Department of Psychiatry, Center for the Treatment and Study of Anxiety, University of Pennsylvania, Philadelphia, PA, USA.
Curr Top Behav Neurosci. 2023;64:273-288. doi: 10.1007/7854_2023_428.
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.
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。