Ito L M, Noshirvani H, Başoğlu M, Marks I M
Institute of Psychiatry and Maudsley Hospital, London, UK.
Psychother Psychosom. 1996;65(1):24-28. doi: 10.1159/000289027.
The value of internal (interoceptive) cues for exposure is under debate and so was tested in a pilot controlled study.
Outpatients with panic disorder and severe agoraphobia were randomised to 10 weeks of self-exposure to either (1) both internal (interoceptive) and external cues (n = 12) or (2) external cues only (n = 14). Both groups were trained in slow deep breathing and asked to carry out daily self-exposure homework. Neither group had cognitive restructuring.
By post-treatment and follow-up all outcome measures improved significantly in both treatment groups. The two groups did not differ significantly in outcome, though slightly more patients who had exposure to both internal and external cues improved 50% or more on phobic avoidance and fear.
A larger controlled study is now worthwhile to tell if such small differences can be significant.
内感受性线索在暴露疗法中的价值存在争议，因此在一项试点对照研究中进行了测试。
将惊恐障碍伴严重广场恐惧症的门诊患者随机分为两组，进行为期10周的自我暴露：（1）同时暴露于内感受性和外感受性线索（n = 12）；（2）仅暴露于外感受性线索（n = 14）。两组均接受慢深呼吸训练，并要求进行每日自我暴露作业。两组均未进行认知重建。
治疗后及随访时，两个治疗组的所有结局指标均显著改善。两组在结局方面无显著差异，不过，同时暴露于内感受性和外感受性线索的患者中，在恐惧回避和恐惧方面改善50%或更多的人数略多。
现在值得进行一项更大规模的对照研究，以确定如此小的差异是否具有显著性。
