惊慌失调的临床和认知见解:互联网认知行为治疗中的现象学和治疗效应
Asala Halaj1, Asher Y Strauss1, Elad Zlotnick1
1The Hebrew University of Jerusalem, Israel.
Journal of psychiatric research
|February 22, 2024
概括
患有恐慌失调 (PD) 的人对恐慌发作的原因和危险有不同的看法. 基于互联网的治疗改善了临床和认知洞察力,更大的洞察力变化与更好的症状改善有关.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 恐慌失调 (PD) 患者对恐慌发作病因和感知到的危险有不同的看法.
- 临床洞察力 (疾病识别) 和认知洞察力 (信念反射) 在精神疾病中至关重要,但在PD中缺乏研究.
- 了解洞察力对PD症状和治疗的作用对于个性化干预至关重要.
研究的目的:
- 检查PD患者接受基于互联网的认知行为疗法 (iCBT) 的临床和认知洞察力.
- 研究洞察力,PD症状,治疗结果和治疗期间洞察力的变化之间的关系.
- 在PD治疗的背景下区分临床和认知洞察力的作用.
主要方法:
- 83名被诊断患有PD的患者使用面试和自我报告措施来评估洞察力和症状.
- 患者接受了基于互联网的认知行为疗法 (iCBT).
- 使用相关性分析来检查洞察力,症状和治疗结果之间的关系.
主要成果:
- 临床和认知洞察力是正相关的,并且在iCBT期间都显著改善.
- 更高的治疗前临床洞察力与更严重的治疗前PD症状相关.
- 临床和认知洞察力的更大增加与PD症状的更大减少有关.
结论:
- 临床和认知洞察力是恐慌障碍的重要因素,区分它们是很重要的.
- 干预措施应根据患者的洞察力水平进行调整,特别是对于那些洞察力有限的人来说.
- 需要进一步的研究,以充分阐明洞察力,PD现象学和治疗疗效之间的相互作用.
相关概念视频
01:27Panic Disorder
114
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
114
01:25Cognitive Therapy
152
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
152
01:24Rational Emotive Behavior Therapy
50
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
50
01:22Behavior Therapy
49
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
49
01:25Beck's Cognitive Therapy
51
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
51
01:28Psychotherapy
106
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
106