Cheung Peter
Consultant Psychiatrist, Northern Primary Mental Health Team, Preston, VIC, Australia.
Australas Psychiatry. 2013 Oct;21(5):461-5. doi: 10.1177/1039856213496854. Epub 2013 Aug 19.
To explore and discuss the psychotherapeutic implications of functional neuroimaging findings in anxiety disorders.
Therapeutic implications of the neural system dysfunctions found in functional neuroimaging studies of anxiety disorders include: emotional dysregulation can probably be found in all anxiety disorders except obsessive compulsive disorder and needs to be addressed; the probable salience of enhancing implicit emotion regulation in improving overall treatment outcome; the importance of addressing insecure attachment in establishing and maintaining the therapeutic relationship; the need to enhance the reward-approach system especially in chronic treatment-resistant patients; the need to address traumatic memory in anxiety disorders other than PTSD among those with a traumatic history. There is likely to be a need for therapeutic techniques and strategies of different psychotherapy schools to be utilized to adequately address the various neural dysfunctions in patients with anxiety disorders.
探讨和讨论功能神经影像学研究结果对焦虑症心理治疗的启示。
焦虑症功能神经影像学研究中发现的神经系统功能障碍的治疗启示包括：除强迫症外，所有焦虑症可能都存在情绪调节障碍，需要加以解决；增强内隐情绪调节在改善整体治疗效果方面可能具有重要意义；在建立和维持治疗关系中解决不安全依恋的重要性；尤其对于慢性难治性患者，增强奖赏趋近系统的必要性；对于有创伤史的患者，除创伤后应激障碍外的其他焦虑症需要处理创伤记忆。可能需要运用不同心理治疗学派的治疗技术和策略，以充分解决焦虑症患者的各种神经功能障碍。
