避模型的研究综述与综合
Clin Psychol Rev. 2011 Apr;31(3):371-82. doi: 10.1016/j.cpr.2011.01.008. Epub 2011 Jan 26.