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惊恐障碍和特定恐惧症中的情感风格:认知行为疗法的变化及其对缓解的预测。

Affective Styles in Panic Disorder and Specific Phobia: Changes Through Cognitive Behavior Therapy and Prediction of Remission.

机构信息

Ruhr University Bochum.

Ruhr University Bochum.

出版信息

Behav Ther. 2020 May;51(3):375-385. doi: 10.1016/j.beth.2019.06.006. Epub 2019 Jun 24.

DOI:10.1016/j.beth.2019.06.006
PMID:32402254
Abstract

Affective styles appear to be relevant to the development of psychopathology, especially anxiety disorders. The aim of the current study was to investigate changes in affective styles in patients with panic disorder and specific phobia, as a result of undergoing cognitive-behavioral therapy, and to identify a possible link between certain affective styles and remission. The sample consisted of outpatients (N = 101) suffering from panic disorder, specific phobia, or agoraphobia who completed the Affective Style Questionnaire (ASQ) before and after therapy, as well as at a 6-month follow-up assessment. Multivariate analyses of variance were conducted to test for changes due to therapy. Logistic regression analyses were calculated to test for the impact of affective styles on remission from anxiety disorders, and hierarchical regression analyses were calculated to examine the association between changes in affective styles and symptom reduction. Results indicated significant increases on the ASQ subscales adjusting and tolerating after therapy. Concealing did not decrease significantly after therapy. In addition, higher scores on adjusting significantly predicted remission from anxiety disorders. Finally, we found a significant association between increases on the adjusting scale and the reduction of anxiety symptoms.

摘要

情感风格似乎与精神病理学的发展有关,尤其是焦虑障碍。本研究的目的是探讨惊恐障碍和特定恐惧症患者在接受认知行为治疗后情感风格的变化,以及某些情感风格与缓解之间是否存在关联。该样本包括 101 名门诊患者(N=101),他们患有惊恐障碍、特定恐惧症或广场恐惧症,在治疗前后以及 6 个月的随访评估中完成了情感风格问卷(ASQ)。进行了多变量方差分析以检验治疗引起的变化。计算了逻辑回归分析以检验情感风格对焦虑障碍缓解的影响,计算了分层回归分析以检验情感风格变化与症状减轻之间的关联。结果表明,治疗后调节和容忍子量表的得分显著增加。治疗后隐瞒的得分并没有显著下降。此外,调节得分越高,预示着从焦虑障碍中缓解的可能性越大。最后,我们发现调节量表得分的增加与焦虑症状的减轻之间存在显著关联。

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