针对呕吐恐惧症（Emetophobia）的认知行为疗法：一项先导随机对照试验。
Cognitive behaviour therapy for specific phobia of vomiting (Emetophobia): A pilot randomized controlled trial.
机构信息
Argosy University, San Diego Campus, College of Behavioral Sciences, CA, USA.
Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
出版信息
J Anxiety Disord. 2016 Oct;43:14-22. doi: 10.1016/j.janxdis.2016.07.005. Epub 2016 Jul 21.
UNLABELLED
This is the first randomised controlled trial to evaluate a protocol for cognitive behaviour therapy (CBT) for a Specific Phobia of Vomiting (SPOV) compared with a wait list and to use assessment scales that are specific for a SPOV.
METHOD
24 participants (23 women and 1 man) were randomly allocated to either 12 sessions of CBT or a wait list.
RESULTS
At the end of the treatment, CBT was significantly more efficacious than the wait list with a large effect size (Cohen's d=1.53) on the Specific Phobia of Vomiting Inventory between the two groups after 12 sessions. Six (50%) of the participants receiving CBT achieved clinically significant change compared to 2 (16%) participants in the wait list group. Eight (58.3%) participants receiving CBT achieved reliable improvement compared to 2 (16%) participants in the wait list group.
CONCLUSIONS
A SPOV is a condition treatable by CBT but further developments are required to increase efficacy.
本研究为首个随机对照试验，旨在评估呕吐恐惧症特定认知行为疗法（CBT）的方案，并与候补组进行比较，同时使用针对呕吐恐惧症的特定评估量表。
方法
将 24 名参与者（23 名女性和 1 名男性）随机分配至 12 节 CBT 或候补组。
结果
治疗结束时，CBT 比候补组更有效，两组在 12 个疗程后，呕吐恐惧症特异性量表上的疗效具有显著差异（Cohen's d=1.53），具有较大的效应量。与候补组的 2 名（16%）参与者相比，接受 CBT 的 6 名（50%）参与者取得了临床显著变化。与候补组的 2 名（16%）参与者相比，接受 CBT 的 8 名（58.3%）参与者取得了可靠的改善。
结论
呕吐恐惧症是可以通过 CBT 治疗的疾病，但需要进一步发展以提高疗效。
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