Otto M W, Whittal M L
Behavior Therapy Unit, Massachusetts General Hospital, Boston, USA.
Psychiatr Clin North Am. 1995 Dec;18(4):803-20.
This article examines the nature and course of panic disorder as understood from a cognitive-behavioral perspective. A model of the causes and maintenance of panic disorder is presented, and is followed by a discussion of the elements and efficacy of cognitive-behavioral treatment. Treatment effects and factors associated with relapse are considered within the context of evidence for a differential course of panic disorder for patients treated with cognitive-behavioral therapy relative to those treated with pharmacotherapy. Issues of combined treatment, maintenance of treatment gains, and preventive interventions are discussed.
本文从认知行为视角审视惊恐障碍的本质与病程。文中呈现了一个关于惊恐障碍病因及维持因素的模型，随后讨论了认知行为疗法的要素及疗效。在有证据表明接受认知行为疗法的患者与接受药物疗法的患者惊恐障碍病程存在差异的背景下，考量了治疗效果及与复发相关的因素。还讨论了联合治疗、巩固治疗效果以及预防性干预等问题。
