恐慌症的认知理论:一个系统的叙事审查
Saarim Yasin Aslam1, Tiago Zortea1, Paul Salkovskis2
1University of Oxford, The Oxford Institute for Clinical Psychology Training and Research, Isis Education Centre, Warneford Hospital, Oxford OX3 7JX, UK.
Clinical psychology review
|August 24, 2024
概括
恐慌障碍的认知理论得到了大量证据的支持,表明对身体感觉的灾难性误解导致了恐慌发作. 建议进一步进行高质量的研究.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 恐慌症的认知理论认为,这种情况的个体倾向于灾难性地误解身体的感觉,引发恐慌发作.
- 这种倾向被认为是导致恐慌障碍发展和维持的核心特征.
研究的目的:
- 系统地审查现有证据,支持恐慌障碍的认知理论及其具体预测.
- 根据当前的研究,确定理论的任何必要更新.
- 概述未来的研究方向,以更深入地了解恐慌障碍.
主要方法:
- 从1986年到2024年7月,在主要数据库 (Scopus,科学网,PsycInfo,EMBASE,MEDLINE,CINAHL) 进行了全面的文献搜索.
- 纳入标准侧重于成年恐慌症患者的定量研究,以适当的结果测量测试理论预测.
- 使用QualSyst评估了研究质量,并根据测试的预测合成了研究结果.
主要成果:
- 来自49个出版物的53项研究符合纳入标准.
- 发现了大量证据支持来自恐慌障碍认知理论的所有预测.
- 虽然三个研究没有完全支持特定的预测,但没有发现与整体理论不一致.
结论:
- 目前的研究强烈支持恐慌症的认知理论及其核心预测.
- 大多数审查的研究质量中等,女性参与者占主导地位,突出了需要更多多样化的样本.
- 建议进行更高质量的研究,以进一步完善我们对恐慌障碍治疗的理解和影响.
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