دانلود مقاله ISI انگلیسی شماره 37382
عنوان فارسی مقاله

یک در مقابل پنج جلسه از مواجهه درمانی و پنج جلسه درمان شناختی- در درمان تنگناهراسی

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
37382 2001 16 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
One vs five sessions of exposure and five sessions of cognitive therapy in the treatment of claustrophobia
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Behaviour Research and Therapy, Volume 39, Issue 2, February 2001, Pages 167–183

کلمات کلیدی
- درمان شناختی - تنگناهراسی
پیش نمایش مقاله
پیش نمایش مقاله یک در مقابل پنج جلسه از مواجهه درمانی و پنج جلسه درمان شناختی- در درمان تنگناهراسی

چکیده انگلیسی

Forty-six patients fulfilling the DSM-IV criteria for claustrophobia were assessed with behavioral, physiological, and self-report measures. They were randomly assigned to four conditions: (1) one-session (E1); or (2) five-sessions of exposure (E5); (3) five-sessions of cognitive therapy (C5); and (4) Wait-list for 5 weeks. The first condition consisted of a single 3 h session of massed exposure, and condition 2 and 3 of 5 h of gradual treatment, which was done individually by very experienced therapists. The results showed that treatment was significantly better than the wait-list condition, and the three treatments did equally well with no differences between them. At post-treatment 79% of treatment patients vs 18% of the wait-list controls had improved to a clinically significant extent. When the three treatments were compared 80% in the E1-group, 81% in the E5-group, and 79% in the C5-group were clinically improved. At the 1 year follow-up the corresponding figures were 100%, 81%, and 93%, respectively. The implications of these results are discussed.

مقدمه انگلیسی

Claustrophobia is one of the most prevalent specific phobias in the general population. Costello (1982) reported a prevalence study of 449 women in Calgary, Canada. Twelve percent reported having a fear of closed spaces, crowds or elevators, and 4% said that the fear was severe. Kirkpatrick (1984) investigated 342 women and 200 men in Indiana, USA. Of the women 22.5% said that they had a fear of enclosed spaces, and 13.4% reported the fear to be severe. Among the men 7.5% reported a fear, but only 3% said that it was severe. Chapman (1997) described the results of the large ECA-study in five US cities (N>18,000). The proportion of these fulfilling DSM-III phobia criteria was 2.4% for closed spaces, 2.1% for tunnels, bridges and 2.6% for crowds. There is no information as to the co-morbidity between these fears but the proportion having a phobia for any of these situations is probably 3–4%. Finally, in the National Co-morbidity Survey (N>8000; Curtis, Magee, Eaton, Wittchen & Kessler, 1998) the lifetime prevalence of phobia for closed spaces was 4.2%, which put it in third place after phobia for animals (5.7%) and heights (5.3%). In conclusion, except for the Kirkpatrick (1984) study there seems to be an agreement on the lifetime prevalence of claustrophobia at about 4%.

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