Predictors and Moderators of Panic Disorder: Cognitive Behavioral Therapy vs. Acceptance and Commitment Therapy.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psicothema Pub Date : 2024-07-01 DOI:10.70478/psicothema.2025.37.04

Leticia León-Quismondo, Alberto Fernández-Liria, Francisca López-Ríos, Jerónimo Saiz-Ruiz, José M García-Montes, Ángela Ibáñez, Bryan J Stiles, Guillermo Lahera

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引用次数: 0

Abstract

Background: Understanding variables that influence therapy outcomes can improve the results of interventions and reduce socio-health costs. The current study examined possible predictors and moderators of outcome (age, gender, duration of panic disorder, motivation to change, conscientiousness, and experiential avoidance) in Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT).

Method: Eighty participants with a diagnosis of panic disorder, 56 women and 24 men, with an average age of 38 years, received 12 group sessions of CBT or ACT. They were assessed with several measures at pre-treatment, post-treatment, and 3-month follow-up.

Results: CBT outperformed ACT among older subjects, men, and those with a shorter duration of panic disorder. ACT outperformed CBT among younger subjects, women, and those with a long duration of panic disorder. In general, the greatest improvements in both CBT and ACT were in older subjects, women, those with a long duration of panic disorder, those in the contemplation stage, and those with high experiential avoidance.

Conclusions: Although future studies are necessary, there appear to be predictors and moderators of the effectiveness of CBT and ACT. Taking these variables into account can help improve treatment for people with panic disorder.

查看原文本刊更多论文

惊恐障碍的预测因子与调节因子：认知行为疗法与接受与承诺疗法。

背景：了解影响治疗结果的变量可以改善干预结果并降低社会健康成本。本研究考察了认知行为治疗（CBT）和接受与承诺治疗（ACT）中可能的结果预测因子和调节因子（年龄、性别、恐慌障碍持续时间、改变动机、责任心和经验回避）。方法：80名被诊断为惊恐障碍的参与者，56名女性和24名男性，平均年龄38岁，接受12组CBT或ACT治疗。在治疗前、治疗后和3个月的随访中对患者进行了多项评估。结果：CBT在老年受试者、男性和持续时间较短的恐慌症患者中优于ACT。ACT在年轻受试者、女性和长时间恐慌症患者中的表现优于CBT。总的来说，CBT和ACT在老年受试者、女性、长时间恐慌症患者、沉思阶段患者和高度经验回避患者中都有最大的改善。结论：虽然未来的研究是必要的，但似乎存在CBT和ACT有效性的预测因子和调节因子。考虑到这些变量可以帮助改善对恐慌症患者的治疗。

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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来源期刊

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.