Barlow D H
Center for Anxiety and Related Disorders, Boston University, Mass 02215-2015, USA.
J Clin Psychiatry. 1997;58 Suppl 2:32-6; discussion 36-7.
Controlled clinical trials evaluating cognitive-behavioral approaches for panic disorder are rapidly accumulating. In the aggregate, these studies suggest substantial efficacy for cognitive-behavioral approaches in both the short and long term. Summaries and meta-analyses of these results are briefly described, but new evidence is also presented indicating that, in this chronic condition, patients continue to experience some exacerbations and remissions over the long term. Current attempts to evaluate combination psychosocial and pharmacologic approaches are described as well as the beginnings of efforts to develop more powerful treatments for panic disorder with or without agoraphobia.
评估针对惊恐障碍的认知行为疗法的对照临床试验正在迅速积累。总体而言，这些研究表明认知行为疗法在短期和长期都具有显著疗效。本文简要描述了这些结果的总结和荟萃分析，但也提供了新的证据，表明在这种慢性病中，患者长期仍会经历一些病情的加重和缓解。文中还描述了当前评估心理社会和药物联合治疗方法的尝试，以及为有或没有广场恐惧症的惊恐障碍开发更有效治疗方法的初步努力。
