Cognitive-behavioral Treatment of Anxiety/ Primary Care

焦虑的认知行为治疗/初级保健

• 批准号: 6820173
• 负责人: RISA B WEISBERG
• 金额: $ 17.05万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-25 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6820173
• 关键词: adult human (21+); anxiety disorders; behavioral /social science research tag; clinical research; cognitive behavior therapy; handbook; human subject; human therapy evaluation; panic disorder; patient care management; patient oriented research; therapy design /development; training

DESCRIPTION (provided by candidate): This Mentored Patient-Oriented Research Career Development Award (K23) will enable Dr. Weisberg to begin a programmatic line of research in the development and evaluation of intervention programs for medical patients with anxiety disorders. Her emphasis will be on developing a cognitive behavioral group treatment for primary care patients with anxiety disorders. Anxiety disorders are highly prevalent and impairing. Individuals seeking help for anxiety are more likely to be seen in primary care than in mental health settings, and the majority of these patients do not receive adequate treatment. Dr. Weisberg's training goals include: (1) broadening her knowledge and experience in treatment development, with a focus on developing and evaluating treatments for anxiety disorders in medical settings; (2) acquiring expertise in conducting interventions in primary care settings; (3) expanding her understanding of the conduct of treatment outcome studies; and (4) further developing her statistical skills, with particular emphasis on techniques relevant to intervention / clinical trials research. These training goals will be achieved through (1) the resources available at Brown Medical School; (2) the high quality mentorship provided by Drs. Martin Keller, Michelle Craske, Kay Dickersin, and the expertise of the assembled consultant team (Drs. David Barlow, Charles Eaton, and Robert Stout); (3) focused coursework, training, and clinical experiences; and (4) the proposed research project. The proposed research plan involves developing and empirically testing a new treatment for primary care patients with panic disorder, generalized anxiety disorder, and/or social anxiety disorder. The new treatment, Learning to Ease Anxiety in Primary care (LEAP) will incorporate methods universal to CBT for specific anxiety disorders (i.e., cognitive restructuring and exposure) and adapted for primary care patients with a range of anxiety diagnoses. The specific research aims are to: (1) develop the LEAP treatment, its manual, therapist training procedures, and treatment fidelity measures and (2) conduct a randomized, controlled pilot study comparing LEAP to treatment as usual, in order to evaluate the feasibility and acceptability of the proposed treatment, and obtain a treatment effect size to support an examination of the protocol in a future, larger trial.

描述（由候选人提供）：这项受过指导的面向患者的研究职业发展奖（K23）将使Weisberg博士在开发和评估焦虑症的医疗患者的干预计划中开始进行计划研究。她的重点是为焦虑症的初级保健患者开发认知行为组治疗。焦虑症高度流行和障碍。在初级保健中寻求焦虑的个人比在心理健康环境中更有可能看到，并且这些患者中的大多数没有接受足够的治疗。 Weisberg博士的培训目标包括：（1）扩大她在治疗开发方面的知识和经验，重点是开发和评估医疗环境中焦虑症的治疗； （2）获得在初级保健环境中进行干预措施的专业知识； （3）扩大她对治疗结果研究的理解； （4）进一步发展她的统计技能，特别着重于与干预 /临床试验研究有关的技术。这些培训目标将通过（1）布朗医学院提供的资源实现； （2）DRS提供的高质量指导。马丁·凯勒（Martin Keller），米歇尔·克拉斯克（Michelle Craske），凯·迪克森（Kay Dickersin）以及集会顾问团队的专业知识（David Barlow博士，Charles Eaton和Robert Stout）； （3）重点课程，培训和临床经验； （4）拟议的研究项目。拟议的研究计划涉及开发和经验测试针对恐慌症，普遍焦虑症和/或社交焦虑症的初级保健患者的新治疗方法。新的治疗方法，学习缓解初级保健中的焦虑（LEAP）将纳入CBT通用的特定焦虑症（即认知重组和暴露）的方法，并适用于具有一系列焦虑诊断的初级保健患者。具体研究的目的是：（1）开发LEAP治疗，其手动，治疗师培训程序和治疗保真度度量，以及（2）进行随机，受控的试点研究，将LEAP与治疗与往常相比，以评估建议的治疗的可行性和可接受性，并获得治疗效果以支持未来方案的治疗效果。