PANIC CONTROL THERAPY IN A MANAGED CARE SETTING

管理式护理环境中的恐慌控制疗法

• 批准号: 2448594
• 负责人: Michael Addis
• 金额: $ 13.51万
• 依托单位: CLARK UNIVERSITY (WORCESTER, MA)
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-04-15 至 2003-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2448594
• 关键词: clinical research; cognitive behavior therapy; education evaluation /planning; health care service evaluation; human subject; managed care; mental health personnel; outcomes research; panic disorder; postgraduate education; psychotherapy

DESCRIPTION (Applicant's Abstract): Panic Disorder (PD) is a serious psychiatric illness which, if left untreated, can be associated with significant life dysfunction and distress. Although a number of controlled experimental studies have supported the efficacy of Panic Control Therapy (PCT) as a cognitive-behavioral treatment for PD, no studies have evaluated the transportability of PCT to real-world clinical practice. Investigating the outcomes of an empirically validated manual-based psychotherapy in clinical practice is a crucial step in disseminating effective treatments and working towards empirically-based standards of care. The purpose of this study is to investigate the impact of training in PCT for master's level therapists working in a managed care context. Ten clinicians will be randomly assigned to PCT training or treatment as usual (TAU). Patients meeting criteria for PD = 120) with varying degrees of severity and with or without agoraphobia will be randomly assigned to PCT-trained or TAU therapists. Outcomes will be evaluated at post-treatment, 3 months 1 year, and 2 years following treatment. Blind ratings of therapist adherence to PCT will provide an assessment of how well clinicians can learn and implement the protocol in clinical practice following state of the art training. By maintaining random assignment of therapists and patients, this study will possess the necessary internal validity to draw conclusions regarding the effectiveness of PCT in clinical practice. The use of non- expert master's level clinicians, and a more heterogeneous sample of patients than previous studies, will greatly enhance the generalizability of the findings, and speak to the effectiveness of PCT in real-world clinical practice.

描述（申请人摘要）：恐慌症（PD）是一种严重的疾病 如果不及时治疗，可能与以下疾病有关的精神疾病 严重的生活功能障碍和痛苦。 尽管有一些控制 实验研究支持恐慌控制疗法的功效 (PCT) 作为 PD 的认知行为治疗方法，尚无研究评估 PCT 到现实世界临床实践的可移植性。 调查中 经经验验证的手动心理治疗的结果 临床实践是传播有效治疗方法的关键一步 并努力制定基于经验的护理标准。 目的 本研究旨在调查 PCT 培训对硕士研究生的影响 在管理式护理环境中工作的水平治疗师。 十名临床医生将 随机分配至 PCT 训练或照常治疗 (TAU)。 患者 满足 PD 标准 = 120) 具有不同程度的严重程度以及有或没有广场恐惧症 将被随机分配给经过 PCT 培训或 TAU 培训的治疗师。 结果将 在治疗后、治疗后 3 个月、1 年和 2 年进行评估 治疗。 治疗师对 PCT 依从性的盲评将提供 评估临床医生如何学习和实施该方案 经过最先进的培训后进行临床实践。 通过维护 随机分配治疗师和患者，这项研究将拥有 得出有关有效性的结论所需的内部有效性 PCT在临床实践中的应用 使用非专家大师级别 临床医生和患者样本比以前更加多样化 研究，将大大提高研究结果的普遍性，并且 谈论 PCT 在现实临床实践中的有效性。