University of Wyoming, Department of Psychology, Department 3415, 1000 East University Avenue, Laramie, WY 82071, USA.
J Anxiety Disord. 2013 Mar;27(2):259-64. doi: 10.1016/j.janxdis.2013.02.004. Epub 2013 Feb 27.
Interoceptive exposure (IE) is widely regarded as an essential procedure in the cognitive-behavioral treatment of panic disorder (PD). However, treatment manuals differ substantially in their prescribed delivery of IE, and little research exists to inform the optimal manner of its implementation. The present study examined therapists' perceptions and delivery of IE for PD. Results revealed substantial variability in how clinicians provide IE. In contrast to the prolonged and intense manner in which exposure techniques are traditionally applied, many therapists reported delivering a low dose of IE accompanied by controlled breathing strategies. Concerns about the potential adverse effects of IE were common despite the fact that participants reported the actual occurrence of negative outcomes of IE in their own practice to be extremely infrequent. It is possible that some therapists deliver IE in a cautious manner in an attempt to minimize the perceived risks associated with this treatment.
内感受暴露（IE）被广泛认为是惊恐障碍（PD）认知行为治疗的一个基本程序。然而，治疗手册在规定的 IE 实施方式上存在很大差异，几乎没有研究能提供其最佳实施方式的信息。本研究考察了治疗师对惊恐障碍 IE 的看法和实施方式。结果显示，临床医生提供 IE 的方式存在很大差异。与传统应用暴露技术时的长时间和高强度方式不同，许多治疗师报告说，他们提供的 IE 剂量较低，并伴有控制呼吸策略。尽管参与者报告说，在他们自己的实践中，IE 的实际负面后果非常罕见，但人们对 IE 的潜在不良影响表示普遍关注。一些治疗师可能以谨慎的方式提供 IE，试图将与这种治疗相关的感知风险降到最低。
