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恐吐症——一种针对被忽视疾病的元认知治疗方法。

Emetophobia - A Metacognitive Therapeutic Approach for an Overlooked Disorder.

作者信息

Simons Michael, Vloet Timo Daniel

机构信息

1 Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, RWTH Aachen University, Germany.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2018 Jan;46(1):57-66. doi: 10.1024/1422-4917/a000464. Epub 2016 Sep 29.

Abstract

OBJECTIVE

Emetophobia is the specific fear of vomiting that usually commences during childhood and adolescence. Cognitive behavioral therapy aims to expose patients to vomiting. In this paper, a newly developed metacognitive concept and treatment approach to this disorder is illustrated within a small case series.

METHODS

Three adolescent girls with emetophobia were treated with metacognitive therapy (MCT). Measures of anxiety, worry, depression, and metacognitions before and after the treatment were documented.

RESULTS

All patients recovered during the course of 8 to 11 sessions, and measurements of anxiety, worry, depression, and metacognitions dropped markedly.

CONCLUSIONS

MCT presents a valuable treatment option for emetophobia in adolescents.

摘要

目的

恐吐症是对呕吐的一种特定恐惧,通常始于童年和青少年时期。认知行为疗法旨在让患者接触呕吐场景。在本文中,一个新开发的针对该障碍的元认知概念和治疗方法在一个小病例系列中得到了阐述。

方法

对三名患有恐吐症的青少年女孩进行了元认知疗法(MCT)治疗。记录了治疗前后的焦虑、担忧、抑郁和元认知测量结果。

结果

所有患者在8至11次治疗过程中康复,焦虑、担忧、抑郁和元认知测量值显著下降。

结论

元认知疗法是青少年恐吐症的一种有价值的治疗选择。

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