评估焦点CBT培训对恐慌障碍的有效性:一个随机并行试验
Saarim Yasin Aslam1,2, Angie Jenkin3, Tiago Zortea1
1Department of Experimental Psychology, University of Oxfordhttps://ror.org/052gg0110, Oxford, UK.
Psychological medicine
|November 24, 2025
概括
与通常治疗相比,集中认知行为疗法 (CBT) 显著降低了恐慌严重程度. 这种特定于恐慌的CBT方法显示出改善NHS服务中康复率的前景.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 治疗干预 治疗干预
背景情况:
- 英国NHS Talking Therapies (NHSTT) 服务中的恐慌症恢复率落后于随机试验结果.
- 专注认知行为疗法 (CBT) 的治疗师培训以前改善了患者的治疗结果.
- NHSTT服务旨在提高恐慌障碍治疗的有效性.
研究的目的:
- 评估受过培训的心理健康从业者 (PWPs) 提供的集中CBT是否能改善恐慌症治疗结果.
- 探索在专注的CBT中支持方法行为 (ASBs) 的影响,特别是在突出的安全寻求行为 (SSBs) 的存在下.
主要方法:
- 在两个NHSTT服务中进行了一项随机并行试验.
- 参与者被分配到集中CBT或标准"第二步"治疗 (通常治疗 - TAU).
主要成果:
- 与TAU相比,一个显著的组时间点相互作用表明,焦点CBT组的恐慌严重性减少更大.
- 支持接近的行为 (ASB) 并没有预测恐慌严重程度的变化.
- 在治疗结束时寻求安全的行为 (SSB) 预测了恐慌严重程度的变化.
结论:
- 集中性CBT是治疗恐慌症的有效方法,效果优于TAU.
- 这种特定于恐慌的低强度CBT方法适用于NHSTT服务.
- 这些发现支持将焦点CBT用于恐慌障碍的整合到常规心理健康护理中.
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