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，适应不良的图式指导信息处理，因此焦虑的人有选择地关注威胁线索，将模糊的线索解释为威胁，并优先回忆威胁线索。许多假设的认知偏差都有强有力的证据，但人们对这些偏差如何相互关联、它们与恐慌症状如何相关，或者它们对治疗的反应如何变化知之甚少。该提案旨在研究恐慌症信息处理措施之间的关系，并检查治疗过程中认知和症状测量的变化模式，以确定哪些认知测量将预测症状减轻。此外，这项研究将首次评估恐慌症中的隐性关联，并考虑这些关联对治疗的反应。此外，该研究还将探讨改变对身体感觉的灾难性误解对于减轻症状的重要性。为了评估这些问题，一组惊恐障碍患者（N = 30）在完成一系列评估后将接受认知行为团体治疗，包括惊恐的认知、情感、生理和行为测量，以及信息处理测量（评估内隐的任务）记忆中的关联反映图式处理，以及评估注意力和解释偏差的任务）。评估组将在治疗前、12 周治疗方案期间的 3 个时间点、治疗后和 12 个月随访时完成。将使用纵向增长曲线模型来评估恐慌的不同认知和症状测量之间的变化轨迹和关系，并且随访期将允许预测恐惧的回归。对照组包括恐慌症患者的延迟治疗组（N = 30），他们将在与实验组匹配的时间点完成评估组，以及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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