Reuman Lillian, Abramowitz Jonathan S
University of North Carolina at Chapel Hill.
Cogn Behav Pract. 2021 Aug;28(3):336-349. doi: 10.1016/j.cbpra.2020.12.008. Epub 2021 Feb 20.
Fear-based disorders (FBDs) occur in an interpersonal context as relatives (e.g., partners, parents) often accommodate symptoms. Symptom accommodation, which is ubiquitous and reinforces FBD behavior, is associated with increased FBD symptom severity and interferes with treatment. Accordingly, reducing accommodation represents a crucial aim for intervention. We describe a brief, manualized group intervention to decrease symptom accommodation and caregiver burden among cohabitating relatives of individuals with FBDs. The intervention is the first to date that (a) jointly includes parents partners to target symptom accommodation, and (b) uses a transdiagnostic group treatment approach. We also provide preliminary empirical support for this group-based intervention among adult relatives ( = 20) that participated in the five weekly intervention sessions and completed assessments at baseline, posttreatment, and 1-month follow-up (1MFU). Preliminary results suggest that the group intervention is feasible and acceptable. Completers ( = 18) exhibited significant reductions in symptom accommodation and self-reported burden between baseline and 1MFU. The discussion identifies study limitations and future directions.
基于恐惧的障碍（FBDs）发生在人际环境中，因为亲属（如伴侣、父母）常常迁就症状。症状迁就普遍存在且强化FBD行为，它与FBD症状严重程度增加相关，并干扰治疗。因此，减少迁就行为是干预的一个关键目标。我们描述了一种简短的、手册化的团体干预措施，以减少FBD患者同居亲属的症状迁就行为和照顾者负担。该干预措施是迄今为止首个（a）联合纳入父母和伴侣以针对症状迁就行为，以及（b）采用跨诊断团体治疗方法的措施。我们还为参与了为期五周的干预课程并在基线、治疗后和1个月随访（1MFU）时完成评估的成年亲属（n = 20）中的这种基于团体的干预措施提供了初步实证支持。初步结果表明该团体干预措施是可行且可接受的。完成者（n = 18）在基线和1MFU之间症状迁就行为和自我报告的负担显著降低。讨论部分指出了研究的局限性和未来方向。
