认知行为疗法和接受承诺治疗机制对焦虑和恐慌症状的增量有效性。

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, CLINICAL
Joshua J Broman-Fulks, John J Bergquist, Christian A Hall, Kelsey Thomas, Kerry C Kelso
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引用次数: 0

摘要

背景:接受与承诺疗法(ACT)和认知行为疗法(CBT)是经验支持的治疗焦虑和恐慌障碍(PD)的方法,尽管它们在假定的脆弱性和维持过程上有所不同。本研究检验了这些模型提出的几个核心过程的增量有效性,包括焦虑敏感性(AS),处置回避,经验回避(EA),认知融合(CF)和正念,以及每个模型中过程的相互作用,在预测焦虑和恐慌症状方面。方法:美国成人样本(n = 316)完成AS、处置回避、EA、CF、正念、焦虑和PD症状的自我报告测量。进行了一系列层次多元回归分析。结果:层次回归分析表明,即使在控制了彼此、CF、正念和人口变量之后,AS、禀性回避和EA也能预测焦虑和恐慌症状。虽然正念和CF在单变量水平上与焦虑和恐慌相关,但它们不能预测AS、性格回避和EA之外的任何结果。当模型中加入相互作用项时,AS和性格回避之间的相互作用是恐慌和焦虑症状的显著预测因子,而EA和CF之间的相互作用仅预测恐慌症状。包括正念在内的所有互动都不是显著的预测因素。结论:这些研究结果支持传统CBT (AS、处置回避和AS-处置回避)和ACT (EA)过程对焦虑和恐慌症状的独立和交互预测价值,但对CF和正念的增量预测效用提出了质疑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incremental Validity of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy Mechanisms for Anxiety and Panic Symptomology.

Background: acceptance and commitment therapy (ACT) and cognitive-behavioral therapy (CBT) are empirically supported treatments for anxiety and panic disorder (PD), though they differ in their putative vulnerability and maintenance processes. The present study examined the incremental validity of several of these models' proposed core processes, including anxiety sensitivity (AS), dispositional avoidance, experiential avoidance (EA), cognitive fusion (CF), and mindfulness, as well as the interaction of the processes within each model, in the prediction of anxiety and panic symptomology. Methods: a sample of US adults (n = 316) completed self-report measures of AS, dispositional avoidance, EA, CF, mindfulness, anxiety, and PD symptoms. A series of hierarchical multiple regression analyses were conducted. Results: hierarchical regression analyses indicated that AS, dispositional avoidance, and EA predicted anxiety and panic symptoms even after controlling for one another, CF, mindfulness, and demographic variables. Although mindfulness and CF was correlated with anxiety and panic at the univariate level, they did not predict either outcome above and beyond AS, dispositional avoidance, and EA. When interaction terms were added to the models, the interaction between AS and -dispositional avoidance was a significant predictor of panic and anxiety symptoms, whereas the interaction between EA and CF only predicted panic symptoms. None of the interactions that included mindfulness were significant predictors. Conclusions: these findings provide support the independent and interactive predictive value of traditional CBT (AS, dispositional avoidance, and AS-dispositional avoidance) and ACT (EA) processes for anxiety and panic symptoms, but raise questions about the incremental predictive utility of CF and mindfulness.

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来源期刊
Journal of Cognitive Psychotherapy
Journal of Cognitive Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
1.70
自引率
0.00%
发文量
47
期刊介绍: The Journal of Cognitive Psychotherapy is devoted to advancing the science and clinical practice of cognitive-behavior therapy. This includes a range of interventions including cognitive therapy, rational-emotive behavior therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness approaches. The journal publishes empirical papers, including case studies, along with review articles, papers that integrate cognitive-behavior therapy with other systems, and practical "how to" articles.
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