Mindfulness and Interoceptive Exposure Therapy for Anxiety Sensitivity in Atrial Fibrillation: A Pilot Study

被引：15

作者：

Oser, Megan ^{[1
,2
,7
]}

Khan, Amanda ^{[10
]}

Kolodziej, Meghan ^{[3
,7
]}

Gruner, Gabriel ^{[4
,8
]}

Barsky, Arthur J. ^{[5
,7
]}

Epsteint, Laurence ^{[6
,9
]}

机构：

[1] Brigham & Womens Hosp, Dept Psychiat, 60 Fenwood Rd, Boston, MA 02115 USA

[2] Brigham & Womens Hosp, Psychol, Boston, MA 02115 USA

[3] Brigham & Womens Hosp, Med Psychiat Div, Boston, MA 02115 USA

[4] Brigham & Womens Hosp, Ambulatory Psychiat Div, Boston, MA 02115 USA

[5] Brigham & Womens Hosp, Dept Psychiat, Acad Affairs, Boston, MA 02115 USA

[6] Brigham & Womens Hosp, Div Cardiol, Cardiac Arrythmia Serv, Boston, MA 02115 USA

[7] Harvard Med Sch, Psychiat, Boston, MA 02115 USA

[8] Harvard Med Sch, Boston, MA 02115 USA

[9] Harvard Med Sch, Med, Boston, MA 02115 USA

[10] Suffolk Univ, Boston, MA 02114 USA

来源：

BEHAVIOR MODIFICATION | 2021年 / 45卷 / 03期

关键词：

mindfulness; interoceptive exposure; anxiety sensitivity; atrial fibrillation; behavioral medicine; QUALITY-OF-LIFE; STRESS REDUCTION PROGRAM; RHYTHM CONTROL; SYMPTOMS; DEPRESSION; CANCER; INTERVENTION; DIMENSIONS; PREDICTORS; MODERATORS;

D O I：

10.1177/0145445519877619

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Atrial fibrillation is the most common cardiac arrhythmia and symptoms overlap with physiological sensations of anxiety. Patients with atrial fibrillation can demonstrate anxiety sensitivity even in the absence of actual atrial fibrillation symptoms. Interoceptive exposure is effective in treating anxiety sensitivity, and recently, mindfulness has been proposed as an enhancement strategy to facilitating inhibitory learning in exposure therapy. This pragmatic study piloted a brief mindfulness and interoceptive exposure treatment for anxiety sensitivity in atrial fibrillation. Eight participants with atrial fibrillation and elevated anxiety sensitivity from a hospital cardiology department participated in the treatment. Anxiety sensitivity significantly decreased during the course of the intervention. These initial findings show proof of concept for this brief intervention in a cardiac-specific behavioral medicine setting.

引用

页码：462 / 479

页数：18

共 40 条

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