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本文引用的文献

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Single-session anxiety sensitivity reduction program for trauma-exposed adults: a case series documenting feasibility and initial efficacy.单次创伤后焦虑敏感降低方案对成年人的疗效:一项记录可行性和初步疗效的病例系列研究
Behav Ther. 2012 Sep;43(3):482-91. doi: 10.1016/j.beth.2012.03.005. Epub 2012 Mar 14.
2
The impact of dissociation on PTSD treatment with cognitive processing therapy.分离对认知加工疗法治疗 PTSD 的影响。
Depress Anxiety. 2012 Aug;29(8):718-30. doi: 10.1002/da.21938. Epub 2012 Mar 30.
3
Refinement of a brief anxiety sensitivity reduction intervention.简短焦虑敏感降低干预的改进。
J Consult Clin Psychol. 2012 Oct;80(5):766-72. doi: 10.1037/a0027961. Epub 2012 Apr 2.
4
Clarifying the relationship between AS dimensions and PTSD symptom clusters: are negative and positive affectivity theoretically relevant constructs?澄清 AS 维度与 PTSD 症状群之间的关系:负性和正性情感是否是理论上相关的结构?
Cogn Behav Ther. 2012;41(1):15-25. doi: 10.1080/16506073.2011.621971. Epub 2011 Nov 1.
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Factors of PTSD: differential specificity and external correlates.创伤后应激障碍的因素:差异特异性和外部相关性。
Clin Psychol Rev. 2011 Aug;31(6):993-1003. doi: 10.1016/j.cpr.2011.06.005. Epub 2011 Jun 22.
6
Categorical or dimensional: a reanalysis of the anxiety sensitivity construct.类别或维度:焦虑敏感结构的再分析。
Behav Ther. 2010 Jun;41(2):154-71. doi: 10.1016/j.beth.2009.02.005. Epub 2009 Dec 5.
7
Anxiety sensitivity and PTSD symptom severity are reciprocally related: evidence from a longitudinal study of physical trauma survivors.焦虑敏感与 PTSD 症状严重程度呈相互关系:来自躯体创伤幸存者的纵向研究证据。
J Abnorm Psychol. 2010 Feb;119(1):143-50. doi: 10.1037/a0018009.
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Intrusive images in psychological disorders: characteristics, neural mechanisms, and treatment implications.心理障碍中的侵入性图像:特征、神经机制及治疗意义。
Psychol Rev. 2010 Jan;117(1):210-32. doi: 10.1037/a0018113.
9
Anxiety sensitivity and posttrauma stress symptoms in female undergraduates following a campus shooting.校园枪击事件后女大学生的焦虑敏感与创伤后应激症状。
J Trauma Stress. 2009 Dec;22(6):489-96. doi: 10.1002/jts.20457.
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Anxiety sensitivity and the anxiety disorders: a meta-analytic review and synthesis.焦虑敏感与焦虑障碍:一项元分析综述与综合。
Psychol Bull. 2009 Nov;135(6):974-99. doi: 10.1037/a0017428.

创伤后应激障碍认知行为疗法中焦虑敏感和创伤后应激症状的纵向病程。

Longitudinal course of anxiety sensitivity and PTSD symptoms in cognitive-behavioral therapies for PTSD.

机构信息

Department of Psychiatry, Boston University School of Medicine, United States; National Center for Posttraumatic Stress Disorder, Women's Health Sciences Division, VA Boston Healthcare System, United States.

出版信息

J Anxiety Disord. 2013 Oct;27(7):728-34. doi: 10.1016/j.janxdis.2013.09.010. Epub 2013 Oct 1.

DOI:10.1016/j.janxdis.2013.09.010
PMID:24176804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3860054/
Abstract

Anxiety sensitivity (AS) has been conceptualized as trait-like vulnerability and maintenance factor for PTSD. Although recent literature has demonstrated its malleability during treatment, few have examined its influence on and effect from PTSD treatment. Using multilevel regression analyses we examined: (a) changes in AS during treatment and (b) whether pre-treatment AS predicted PTSD treatment response, in sample of female victims of interpersonal trauma receiving one of three treatments (cognitive processing therapy, cognitive processing therapy-cognitive, and written accounts). Participants exhibited reductions in total ASI scores from pre- to post-treatment. Growth curve modeling revealed slightly different trajectories of PTSD symptoms as a function of pre-treatment AS, and overall decreases in PTSD symptoms during treatment were not associated with pretreatment AS. Pretreatment AS dimensions impacted PTSD total scores and symptoms clusters differentially. Clinical and theoretical implications for these results are discussed.

摘要

焦虑敏感 (AS) 被概念化为 PTSD 的特质性脆弱性和维持因素。尽管最近的文献表明它在治疗过程中具有可变性,但很少有人研究它对 PTSD 治疗的影响及其效果。我们使用多层次回归分析来检查:(a) 治疗过程中 AS 的变化,以及 (b) 在接受三种治疗方法之一(认知加工治疗、认知加工治疗-认知和书面报告)的人际创伤女性受害者样本中,治疗前的 AS 是否预测 PTSD 治疗反应。参与者在治疗前至治疗后的总 ASI 评分均有所下降。增长曲线模型显示,治疗前的 AS 对 PTSD 症状的轨迹略有不同,治疗期间 PTSD 症状的总体下降与治疗前的 AS 无关。治疗前的 AS 维度对 PTSD 总分和症状群有不同的影响。对这些结果进行了临床和理论上的讨论。