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首页> 外文期刊>Journal of clinical psychology >Perceived criticism predicts severity of anxiety symptoms after behavioral treatment in patients with obsessive-compulsive disorder and panic disorder with agoraphobia.
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Perceived criticism predicts severity of anxiety symptoms after behavioral treatment in patients with obsessive-compulsive disorder and panic disorder with agoraphobia.

机译：知觉的批评预言行为强迫症和恐慌症伴广场恐惧症的行为治疗后焦虑症状的严重性。

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摘要

In prospective research, psychiatric patients' perceived criticism (PC) from family members has been linked to higher rates of relapse and worse treatment outcome. Researchers have disagreed about whether PC contributes to poor treatment outcomes or whether it merely reflects the severity of a patient's disturbance. In this study, structural equation modeling was used to conduct a cross-lagged panel analysis of the relationship between PC and anxiety symptom severity assessed before and after treatment in anxiety-disordered patients. PC was found to be unrelated to concurrent symptom severity. Furthermore, pretreatment PC significantly predicted posttreatment symptom severity over and above the effect of pretreatment symptom severity, whereas pretreatment symptom severity failed to significantly predict posttreatment PC. Thus, these results are consistent with (although not proof of) the hypothesis that PC detracts from patients' ability to respond to treatment, and inconsistent with the hypothesis that PC is a reflection of a patient's symptom severity.
机译：在前瞻性研究中，精神病患者对家人的批评（PC）与复发率较高和治疗效果较差有关。研究人员对于PC是否会导致不良的治疗结果还是仅反映患者干扰的严重程度均持不同意见。在这项研究中，使用结构方程模型对焦虑症患者治疗前后评估的PC与焦虑症状严重程度之间的关系进行了交叉滞后的面板分析。发现PC与并发症状严重程度无关。此外，预处理PC显着预测了治疗后症状的严重程度，超过了治疗前症状的严重程度，而治疗前症状的严重程度未能显着预测治疗后PC。因此，这些结果与（尽管不能证明）PC损害患者对治疗反应的能力的假设相符（尽管不是证据），并且与PC反映患者症状严重性的假设不一致。

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