Carney R M
Psychiatr Dev. 1985 Spring;3(1):65-81.
Some of the methodological and conceptual issues relevant to behavior therapy treatment outcome studies for anxiety disorders are presented. The practice among behavioral researchers of measuring anxiety from 3 response systems (verbal, physiological and motoric-behavioral) is discussed. It is emphasized that many of the popular methods used to assess the 3 response systems have unknown or poor reliability or validity. From the point of view of treatment variables, it is noted that many behavioral treatment procedures are not reported in sufficient detail to allow replication or comparisons to be made across studies. In addition, it is argued that in order to improve the existing treatment procedures, it will be necessary for each study to assess the subjects' adherence to the treatment regimen, as well as their proficiency with any skills required to carry out the treatment plan. Finally, the importance of 'placebo' control groups is discussed in the context of identifying the specific factors in behavioral treatments which are responsible for change in the targeted symptoms. It is concluded that behavior therapy holds promise as an effective treatment for the anxiety disorders.
本文介绍了一些与焦虑症行为治疗结果研究相关的方法学和概念性问题。讨论了行为研究人员从三种反应系统（言语、生理和运动行为）测量焦虑的做法。强调用于评估这三种反应系统的许多常用方法的可靠性或有效性未知或较差。从治疗变量的角度来看，注意到许多行为治疗程序的报告不够详细，无法进行重复研究或跨研究比较。此外，有人认为，为了改进现有的治疗程序，每项研究都有必要评估受试者对治疗方案的依从性，以及他们执行治疗计划所需任何技能的熟练程度。最后，在确定行为治疗中导致目标症状变化的具体因素的背景下，讨论了“安慰剂”对照组的重要性。得出的结论是，行为疗法有望成为治疗焦虑症的有效方法。
