Department of Psychology and Behavioral Sciences, Zhejiang University College of Sciences, Hangzhou, China.
Psychiatr Danub. 2014 Jun;26(2):137-44.
The effect of the cognitive behavioral therapy (CBT) for panic disorder varies, but how personality disorder functioning style influences it remains unclear.
In 30 healthy volunteers and 44 patients with panic disorder (22 treated and 22 waiting list), we administered the Parker Personality Measure (PERM) and the Plutchik-van Praag Depression Inventory (PVP). Before and during the CBT or waiting period, patients were asked to record their panic attacks using the Panic Attack Record (PAR).
Patients scored significantly higher on PERM Antisocial, Borderline, Histrionic, Avoident, Dependent, and Passive-aggressive styles and on depression. After CBT, all PAR parameters were significantly reduced in the treated group. The Obsessive-compulsive style was positively correlated with the panic attack duration and the total-thought before CBT or waiting period in all patients. In treated patients, the decreased panic attack duration was positively correlated with Histrionic, Obsessive-compulsive and Passive-aggressive; the decreased total symptom number was positively correlated with Antisocial and Histrionic; the decreased total-sensation was positively correlated with antisocial; and the total-thought was positively correlated with Narcissistic style.
The length and duration of CBT was short and mainly with behavioral strategies, how personality influenced the related cognition per se remains unknown here. However, our preliminary results indicate that personality disorder functioning styles related to the externalized behaviors and the Obsessive-compulsive style have positive effects on CBT for panic disorder, implying that CBT practitioners should note their personality styles when treating these patients.
认知行为疗法（CBT）对惊恐障碍的疗效存在差异，但人格障碍功能模式如何影响疗效尚不清楚。
在 30 名健康志愿者和 44 名惊恐障碍患者（22 名接受治疗，22 名等待名单）中，我们使用帕克人格量表（PERM）和普卢奇克-范普拉格抑郁量表（PVP）进行评估。在 CBT 或等待期间之前和期间，患者使用惊恐发作记录（PAR）记录他们的惊恐发作。
患者在 PERM 的反社会、边缘、表现型、回避、依赖和被动攻击型以及抑郁方面的得分显著更高。在 CBT 后，治疗组的所有 PAR 参数均显著降低。在所有患者中，强迫型人格与惊恐发作持续时间和总思维在 CBT 或等待期间前呈正相关。在接受治疗的患者中，惊恐发作持续时间的减少与表现型、强迫型和被动攻击型呈正相关；总症状数的减少与反社会和表现型呈正相关；总感觉的减少与反社会型呈正相关；总思维与自恋型呈正相关。
CBT 的长度和持续时间较短，主要采用行为策略，人格如何影响相关认知本身尚不清楚。然而，我们的初步结果表明，与外化行为和强迫型人格相关的人格障碍功能模式对惊恐障碍的 CBT 有积极影响，这表明 CBT 从业者在治疗这些患者时应注意他们的人格模式。
