Telch M J, Lucas J A, Schmidt N B, Hanna H H, LaNae Jaimez T, Lucas R A
Department of Psychology, University of Texas, Austin 78704.
Behav Res Ther. 1993 Mar;31(3):279-87. doi: 10.1016/0005-7967(93)90026-q.
The present study examined the efficacy of an 8-wk, cognitive-behavioral group treatment for panic disorder. Patients meeting DSM-III-R criteria for panic disorder with or without agoraphobia were randomly assigned to treatment (N = 34) or delayed treatment control (N = 33). The treatment consisted of: (a) education and corrective information; (b) cognitive therapy; (c) training in diaphragmatic breathing; and (d) interoceptive exposure. At posttreatment, 85% of treated Ss were panic free, compared to 30% of controls. Treated Ss also showed clinically significant improvement on indices of anxiety, agoraphobia, depression and fear of fear. Recovery, as estimated conservatively by the attainment of normal levels of functioning on each of the major clinical dimensions of the disorder (i.e. panic, anxiety and avoidance), was achieved in 64% of the treated Ss and 9% of the controls. At the 6 month follow-up, 63% of the treated patients met criteria for recovery. These findings mirror those from recently-completed trials of individually-administered cognitive-behavioral treatment, and suggest that CBT is a viable alternative to pharmacotherapy in the treatment of panic disorder.
本研究检验了为期8周的惊恐障碍认知行为团体治疗的疗效。符合DSM-III-R惊恐障碍标准（无论是否伴有广场恐惧症）的患者被随机分配至治疗组（N = 34）或延迟治疗对照组（N = 33）。治疗包括：（a）教育与纠正性信息；（b）认知疗法；（c）膈式呼吸训练；以及（d）内感受暴露。治疗后，85%接受治疗的受试者不再惊恐，而对照组这一比例为30%。接受治疗的受试者在焦虑、广场恐惧症、抑郁以及恐惧恐惧等指标上也显示出临床上显著的改善。通过在该障碍的各主要临床维度（即惊恐、焦虑和回避）上达到正常功能水平来保守估计，64%接受治疗的受试者实现了康复，而对照组这一比例为9%。在6个月的随访中，63%接受治疗的患者符合康复标准。这些发现与最近完成的个体认知行为治疗试验结果相似，表明认知行为疗法在惊恐障碍治疗中是药物治疗的一种可行替代方法。
