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首页> 外文期刊>Sao Paulo Medical Journal >Efficacy of a specific model for cognitive-behavioral therapy among panic disorder patients with agoraphobia: a randomized clinical trial
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Efficacy of a specific model for cognitive-behavioral therapy among panic disorder patients with agoraphobia: a randomized clinical trial

机译：恐慌症恐慌症患者认知行为治疗特定模型的功效：一项随机临床试验

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CONTEXT AND OBJECTIVE: Cognitive-behavioral therapy is frequently indicated for panic disorder. The aim here was to evaluate the efficacy of a model for cognitive-behavioral therapy for treating panic disorder with agoraphobia. DESIGN AND SETTING: Randomized clinical trial at Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro. METHODS: A group of 50 patients with a diagnosis of panic disorder with agoraphobia was randomized into two groups to receive: a) cognitive-behavioral therapy with medication; or b) medication (tricyclic antidepressants or selective serotonin reuptake inhibitors). RESULTS: Although there was no difference between the groups after the treatment in relation to almost all variables with the exception of some items of the Sheehan disability scale and the psychosocial and environmental problems scale, the patients who received the specific therapy presented significant reductions in panic attacks, anticipatory anxiety, agoraphobia avoidance and fear of body sensations at the end of the study, in relation to the group without the therapy. On the overall functioning assessment scale, overall wellbeing increased from 60.8% to 72.5% among the patients in the group with therapy, thus differing from the group without therapy. CONCLUSION: Although both groups responded to the treatment and improved, we only observed significant differences between the interventions on some scales. The association between specific cognitive-behavioral therapy focusing on somatic complaints and pharmacological treatment was effective among this sample of patients with panic disorder and the response was similar in the group with pharmacological treatment alone.
机译：语境和目的：认知行为疗法经常被用于恐慌症的治疗。这里的目的是评估认知行为疗法模型治疗恐惧症和广场恐惧症的功效。设计与地点：里约热内卢联邦大学心理学研究所的随机临床试验。方法：将50名诊断为恐慌症的恐慌症患者随机分为两组，分别为：a）药物认知行为疗法;或b）药物（三环类抗抑郁药或选择性5-羟色胺再摄取抑制剂）。结果：尽管除了希恩残疾量表和社会心理及环境问题量表的某些项目外，几乎所有变量后治疗组之间没有差异，但接受特定疗法的患者的恐慌显着减少在研究结束时，与未接受治疗的组相比，发作，预期焦虑，避免恐惧恐惧症和对身体感觉的恐惧。在整体功能评估量表上，接受治疗的患者的整体健康状况从60.8％增加到72.5％，因此与未接受治疗的患者有所不同。结论：尽管两组均对治疗有反应并有所改善，但我们仅观察到干预在一定程度上存在显着差异。在该恐慌症患者样本中，针对躯体主诉的特定认知行为疗法与药物治疗之间的关联是有效的，并且仅药物治疗组的反应相似。

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