Department of Psychology at Vanderbilt University. Catherine Rast and Sarah Woronko are research assistants, Sarah Jessup is a graduate assistant, and Bunmi Olatunji is a professor.
Bull Menninger Clin. 2023 Spring;87(Supplement A):5-30. doi: 10.1521/bumc.2023.87.suppA.5.
Although conditioning approaches have highlighted potential characteristics of disgust in anxiety disorders, obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD), these findings have yet to be translated into evidence-based treatments. Examination of the literature suggests various indicators of disgust that predict treatment outcome in these disorders. However, mechanisms remain unclear because studies examining disgust during the course of treatment are limited. Increasingly, the field has moved toward experimental investigation of strategies that reduce disgust. While cognitive reappraisal and imagery techniques appear promising, such techniques have yet to be examined as anxiety disorder treatments in large-scale randomized clinical trials. The literature also points to novel approaches to treating disgust, ranging from an inhibitory-informed approach to exposure therapy to transcranial direct current stimulation. However, the development of novel treatment approaches will require more rigorous experimental psychopathology approaches that can further elucidate processes that contribute to the etiology and/or maintenance of disorders of disgust.
尽管条件作用方法已经强调了厌恶在焦虑障碍、强迫症 (OCD) 和创伤后应激障碍 (PTSD) 中的潜在特征，但这些发现尚未转化为基于证据的治疗方法。对文献的研究表明，在这些疾病中，有各种预示治疗结果的厌恶指标。然而，由于研究在治疗过程中检查厌恶的研究有限，因此机制尚不清楚。越来越多的领域转向对减少厌恶的策略进行实验研究。虽然认知重评和意象技术似乎很有前途，但这些技术尚未作为焦虑障碍的治疗方法在大规模随机临床试验中进行检验。文献还指出了治疗厌恶的新方法，从抑制性信息暴露治疗到经颅直流电刺激。然而，新的治疗方法的发展需要更严格的实验心理病理学方法，这可以进一步阐明导致厌恶障碍的病因和/或维持的过程。
