Information Processing and Treatment for Panic Disorder

恐慌症的信息处理和治疗

基本信息

批准号：
6997840
负责人：
BETHANY A TEACHMAN
金额：
$ 7.45万
依托单位：
UNIVERSITY OF VIRGINIA
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-01-01 至 2007-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6997840
关键词：
clinical research

项目摘要

DESCRIPTION (provided by applicant): Cognitive models of anxiety propose that maladaptive schemata guide information processing so the anxious person selectively attends to threatening cues, interprets ambiguous cues as threatening, and preferentially recalls threat cues. There is robust evidence for many of the hypothesized cognitive biases, but little is known about how these biases relate to one another, how they relate to panic symptoms, or how they change in response to treatment. This proposal seeks to examine relationships among information processing measures in panic disorder, and to examine the patterns of change in cognitive and symptom measures over the course of treatment to determine which cognitive measures will predict symptom reduction. Further, this study would provide the first evaluation of implicit associations in panic disorder and consider how these associations respond to treatment. In addition, the study would examine the importance of changing catastrophic misinterpretations of bodily sensations to effect symptom reduction. To evaluate these questions, a group of patients with panic disorder (N = 30) would receive cognitive behavioral group therapy after completing an assessment battery including cognitive, affective, physiological and behavioral measures of panic, as well as information processing measures (tasks evaluating implicit associations in memory to reflect schematic processing, and tasks to evaluate attention and interpretation biases). The assessment battery would be completed pre-treatment, at 3 time points during the 12-week treatment protocol, and at post-treatment and 12-month follow-up. Longitudinal growth curve modeling would be used :o evaluate the trajectories of change and relationships among different cognitive and symptom measures of panic, and the follow-up period would allow prediction of return of fear. Control groups include a delayed- treatment group of persons with panic disorder (N = 30) who would complete the assessment battery at matched time points to the experimental group, and a non-anxious healthy control group (N = 30).

描述（由申请人提供）：焦虑的认知模型提出，适应不良的模式指南信息处理，以便焦虑的人有选择地参加威胁性线索，将模棱两可的提示解释为威胁，并优先召回威胁提示。有许多假设的认知偏见有充分的证据，但是对于这些偏见如何相互关系，它们与恐慌症状之间的关系或它们如何在治疗中的反应中变化，知之甚少。该提案旨在检查恐慌症中信息处理措施之间的关系，并在治疗过程中检查认知和症状度量的变化模式，以确定哪些认知措施将预测症状减轻。此外，这项研究将对恐慌症的隐式关联进行首次评估，并考虑这些关联如何应对治疗。此外，该研究将研究改变对身体感觉的灾难性误解以减轻症状的重要性。为了评估这些问题，一组恐慌症患者（n = 30）在完成评估电池后将接受认知行为群体治疗，包括认知，情感，生理和行为恐慌的措施，以及信息处理措施（评估记忆中隐含性的任务措施，以反映示意图处理和评估注意力和诠释的任务）。评估电池将在12周的治疗方案期间的3个时间点以及治疗后和12个月的随访中完成。将使用纵向生长曲线建模：o评估不同认知和症状量度之间的变化轨迹以及恐慌症状之间的关系，随访期将允许预测恐惧的回报。对照组包括恐慌症患者的延迟治疗组（n = 30），他们将在与实验组的时间点上完成评估电池，以及一个非焦虑的健康对照组（n = 30）。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Applying the Quadruple Process model to evaluate change in implicit attitudinal responses during therapy for panic disorder.

DOI：
10.1016/j.brat.2013.10.009
发表时间：
2014-01
期刊：
BEHAVIOUR RESEARCH AND THERAPY
影响因子：
4.1
作者：
Clerkin, Elise M.;Fisher, Christopher R.;Sherman, Jeffrey W.;Teachman, Bethany A.
通讯作者：
Teachman, Bethany A.

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