Swinson R P, Fergus K D, Cox B J, Wickwire K
Anxiety Disorders Clinic, Clarke Institute of Psychiatry, Toronto, Ontario, Canada.
Behav Res Ther. 1995 May;33(4):465-9. doi: 10.1016/0005-7967(94)00061-n.
The purpose of this study was to determine the efficacy of a structured exposure-based behavior therapy program delivered by telephone to agoraphobic individuals who were isolated from specialized treatment centres. Forty-two individuals with a DSM-III-R diagnosis of panic disorder with agoraphobia who were living in rural areas of Ontario were assigned to either an eight-session telephone behavior therapy program or wait-list control condition. There were significant treatment x time interaction effects on several outcome variables. Patients originally in the wait-list group then received the same type of therapy and they also significantly improved. All treatment gains were maintained at three-month and six-month follow-up. Telephone behavior therapy appears to be a cost-effective and efficacious treatment for agoraphobics living in remote regions where specialized anxiety disorder services are not readily available.
本研究的目的是确定通过电话向与专业治疗中心隔离的广场恐怖症患者提供的结构化暴露行为治疗方案的疗效。42名被诊断患有伴有广场恐怖症的惊恐障碍（DSM-III-R）且居住在安大略农村地区的个体被分配到为期八节的电话行为治疗方案组或等待名单对照组。在几个结果变量上存在显著的治疗×时间交互效应。最初在等待名单组的患者随后接受了相同类型的治疗，他们也有显著改善。所有治疗效果在三个月和六个月的随访中得以维持。对于生活在偏远地区且无法轻易获得专业焦虑症服务的广场恐怖症患者，电话行为治疗似乎是一种具有成本效益且有效的治疗方法。
