Una evaluación de línea base múltiple de la terapia de aceptación y compromiso centrada en pensamiento negativo repetitivo en trastorno por pánico

Autores/as

DOI:

https://doi.org/10.33898/rdp.v33i122.1148

Palabras clave:

trastorno por pánico, terapia de aceptación y compromiso, pensamiento negativo repetitivo, síntomas emocionales, terapia breve

Resumen

Aunque la terapia cognitivo-conductual (TCC) es eficaz en el trastorno de pánico, un segmento de la población no recibe tratamiento debido a su duración y aceptabilidad de la exposición interoceptiva. Este estudio exploró la eficacia de la terapia de aceptación y compromiso (ACT) focalizada en pensamiento negativo repetitivo (PNR) en adultos con trastorno por pánico. Se diseñó un protocolo de 4 sesiones porque estudios previos han considerado esta duración como "ultra breve". Pese a que la exposición es consistente con el modelo ACT, no incluimos ejercicios de exposición explícita para aumentar la aceptabilidad de la intervención. Se implementó un diseño de línea de base múltiple aleatorizado a través de tres participantes con un seguimiento de 3 meses. El efecto de la intervención se evaluó con la Depression Anxiety and Stress Scale - 21 (DASS-21, S. H. Lovibond y P. F. Lovibond, 1995), el Penn State Worry Questionnaire (PSWQ; Meyer et al., 1990) y la frecuencia de ataques de pánico. Tras la intervención, los tres participantes dejaron de experimentar ataques de pánico y mostraron cambios clínicamente significativos en DASS-Total y PSWQ. Los tamaños del efecto comparables a través de diseños fueron muy grandes y estadísticamente significativos para DASS-Total (d = 2.48), DASS-Depresión (d = 1.45), DASS-Ansiedad (d = 1.93), DASS-Estrés (d = 1.63) y PSWQ (d = 2.36). Los participantes mostraron cambios clínicamente significativos y grandes tamaños del efecto en evitación experiencial (d = 3.26), fusión cognitiva (d = 3.58) y valores (Progreso: d = 0.72, Obstrucción: d = 2.43).

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Citas

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Publicado

2022-07-01

Cómo citar

Toquica-Orjuela, D. J., Henao, Ángela M., Segura-Vargas, M. A., & Ruiz Jiménez, F. J. (2022). Una evaluación de línea base múltiple de la terapia de aceptación y compromiso centrada en pensamiento negativo repetitivo en trastorno por pánico. Revista De Psicoterapia, 33(122), 47–66. https://doi.org/10.33898/rdp.v33i122.1148