University of Massachusetts Boston, Boston, MA, USA,
Curr Psychiatry Rep. 2013 Nov;15(11):410. doi: 10.1007/s11920-013-0410-3.
This article presents a brief conceptual overview of acceptance-based behavioral therapies (ABBTs) for anxiety disorders, followed by a review and summary of the recent efficacy studies of ABBTs for anxiety and comorbid disorders. We discuss clinical implications, including the importance of targeting reactivity and experiential avoidance in interventions for anxiety disorders through the use of mindfulness and other acceptance-based strategies, as well the encouragement of engagement in meaningful activities or valued action. We also address future directions for research, such as expanding research to include more randomized control trials comparing ABBTs for specific anxiety disorders to other active treatments, examining mechanisms of change, exploring adaptations in different care-delivery contexts, as well as determining the applicability of these approaches to clients from marginalized or non-dominant statuses.
本文简要概述了基于接纳的行为疗法(ABBT)在焦虑障碍中的应用,接着对 ABBT 在焦虑及共病障碍中的近期疗效研究进行了回顾和总结。我们讨论了其临床意义,包括通过使用正念和其他接纳策略来针对焦虑障碍中的反应性和体验回避进行干预的重要性,以及鼓励人们从事有意义的活动或有价值的行动。我们还探讨了未来的研究方向,例如扩大研究范围,纳入更多比较特定焦虑障碍的 ABBT 与其他有效治疗的随机对照试验,研究其改变的机制,探索不同护理环境下的适应性,以及确定这些方法对处于边缘或非主导地位的客户的适用性。