Cognitive Behavioral Therapy for Anxiety Disorders

Clinical Handbook of Anxiety Disorders Pub Date : 2019-12-31 DOI:10.26481/dis.20191206sv

Sarah T. Wieman, Shelley Kind, Amanda W. Baker

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Abstract

Several studies have shown that cognitive behavioral therapy (CBT) is efficacious for the treatment of anxiety disorders (Ellard and Chronopoulos, Cognitive behavioral therapy for anxiety disorders. In: The Massachusetts General Hospital handbook of cognitive behavioral therapy. Humana Press, New York, p 43–61, 2016; Hofmann et al., Cogn Ther Res, 36:427–440, 2012; Kessler et al., Arch Gen Psychiatry, 62:593–602, 2005). The core components of CBT for anxiety disorders include aspects derived from behavioral and cognitive therapies such as exposure exercises and cognitive restructuring, respectively (Sprich et al. In: Stern TA, Fava M, Rosenbaum JF, Wilens TE (eds) Massachusetts General Hospital comprehensive clinical psychiatry. Elsevier Health Sciences, p 152–64, 2016). This chapter discusses the history and development of CBT for anxiety disorders, giving an overview of both behavioral and cognitive therapies, and examines the core principles and practice of CBT for anxiety disorders in general as well as how CBT has been adjusted to target the symptoms of each anxiety disorder. Additionally, this chapter examines the efficacy and accessibility of CBT, discussing the potential for new delivery methods and cultural adaptations to increase accessibility and generalizability. Lastly, this chapter explores modifications of traditional CBT and future directions.

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焦虑症的认知行为疗法

一些研究表明，认知行为疗法(CBT)对焦虑症的治疗是有效的(Ellard和Chronopoulos，焦虑症的认知行为疗法)。参考:麻省总医院认知行为治疗手册。Humana出版社，纽约，第43-61页，2016;[2]王志强，中国生物医学工程学报，2012;Kessler等人，Arch Gen Psychiatry, 62:593-602, 2005)。CBT治疗焦虑症的核心内容包括行为疗法和认知疗法，如暴露练习和认知重组(Sprich et al.)。见:Stern TA, Fava M, Rosenbaum JF, Wilens TE(编)麻省总医院综合临床精神病学。Elsevier Health Sciences, p 152-64, 2016)。本章讨论了CBT治疗焦虑症的历史和发展，概述了行为疗法和认知疗法，并研究了CBT治疗焦虑症的核心原则和实践，以及CBT如何被调整以针对每种焦虑症的症状。此外，本章探讨了CBT的有效性和可及性，讨论了新的交付方法和文化适应的潜力，以增加可及性和可推广性。最后，本章探讨了传统认知行为疗法的改进和未来发展方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Clinical Handbook of Anxiety Disorders

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