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首页> 外文期刊>Addictive behaviors >Cognitive-behavioral therapy for panic disorder in patients being treated for alcohol dependence: Moderating effects of alcohol outcome expectancies.
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Cognitive-behavioral therapy for panic disorder in patients being treated for alcohol dependence: Moderating effects of alcohol outcome expectancies.

机译：接受酒精依赖治疗的恐慌症患者的认知行为疗法：酒精预后的调节作用。

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Anxiety disorders commonly co-occur with alcohol use disorders and reliably mark a poor response to substance abuse treatment. However, treating a co-occurring anxiety disorder does not reliably improve substance abuse treatment outcomes. Failure to account for individual differences in the functional dynamic between anxiety symptoms and drinking behavior might impede the progress and clarity of this research program. For example, while both theory and research point to the moderating role of tension-reduction alcohol outcome expectancies (TR-AOEs) in the association between anxiety symptoms and alcohol use, relevant treatment studies have not typically modeled TR-AOE effects. We examined the impact of a hybrid cognitive-behavioral therapy (H-CBT) treatment for panic disorder (independent variable) on response to a community-based alcohol dependence treatment program (dependent variable) in patients with higher vs. lower TR-AOEs (moderator). The H-CBT treatment was generally effective in relieving participants' panic symptoms relative to controls. However, TR-AOEs interacted with study cohort (H-CBT vs. control) in predicting response to substance abuse treatment. As expected, the H-CBT was most effective in improving alcohol use outcomes among those with the highest TR-AOEs. The study's primary methodological limitations are related to the quasi-experimental design employed.
机译：焦虑症通常与酒精滥用症同时发生，并可靠地标志着对药物滥用治疗的不良反应。但是，治疗同时发生的焦虑症并不能可靠地改善药物滥用的治疗效果。无法解决焦虑症状和饮酒行为之间在功能动力学上的个体差异可能会阻碍该研究计划的进展和明确性。例如，尽管理论和研究都指出减少紧张性酒精预后结果（TR-AOEs）在焦虑症状和饮酒之间的关联中的调节作用，但相关的治疗研究通常并未模拟TR-AOE的作用。我们研究了针对TR-AOE相对较低的恐慌症（自变量）的混合认知行为疗法（H-CBT）治疗对以社区为基础的酒精依赖治疗计划（因变量）的反应的影响（因变量）版主）。相对于对照组，H-CBT治疗通常可有效缓解参与者的恐慌症状。但是，TR-AOE在预测对药物滥用治疗的反应时与研究人群（H-CBT与对照）相互作用。正如预期的那样，在TR-AOE最高的人群中，H-CBT对改善酒精使用效果最有效。该研究的主要方法学局限性与所采用的准实验设计有关。

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