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暴露疗法及其机制。

Exposure Therapy and Its Mechanisms.

机构信息

Department of Psychiatry, Center for the Treatment and Study of Anxiety, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Curr Top Behav Neurosci. 2023;64:273-288. doi: 10.1007/7854_2023_428.

DOI:10.1007/7854_2023_428
PMID:37532963
Abstract

Exposure therapy is the gold-standard treatment approach for pathological anxiety. This therapeutic approach builds on principles of extinction training from traditional fear conditioning and extinction protocols. In this chapter, we discuss principles of exposure therapy in the clinic and the laboratory experimental results that guide our decisions in the therapy. We discuss emotional processing theory and inhibitory learning principles, with a focus on expectation violation. We conclude with future research directions needed to improve exposure therapy outcomes among patients with anxiety-related disorders.

摘要

暴露疗法是病理性焦虑的金标准治疗方法。这种治疗方法建立在传统恐惧条件作用和消退协议的消退训练原则之上。在本章中,我们讨论了临床和实验室实验结果中的暴露疗法原则,这些原则指导我们在治疗中的决策。我们讨论了情绪加工理论和抑制性学习原则,重点是预期违背。最后,我们讨论了改善焦虑相关障碍患者暴露疗法效果所需的未来研究方向。

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Do Metacognitions of Children and Adolescents with Anxiety Disorders Change after Intensified Exposure Therapy?焦虑症儿童和青少年在强化暴露疗法后元认知会发生变化吗?
Children (Basel). 2022 Jan 28;9(2):168. doi: 10.3390/children9020168.
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Long-term Outcomes of Cognitive Behavioral Therapy for Anxiety-Related Disorders: A Systematic Review and Meta-analysis.焦虑相关障碍认知行为疗法的长期疗效:系统评价和荟萃分析。
JAMA Psychiatry. 2020 Mar 1;77(3):265-273. doi: 10.1001/jamapsychiatry.2019.3986.
3
A meta-analytic examination of attrition in virtual reality exposure therapy for anxiety disorders.
用于减轻心律失常患者痛苦的心理干预措施。
Curr Cardiol Rep. 2025 Jun 25;27(1):102. doi: 10.1007/s11886-025-02253-4.
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Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective.媒体引发的不确定性对心理健康的影响:基于叙事的视角
JMIR Ment Health. 2025 Jun 13;12:e68640. doi: 10.2196/68640.
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Cognitive behavioural therapy targeting cardiac anxiety post-myocardial infarction: results from two sequential pilot studies.针对心肌梗死后心脏焦虑的认知行为疗法:两项连续试点研究的结果
Eur Heart J Open. 2025 Mar 7;5(2):oeaf020. doi: 10.1093/ehjopen/oeaf020. eCollection 2025 Mar.
6
Considering Comorbidities and Individual Differences in Testing a Gaming Behavioral Activation App for Perinatal Depression and Anxiety: Open Trial Pilot Intervention Study.在测试一款针对围产期抑郁和焦虑的游戏行为激活应用程序时考虑共病情况和个体差异:开放试验性试点干预研究。
JMIR Form Res. 2025 Jan 14;9:e59154. doi: 10.2196/59154.
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J Anxiety Disord. 2019 Jan;61:18-26. doi: 10.1016/j.janxdis.2018.06.006. Epub 2018 Jun 21.
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