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首页> 外文期刊>Cognitive Behaviour Therapy >Cognitive Behavioural Therapy and Applied Relaxation for Generalized Anxiety Disorder: A Time Series Analysis of Change in Worry and Somatic Anxiety
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Cognitive Behavioural Therapy and Applied Relaxation for Generalized Anxiety Disorder: A Time Series Analysis of Change in Worry and Somatic Anxiety

机译：广泛性焦虑症的认知行为疗法和应用放松：焦虑和躯体焦虑变化的时间序列分析

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摘要

The present study examined symptom change profiles in patients with generalized anxiety disorder (GAD) receiving either cognitive behavioural therapy (CBT) or applied relaxation (AR). It was hypothesized that (a) changes in worry would uniquely predict changes in somatic anxiety for most participants receiving CBT and (b) changes in somatic anxiety would uniquely predict changes in worry for most participants in the AR condition. Twenty participants (CBT n = 10; AR n = 10) completed daily ratings of worry and somatic anxiety during therapy, and multivariate time series analysis was used to assess the causal impact of each variable on the other. The hypotheses were not supported because we found no evidence of a match between individual symptom change profiles and treatment condition. Rather, a bidirectional relationship between worry and somatic anxiety was observed in 80% of participants receiving CBT and 70% of participants receiving AR. When only treatment responders were considered, 83% of participants receiving CBT and 86% of those receiving AR had such a bidirectional effect. The findings are discussed in terms of models of psychopathology that posit dynamic interactions between symptom clusters and in terms of the value of examining treatment mechanisms at the individual level.
机译：本研究检查了接受认知行为疗法（CBT）或应用放松（AR）的广泛性焦虑症（GAD）患者的症状变化特征。假设（a）忧虑的变化将唯一预测大多数接受CBT的参与者的躯体焦虑变化，（b）躯体焦虑的变化将唯一预测大多数AR参与者的焦虑变化。二十名参与者（CBT n = 10； AR n = 10）完成了治疗期间每日对焦虑和躯体焦虑的评分，并使用多元时间序列分析来评估每个变量对另一个的因果影响。不支持该假设，因为我们发现没有证据表明个体症状变化特征与治疗条件相符。相反，在80％的接受CBT的参与者和70％的接受AR的参与者中观察到了忧虑与躯体焦虑之间的双向关系。如果仅考虑治疗反应者，则接受CBT的参与者中有83％，接受AR的参与者中有86％具有这种双向效应。研究结果以心理病理学模型为基础，该模型假定症状群之间存在动态相互作用，并以个体水平研究治疗机制的价值。

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