对恐慌症的Bergen 4天治疗:长期的随访
Thorstein Olsen Eide1,2,3, Bjarne Hansen4,5, Kay Morten Hjelle4,5
1Molde Hospital, Møre og Romsdal Hospital Trust, Molde, Norway. thorstein.eide@uib.no.
BMC psychiatry
|February 7, 2025
概括
伯根4天治疗 (B4DT) 显示了对恐慌障碍 (PD) 和相关焦虑和抑郁症状的持续有效性. 这种集中认知行为疗法形式导致90%的患者长期缓解.
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
- 行为治疗是一种行为疗法.
背景情况:
- 伯根四天治疗 (B4DT) 是一种基于度暴露的认知行为治疗 (CBT) 形式.
- 以前的研究表明B4DT对恐慌症 (PD) 的承诺,但长期治疗获得稳定性需要进一步调查.
研究的目的:
- 评估B4DT对被诊断患有恐慌障碍的患者的长期有效性,有或没有 agorahobia.
- 通过扩大对先前研究的队列的随访来评估B4DT的持续影响.
主要方法:
- 一个回顾性开放试验包括30名患有PD的患者.
- 使用恐慌障碍严重程度尺度 (PDSS),通用焦虑障碍-7 (GAD-7) 和患者健康问卷-9 (PHQ-9) 测量结果.
- 评估发生在治疗前,治疗后,3个月的随访和更长期的随访 (平均18个月).
主要成果:
- 从治疗前到18个月的随访期间,观察到PDSS得分的显著降低 (p < .001).
- 3个月和18个月的症状严重程度没有显著差异,表明持续改善.
- 在18个月后,90%的患者实现了缓解,并保持了普遍焦虑和抑郁症状的减少.
结论:
- B4DT证明了对恐慌障碍的稳定和有效的长期结果.
- 这些发现表明B4DT是PD的有希望的治疗形式,尽管建议进一步严格的研究设计.
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