Ogawa S, Kondo M, Ino K, Ii T, Imai R, Furukawa T A, Akechi T
Department of Psychiatry and Cognitive-Behavioural Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health, Kyoto, Japan.
East Asian Arch Psychiatry. 2017 Dec;27(4):150-5.
To examine the relationship of fear of fear and broad dimensions of psychopathology in panic disorder with agoraphobia over the course of cognitive behavioural therapy in Japan.
A total of 177 Japanese patients with panic disorder with agoraphobia were treated with group cognitive behavioural therapy between 2001 and 2015. We examined associations between the change scores in Agoraphobic Cognitions Questionnaire or Body Sensations Questionnaire and the changes in subscales of Symptom Checklist-90 Revised during cognitive behavioural therapy controlling the change in panic disorder severity using multiple regression analysis.
Reduction in Agoraphobic Cognitions Questionnaire score was related to a decrease in all Symptom Checklist-90 Revised (SCL-90-R) subscale scores. Reduction in Body Sensations Questionnaire score was associated with a decrease in anxiety. Reduction in Panic Disorder Severity Scale score was not related to any SCL-90-R subscale changes.
Changes in fear of fear, especially maladaptive cognitions, may predict broad dimensions of psychopathology reductions in patients of panic disorder with agoraphobia over the course of cognitive behavioural therapy. For the sake of improving a broader range of psychiatric symptoms in patients of panic disorder with agoraphobia, more attention to maladaptive cognition changes during cognitive behavioural therapy is warranted.
探讨在日本，广场恐怖症伴惊恐障碍患者在认知行为治疗过程中，对恐惧的恐惧与精神病理学广泛维度之间的关系。
2001年至2015年间，共有177名日本广场恐怖症伴惊恐障碍患者接受了团体认知行为治疗。我们使用多元回归分析，在控制惊恐障碍严重程度变化的情况下，研究了广场恐怖认知问卷或身体感觉问卷的变化分数与症状自评量表90修订版各分量表变化之间的关联。
广场恐怖认知问卷得分的降低与症状自评量表90修订版（SCL-90-R）所有分量表得分的降低相关。身体感觉问卷得分的降低与焦虑的减轻相关。惊恐障碍严重程度量表得分的降低与任何SCL-90-R分量表的变化均无关。
对恐惧的恐惧的变化，尤其是适应不良认知的变化，可能预示着广场恐怖症伴惊恐障碍患者在认知行为治疗过程中精神病理学广泛维度的减轻。为了改善广场恐怖症伴惊恐障碍患者更广泛的精神症状，在认知行为治疗过程中，有必要更多地关注适应不良认知的变化。
