Institute of Occupational, Social and Environmental Medicine, Faculty of Medicine, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Department of Clinical Psychology/Psychotherapy Research, Institute of Psychology, University of Zurich, Zurich, Switzerland.
Adv Exp Med Biol. 2020;1191:291-329. doi: 10.1007/978-981-32-9705-0_17.
Anxiety disorders are an enormous societal burden given their high lifetime prevalence among adult populations worldwide. A variety of anxiety disorders can be successfully treated with psychological treatments such as cognitive behavioral therapy (CBT), mindfulness-based cognitive therapy (MBCT), and acceptance and commitment therapy (ACT), either as stand-alone individual or group treatment or as adjunctive treatment to pharmacotherapy. Furthermore, a growing body of evidence suggests that therapist-guided Internet-delivered CBT (iCBT) and, to some degree, digitalized mindfulness- and acceptance-based interventions may be an efficacious complement to traditional face-to-face therapy. In view of the current advances regarding the integration of traditional and innovative treatment approaches, this chapter provides an overview on the theory and evidence base for different delivery modes of CBT-related interventions for specific phobia, panic disorder, agoraphobia, social anxiety disorder, and generalized anxiety disorder in adults. Finally, implications for clinical practice and research will be derived, and future directions for the psychological treatment of anxiety disorders will be outlined.
焦虑障碍是一种巨大的社会负担,因为它们在世界范围内的成年人群体中具有很高的终身患病率。各种焦虑障碍都可以通过心理治疗成功治疗,例如认知行为疗法(CBT)、正念认知疗法(MBCT)和接受与承诺疗法(ACT),无论是作为独立的个体或团体治疗,还是作为药物治疗的辅助治疗。此外,越来越多的证据表明,治疗师指导的互联网提供的 CBT(iCBT),并且在某种程度上,数字化的正念和接受为基础的干预措施可能是对传统面对面治疗的有效补充。鉴于目前关于整合传统和创新治疗方法的进展,本章提供了有关成人特定恐惧症、恐慌症、广场恐惧症、社交焦虑症和广泛性焦虑症的 CBT 相关干预措施的不同传递模式的理论和证据基础的概述。最后,将得出对临床实践和研究的影响,并概述焦虑障碍的心理治疗的未来方向。