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随机对照试验的虚假安全行为消除疗法:焦虑症病理的统一认知行为治疗。

Randomized controlled trial of false safety behavior elimination therapy: a unified cognitive behavioral treatment for anxiety psychopathology.

机构信息

Department of Psychology, Florida State University, Tallahassee, FL 32306-4301, USA.

出版信息

Behav Ther. 2012 Sep;43(3):518-32. doi: 10.1016/j.beth.2012.02.004. Epub 2012 Mar 9.

Abstract

We tested the efficacy of a unified cognitive-behavioral therapy protocol for anxiety disorders. This group treatment protocol, termed false safety behavior elimination therapy (F-SET), is a cognitive-behavioral approach designed for use across various anxiety disorders such as panic disorder (PD), social anxiety disorder (SAD), and generalized anxiety disorder (GAD). F-SET simplifies, as well as broadens, key therapeutic elements of empirically validated treatments for anxiety disorders to allow for easier delivery to heterogeneous groups of patients with anxiety psychopathology. Patients with a primary anxiety disorder diagnosis (N=96) were randomly assigned to F-SET or a wait-list control. Data indicate that F-SET shows good efficacy and durability when delivered to mixed groups of patients with anxieties (i.e., PD, SAD, GAD) by relatively inexperienced clinicians. Findings are discussed in the context of balancing treatment efficacy and clinical utility.

摘要

我们测试了一种统一的认知行为疗法治疗焦虑障碍的疗效。这种小组治疗方案称为虚假安全行为消除疗法(F-SET),是一种认知行为方法,旨在用于各种焦虑障碍,如惊恐障碍(PD)、社交焦虑障碍(SAD)和广泛性焦虑障碍(GAD)。F-SET 简化并拓宽了焦虑障碍的经实证验证的治疗方法的关键治疗元素,以便更容易地向具有焦虑症病理的异质患者群体提供治疗。具有原发性焦虑障碍诊断的患者(N=96)被随机分配到 F-SET 或候补名单对照组。数据表明,当由经验相对不足的临床医生向混合的焦虑症患者(即 PD、SAD、GAD)群体提供 F-SET 时,它显示出良好的疗效和持久性。研究结果在平衡治疗效果和临床实用性的背景下进行了讨论。

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