New Strategies for Combining Mindfulness with Integrative Cognitive Behavioral Therapy for the Treatment of Generalized Anxiety Disorder

被引：1

作者：

Rapgay L. ^{[1
]}

Bystritsky A. ^{[2
]}

Dafter R.E. ^{[2
]}

Spearman M. ^{[2
]}

机构：

[1] Department of Psychiatry, UCLA Resnick Neuropsychiatric Hospital and Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA 90095-6968, P.O. Box 956968, Suite 2200

[2] Department of Psychiatry and Bio-Behavioral Sciences, University of California, Los Angeles, CA

来源：

Journal of Rational-Emotive & Cognitive-Behavior Therapy | 2011年 / 29卷 / 2期

关键词：

Buddhist meditation; Classical mindfulness; Cognitive behavior therapy; Generalized anxiety disorder; Mindfulness based stress reduction; Psychotherapy integration;

D O I：

10.1007/s10942-009-0095-z

中图分类号：

学科分类号：

摘要：

Generalized anxiety disorder (GAD) severely impacts social functioning, distress levels, and utilization of medical care compared with that of other major psychiatric disorders. Neither pharmacological nor psychotherapy interventions have adequately controlled cardinal symptoms of GAD: pervasive excessive anxiety and uncontrollable worry. Research has established cognitive behavioral therapy (CBT) as the most effective psychotherapy for controlling GAD; however, outcomes remain at only 50% reduction, with high relapse rates. Mindfulness has been integrated with CBT to treat people suffering from numerous psychiatric disorders, with mindfulness based stress reduction (MBSR) being the most researched. Preliminary evidence supports MBSR's potential for controlling GAD symptoms and key researchers suggest mindfulness practices possess key elements for treating GAD. Classical mindfulness (CM) differs significantly from MBSR and possesses unique potentials for directly targeting process and state GAD symptoms inadequately treated by CBT. This article introduces the theory and practice of CM, its differences from MBSR, and a critical review of MBSR and CBT treatments for GAD. CM strategies designed to complement CBT targeting cardinal GAD symptoms are outlined with a case study illustrating its use. © 2009 The Author(s).

引用

页码：92 / 119

页数：27

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