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首页> 外文期刊>Cognitive Therapy and Research >Development of an Anxiety Sensitivity (AS) Intervention for High-AS Individuals in Substance Use Disorders Treatment
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Development of an Anxiety Sensitivity (AS) Intervention for High-AS Individuals in Substance Use Disorders Treatment

机译：对高AS个体在物质使用障碍治疗中的焦虑敏感性（AS）干预的发展

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Substance use disorders (SUDs) and anxiety disorders commonly co-occur, yet to date no empirically-supported treatments for this combination of disorders has been developed. One potential way of treating these issues simultaneously may be to target anxiety sensitivity (AS), which is a risk factor for development of both SUDs and problematic anxiety. The objectives of the current study were to develop and pilot test a brief treatment aimed at reducing AS and substance use. Twenty-one individuals concurrently participating in a community-based intensive outpatient SUD treatment program received six 1.5-h sessions of an AS-targeted intervention, primarily utilizing interoceptive exposures, cognitive challenging, and psychoeducation about the relationship between substance use and anxiety. At post-treatment, participants had significant reductions in AS as measured by the Anxiety Sensitivity Index (d = 1.62; ASI; Reiss et al. in Behav Res Ther 24(1):1–8, 1986), and significant decreases in percent days abstinent from substances (Cohen’s d = 1.35). Average scores on the ASI at pre-treatment were in the clinical range (M = 41.5, SD = 9.97) but had moved to the nonclinical range on the ASI at 3 months follow-up (M = 20.8, SD = 9.39; intent to treat analysis). Participants had large reductions in the Depression–Anxiety–Stress Scale (Lovibond and Lovibond in Manual for the Depression Anxiety Stress Scales. Psychology Foundation Monograph, Sydney, 1995) anxiety subscale scores but remained in the moderate range on this subscale at follow-up. Subjective reports of both participants and therapists described the intervention as tolerable, effective, and desired. Results of the current open trial suggest that a relatively brief (<9 h) anxiety sensitivity intervention may be promising for reducing both anxiety sensitivity and in turn, frequency of substance use and anxiety symptoms.
机译：物质使用障碍（SUD）和焦虑症通常同时发生，但迄今为止，还没有针对这种疾病组合的经验支持疗法得到开发。同时解决这些问题的一种潜在方法可能是针对焦虑敏感性（AS），这是SUD和有问题的焦虑症发展的危险因素。当前研究的目的是开发和中试一种旨在减少AS和物质使用的简短治疗方法。同时参加基于社区的密集门诊SUD治疗计划的21名患者接受了6次1.5小时的以AS为目标的干预，这些干预主要是利用感受性暴露，认知挑战以及对物质使用与焦虑之间关系的心理教育。在治疗后，通过焦​​虑敏感性指数测得的参与者的AS显着降低（d = 1.62; ASI; Reiss等人在Behav Res Ther 24（1）：1-8，1986），并且百分比显着下降禁忌的天数（Cohen d = 1.35）。治疗前ASI的平均评分在临床范围内（M = 41.5，SD = 9.97），但在3个月的随访中已升至ASI的非临床范围（M = 20.8，SD = 9.39;治疗分析）。参与者的抑郁－焦虑－压力量表（Lovibond和Lovibond，《抑郁焦虑压力量表手册》，心理学基金会专着，悉尼，1995年）的焦虑量表得分大大降低，但随访时仍在该分量表中处于中等水平。参与者和治疗师的主观报告都将干预描述为可容忍，有效和理想的。当前开放试验的结果表明，相对简短的（<9小时）焦虑敏感性干预可能有望降低焦虑敏感性，进而降低药物使用的频率和焦虑症状。

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