APPLIED RELAXATION VS COGNITIVE-BEHAVIOR THERAPY IN THE TREATMENT OF PANIC DISORDER

被引:111
作者
OST, LG
WESTLING, BE
机构
[1] UNIV UPPSALA,DEPT PSYCHIAT,S-75105 UPPSALA,SWEDEN
[2] UNIV STOCKHOLM,DEPT CLIN PSYCHOL,S-10691 STOCKHOLM,SWEDEN
关键词
D O I
10.1016/0005-7967(94)E0026-F
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The present study investigated the efficacy of a coping-technique, applied relaxation (AR) and cognitive behavior therapy (CBT), in the treatment of panic disorder. Thirty-eight outpatients fulfilling the DSM-III-R criteria for panic disorder with no (n = 30) or mild (n = 8) avoidance were assessed with independent assessor ratings, self-report scales and self-observation of panic attacks before and after treatment, and at a 1-yr follow-up. The patients were treated individually for 12 weekly sessions. The results showed that both treatments yielded very large improvements, which were maintained, or furthered at follow-up. There was no difference between AR and CBT on any measure. The proportion of panic-free patients were 65 and 74% at post-treatment, and 82 and 89% at follow-up, for AR and CBT, respectively. There were no relapses at follow-up, on the contrary 55% of the patients who still had panic attacks at post-treatment were panic-free at follow-up. Besides affecting panic attacks the treatments also yielded marked and lasting changes on generalized anxiety, depression and cognitive misinterpretations. The conclusion that can be drawn is that both AR and CBT are effective treatments for panic disorder without avoidance.
引用
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页码:145 / 158
页数:14
相关论文
共 40 条
[1]  
American Psychiatric Association, 1987, DIAGNOSTIC STAT MANU, V3rd
[2]  
American Psychiatric Association, 1980, DIAGN STAT MAN MENT, V3rd
[3]   BEHAVIORAL TREATMENT OF PANIC DISORDER [J].
BARLOW, DH ;
CRASKE, MG ;
CERNY, JA ;
KLOSKO, JS .
BEHAVIOR THERAPY, 1989, 20 (02) :261-282
[4]   PANIC AND GENERALIZED ANXIETY DISORDERS - NATURE AND TREATMENT [J].
BARLOW, DH ;
COHEN, AS ;
WADDELL, MT ;
VERMILYEA, BB ;
KLOSKO, JS ;
BLANCHARD, EB ;
DINARDO, PA .
BEHAVIOR THERAPY, 1984, 15 (05) :431-449
[5]  
BARLOW DH, 1991, CHRONIC ANXIETY
[6]  
Beck A. T., 1985, ANXIETY DISORDERS PH, DOI 10.1176/ps.37.4.405
[7]   AN INVENTORY FOR MEASURING CLINICAL ANXIETY - PSYCHOMETRIC PROPERTIES [J].
BECK, AT ;
BROWN, G ;
EPSTEIN, N ;
STEER, RA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1988, 56 (06) :893-897
[8]  
BECK AT, 1992, AM J PSYCHIAT, V149, P778
[9]  
BECK AT, 1979, COGNITIVE THERAPY DE
[10]  
Beck AT., 1967, DEPRESSION CLIN EXPT