The neural correlates of cognitive behavioral therapy: Recent progress in the investigation of patients with panic disorder

被引:19
作者
Yang, Yunbo [1 ]
Kircher, Tilo [1 ]
Straube, Benjamin [1 ]
机构
[1] Univ Marburg, Dept Psychiat & Psychotherapy, Rudolf Bultmann Str 8, D-35039 Marburg, Germany
关键词
Exposure-based cognitive behavior therapy; Panic disorder with agoraphobia; fMRI; Neural correlates; Mechanism of action; Outcome prediction; Moderator; RANDOMIZED CONTROLLED-TRIAL; ANXIETY DISORDERS; MONOAMINE-OXIDASE; PREFRONTAL CORTEX; MULTICENTER FMRI; CONDITIONED FEAR; GUIDED EXPOSURE; GENE PROMOTER; PSYCHOTHERAPY; EXTINCTION;
D O I
10.1016/j.brat.2014.07.011
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Cognitive behavioral therapy (CBT) is an evidence-based treatment for mental disorders. Several meta-analytical reviews supported its efficacy and effectiveness in the treatment of panic disorder with agoraphobia (PD/AG). Recently, it has been shown that neurobiological changes are associated with the process and outcome of CBT. However, the general and specific neurobiological effects of CBT are still widely unknown. Therefore, the potential of applying neuroscience to clinical practice and optimizing CBT is still limited. The current review summarizes recent findings about the neural correlates of CBT in PD/AG measured with fMRI. Furthermore, the current review will focus on neural activation patterns predicting and moderating therapeutic success of CBT, due to its potential application in personalized treatment in the future. Finally, we will discuss some future perspectives of the neurosciences in CBT research. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:88 / 96
页数:9
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