Relapse of successfully treated anxiety and fear: theoretical issues and recommendations for clinical practice

被引:102
作者
Boschen, Mark J. [1 ]
Neumann, David L.
Waters, Allison M.
机构
[1] Griffith Univ, Sch Psychol, Southport, Qld 4215, Australia
关键词
anxiety disorders; cognitive behaviour therapy; relapse; QUALITY-OF-LIFE; REACQUISITION FOLLOWING EXTINCTION; CONDITIONED SUPPRESSION TASK; LEARNING-THEORY PERSPECTIVE; MULTIPLE CONTEXTS; PANIC DISORDER; EXPOSURE THERAPY; D-CYCLOSERINE; POSTTREATMENT RETURN; SPONTANEOUS-RECOVERY;
D O I
10.1080/00048670802607154
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Despite the existence of effective interventions for anxiety disorders, relapse - or the return of fear - presents a significant problem for patients and clinicians in the longer term. The present paper draws on the experimental and clinical behavioural literature, reviewing the mechanisms by which the return of fear can occur. The aim of the paper was to generate a list of treatment recommendations for clinicians aimed at reducing relapse in successfully treated anxiety disorders. Clinical and experimental literature on the mechanisms of renewal, reinstatement, spontaneous recovery and reacquisition are reviewed. These are linked with the clinical and experimental literature on the return of fear in successfully treated anxiety. A list of recommendations to assist in reducing the probability of relapse in successfully treated anxiety is presented. This list includes methods for use in behavioural (exposure) treatment of anxiety disorders that aim to enhance clinical outcomes. Despite the significant problem of relapse in successfully treated anxiety, there are methods available to reduce the probability of relapse through return of fear. Clinicians engaging in treatment of anxiety disorders should be mindful of these methods to ensure optimal patient outcome.
引用
收藏
页码:89 / 100
页数:12
相关论文
共 84 条
[1]  
AGRAS S, 1965, BEHAV RES THER, V2, P267
[2]   Australian and New Zealand clinical practice guidelines for the treatment of panic disorder and agoraphobia [J].
Andrews, G .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2003, 37 (06) :641-656
[3]  
ANDREWS G, 2003, TREATMENT ANXIETY DI
[4]  
[Anonymous], [No title captured]
[5]  
[Anonymous], BERGIN GARFIELDS HDB
[6]  
[Anonymous], 1941, Conditioned reflexes and psychiatry
[7]  
Barlow D.H., 2002, GUIDE TREATMENTS WOR, V2nd, P301
[8]   The growth of PTSD in anxiety disorder research [J].
Boschen, Mark J. .
PSYCHIATRY RESEARCH, 2008, 158 (02) :262-264
[9]   Publication trends in individual anxiety disorders: 1980-2015 [J].
Boschen, Mark J. .
JOURNAL OF ANXIETY DISORDERS, 2008, 22 (03) :570-575
[10]   Extinction in multiple contexts does not necessarily make extinction less vulnerable to relapse [J].
Bouton, Mark E. ;
Garcia-Gutierrez, Ana ;
Zilski, Jessica ;
Moody, Erik W. .
BEHAVIOUR RESEARCH AND THERAPY, 2006, 44 (07) :983-994