Lidren D M, Watkins P L, Gould R A, Clum G A, Asterino M, Tulloch H L
Department of Psychology, Washington State University.
J Consult Clin Psychol. 1994 Aug;62(4):865-9. doi: 10.1037//0022-006x.62.4.865.
This study investigated 2 methods of disseminating a cognitive-behavioral intervention for panic disorder (PD). Thirty-six Ss who met diagnostic criteria for PD according to the Anxiety Disorders Interview Schedule-Revised were randomly assigned to 1 of 3 conditions: bibliotherapy (BT), group therapy (GT), or a waiting-list control (WL) condition. Interventions lasted 8 weeks and were followed by a posttest, along with 3- and 6-month follow-up assessments. Results indicated that both the BT and GT treatments were more effective than the WL condition in reducing frequency of panic attacks, severity of physical panic symptoms, catastrophic cognitions, agoraphobic avoidance, and depression and that the BT and GT treatments were more effective in increasing self-efficacy. Both interventions maintained their effects throughout the follow-up periods and produced clinically significant levels of change among the majority of treated Ss.
本研究调查了两种传播惊恐障碍(PD)认知行为干预方法。根据修订版焦虑症访谈量表符合PD诊断标准的36名受试者被随机分配到以下3种情况中的一种:自助书籍治疗(BT)、团体治疗(GT)或等待名单控制组(WL)。干预持续8周,随后进行后测,以及3个月和6个月的随访评估。结果表明,BT和GT治疗在减少惊恐发作频率、身体惊恐症状严重程度、灾难性认知、场所恐惧回避和抑郁方面比WL情况更有效,并且BT和GT治疗在提高自我效能方面更有效。两种干预在整个随访期都保持了效果,并在大多数接受治疗的受试者中产生了具有临床意义的变化水平。