Craske M G, Rowe M, Lewin M, Noriega-Dimitri R
Department of Psychology, University of California Los Angeles 90095-1563, USA.
Br J Clin Psychol. 1997 Feb;36(1):85-99. doi: 10.1111/j.2044-8260.1997.tb01233.x.
This study compared two components of a cognitive-behavioural treatment for panic disorder. Thirty-eight individuals with panic disorder and agoraphobia were randomly assigned to (a) cognitive restructuring, interoceptive exposure (i.e. repeated exposure to feared bodily sensations) and in vivo exposure to agoraphobic situations; or (b) cognitive restructuring, breathing retraining and in vivo exposure to agoraphobic situations. Assessments were conducted at pre-treatment, post-treatment and six months later. The treatments were equally effective on many measures. However, treatment that included interoceptive exposure was more effective at post-treatment in terms of panic frequency, overall severity and functioning, and more effective at six-month follow-up in terms of panic frequency, phobic fears and general anxiety and functioning. Follow-up results were limited due to attrition.
本研究比较了惊恐障碍认知行为疗法的两个组成部分。38名患有惊恐障碍和广场恐惧症的个体被随机分配到：（a）认知重建、内感受性暴露（即反复暴露于恐惧的身体感觉）以及对广场恐惧情境的现场暴露；或（b）认知重建、呼吸再训练以及对广场恐惧情境的现场暴露。在治疗前、治疗后及六个月后进行评估。两种治疗方法在许多指标上效果相当。然而，包含内感受性暴露的治疗在治疗后，在惊恐发作频率、总体严重程度及功能方面更为有效；在六个月随访时，在惊恐发作频率、恐惧及一般焦虑和功能方面更为有效。由于失访，随访结果受到限制。
