Watkins P L, Sturgis E T, Clum G A
University of Mississippi Medical Center.
J Behav Ther Exp Psychiatry. 1988 Jun;19(2):147-55. doi: 10.1016/0005-7916(88)90029-8.
Contemporary models suggest that persons with panic disorder inaccurately attribute somatic anxiety symptoms to catastrophic causes. This consequently exacerbates their physiological symptoms, triggering full-blown panic attacks. Researchers have modified catastrophic thinking using cognitive therapy, but typically have not employed these techniques during actual episodes of heightened arousal. Thus, reported cognitive changes may not generalize to naturalistic situations involving hyperreactivity. This study describes use of an intervention which simultaneously combines symptom exposure and cognitive therapy techniques. The client treated here experienced reductions in panic attack frequency as well as duration and became less depressed as therapy progressed. Discussion addresses potential causal mechanisms and directions for future research.
当代模型表明，恐慌症患者会将躯体焦虑症状错误地归因于灾难性原因。这进而加剧了他们的生理症状，引发全面的恐慌发作。研究人员已通过认知疗法改变灾难性思维，但通常未在实际高度唤醒发作期间运用这些技巧。因此，所报告的认知变化可能无法推广至涉及过度反应的自然情境。本研究描述了一种同时结合症状暴露与认知疗法技巧的干预措施的使用情况。在此接受治疗的患者恐慌发作频率及持续时间均有所降低，且随着治疗进展抑郁程度减轻。讨论涉及潜在因果机制及未来研究方向。
