Interoceptive exposure item recommendation method for panic disorder, treatment system, and storage medium

Abstract

The present invention relates to the field of adjunctive treatment for panic disorder, and specifically to an interoceptive exposure item recommendation method for panic disorder, a treatment system, and a storage medium. The interoceptive exposure item recommendation method comprises the following steps: providing an initial assessment for an interoceptive item exercise of a patient, and obtaining a "baseline anxiety value" and an "attack similarity" for each interoceptive exposure item; each time the patient completes an interoceptive exposure item exercise, assessing an anxiety level of the patient at the end of the exercise to obtain an "exercise anxiety value"; and on the basis of the baseline anxiety value, the attack similarity, and the exercise anxiety value, determining interoceptive exposure items to be performed by the patient in each exercise. The present invention further provides an interoceptive exposure item recommendation system and a panic disorder treatment system that implement the method. The present invention provides panic-disorder patients with personalized and highly adaptive interoceptive exposure item recommendation solutions, offers timely and accurate guidance and assistance to panic-disorder patients, and has good application prospects.

Description

Panic disorder in-situ exposure item recommendation method, treatment system and storage medium TECHNICAL FIELD

[0001] The present application belongs to the field of panic disorder auxiliary treatment, and particularly relates to a panic disorder in-situ exposure item recommendation method, a treatment system and a storage medium. BACKGROUND

[0002] Panic disorder, also known as panic disorder, is a condition characterized by sudden and intense physiological reactions. Patients may experience abnormal reactions of the autonomic nervous system such as rapid heartbeat, sweating, and trembling, accompanied by an extreme sense of panic or feeling of losing control. Panic attacks often occur suddenly and reach a climax in a very short time. During an attack, patients may experience shortness of breath, a sense of suffocation, a tight throat, rapid heartbeat, chest discomfort or pain, sweating, dizziness, a sense of imbalance or feeling of impending fainting, nausea or abdominal discomfort, a feeling of disintegration of self or reality, numbness or tingling in body parts, body heating or cooling, trembling or shivering, extreme fear of death, madness or loss of control. Each attack usually lasts 5 to 20 minutes, and rarely lasts more than an hour. After experiencing an attack, many patients worry about experiencing similar panic attacks again, which can severely affect their daily lives. Patients may seek the company of others or avoid activities and environments that they believe may trigger panic attacks, such as not wanting to go out alone, avoiding crowded places, or needing someone to accompany them when going out.

[0003] In-situ exposure, also known as in-situ exposure therapy, is a strategy that consciously triggers physical reactions associated with threat assessment and encourages patients to face and experience these feelings of fear. This method has been proven to be an effective means of treating a variety of anxiety symptoms, including but not limited to panic attacks, panic disorder, health anxiety, chronic pain, and chronic dizziness symptoms. In-situ exposure therapy is often considered the preferred treatment when an individual's fear stems from sensations within the body.

[0004] At the most basic operational level, in-situ exposure therapy involves deliberately triggering anxiety-related physical sensations and encouraging patients to continue experiencing these sensations without diverting attention through other activities. This exercise can take many different forms, with the core goal being to change the individual's subjective experience of their own physical sensations. Through different exercises, different physiological systems can be targeted, as well as a variety of psychological symptoms and threat assessment processes.

[0005] However, the patient usually needs to be guided when practicing the internal exposure project, so there are certain limitations on the time and place of the practice. The onset of panic disorder is short and irregular. Therefore, the patient may not be able to obtain the help of the doctor in time and accurately when he or she needs to practice the internal exposure project.

[0006] Therefore, there is an urgent need in the art to develop a technology that can recommend appropriate internal exposure projects for panic disorder patients at any time and provide guidance information so that panic disorder patients can practice internal exposure projects without being limited by time and place. SUMMARY

[0007] To solve the above problems, the present application provides a panic disorder internal exposure project recommendation method, a treatment system and a storage medium.

[0008] A panic disorder internal exposure project recommendation method, comprising the following steps:

[0009] An evaluation of the first internal exposure project practice is provided for the patient, and two basic indicators, "basic anxiety value" and "onset similarity", are obtained for each internal exposure project;

[0010] After the patient completes the internal exposure project practice each time, the anxiety level of the patient at the end of the practice is evaluated to obtain an "exercise anxiety value";

[0011] The internal exposure project performed by the patient each time is determined according to the basic anxiety value, the onset similarity and the exercise anxiety value.

[0012] Preferably, the basic anxiety value and the onset similarity are obtained by the patient through the panic-related symptom scale evaluation.

[0013] Preferably, the exercise anxiety value is obtained by the patient through the panic-related symptom scale evaluation.

[0014] Preferably, the method for determining the internal exposure project performed by the patient each time is:

[0015] An R value is set, and the exercise project with the highest R value is determined as the recommended internal exposure project;

[0016] The calculation method of R is:

[0017] For the patient who has completed the basic anxiety value and onset similarity evaluation:

[0018] An M value is set, for the patient who has not completed three exercises, the value of M is the basic anxiety value; for the patient who has completed at least 2 exercises, the value of M is the average of the exercise anxiety values of the recent exercises, or the average of the exercise anxiety values of the recent exercises and the basic anxiety value.

[0019] When M≤2, R = 10000 - (500 - M x 100) + onset similarity x 0.1;

[0020] When M > 2, R = 10000 + M x (-10) + onset similarity x 0.1;

[0021] For patients who have not completed baseline assessment:

[0022] R = initial importance value + number of positive dimensions of scale assessment x 50;

[0023] The initial importance value is the value of each index obtained by the first assessment after the patient registers through the panic disorder severity assessment scale, and the number of positive dimensions of scale assessment is the number of positive results in the first assessment result of the panic disorder severity assessment scale.

[0024] Preferably, the interoceptive exposure items include at least one of the following items: transitional breathing item, straw breathing item, breath holding item, elbow extension item, in-place rotation item, left-right head shaking item, sudden body rising item, muscle tightening item, in-place running item, stair climbing item, looking at mirror / wall item, staring at light item, adjusting temperature item, and swallowing item.

[0025] Preferably, the criteria for determining whether each interoceptive exposure item is included in the range of recommendation to the patient are as follows:

[0026] 1) Transitional breathing item: when the patient covers the following 5 somatic symptoms: feeling of unreality / detachment from reality, shortness of breath, numbness / needling sensation, cold / sweating, dizziness / vertigo / fainting, the item is recommended to the patient;

[0027] 2) Straw breathing item: when the patient covers the following 1 somatic symptom: shortness of breath / suffocating feeling, the item is recommended to the patient;

[0028] 3) Breath holding item: when the patient covers the following 3 somatic symptoms: chest pain / chest tightness, shortness of breath / suffocating feeling, shortness of breath, the item is recommended to the patient;

[0029] 4) Elbow extension item: when the patient covers the following 1 somatic symptom: chest pain / chest tightness, the item is recommended to the patient;

[0030] 5) In-place rotation item: when the patient covers the following 3 somatic symptoms: nausea / abdominal discomfort, dizziness / vertigo / fainting, unsteady standing / foot unsteadiness, the item is recommended to the patient;

[0031] 6) Left-right head shaking item: when the patient covers the following 2 somatic symptoms: dizziness / vertigo / fainting, unsteady standing / foot unsteadiness, the item is recommended to the patient;

[0032] 7) Sudden onset item: when the patient covers the following 1 somatic symptom: dizziness / vertigo / syncope, the item is recommended to the patient;

[0033] 8) Muscle tightening item: when the patient covers the following 3 somatic symptoms: unsteady standing / foot unsteadiness, muscle tension / tremor / shaking, numbness / needling sensation, the item is recommended to the patient;

[0034] 9) Running in place item: when the patient covers the following 3 somatic symptoms: chest pain / chest tightness, palpitation / tachycardia / rapid heart rate / heart palpitations, shortness of breath / suffocating sensation, the item is recommended to the patient;

[0035] 10) Stair climbing item: when the patient covers the following 3 somatic symptoms: chest pain / chest tightness, palpitation / tachycardia / rapid heart rate / heart palpitations, shortness of breath / suffocating sensation, the item is recommended to the patient;

[0036] 11) Looking at the mirror / wall item: when the patient covers the following 1 somatic symptom: derealization / disconnection from reality, the item is recommended to the patient;

[0037] 12) Fixing on light item: when the patient covers the following 2 somatic symptoms: dizziness / vertigo / syncope, derealization / disconnection from reality, the item is recommended to the patient;

[0038] 13) Temperature adjustment item: when the patient covers the following 2 somatic symptoms: sweating, cold / hot flashes, the item is recommended to the patient;

[0039] 14) Swallowing item: when the patient covers the following 3 somatic symptoms: nausea / abdominal discomfort, shortness of breath / suffocating sensation, tightness in the throat / throat tension, the item is recommended to the patient;

[0040] In the description of the somatic symptoms, the symbol " / " indicates that at least one of the symptoms separated by it is met, that is, it is determined that the patient has the somatic symptom.

[0041] The present application provides a panic disorder interoceptive exposure item recommendation system, comprising:

[0042] An input module configured to receive instructions and evaluation information input by a patient;

[0043] An interoceptive exposure item recommendation module configured to determine the interoceptive exposure item performed by the patient in each practice according to the above panic disorder interoceptive exposure item recommendation method;

[0044] An output module configured to output the interoceptive exposure item performed by the patient in each practice.

[0045] Preferably, it further comprises:

[0046] An evaluation module configured to evaluate the baseline anxiety value, the seizure similarity, and the practice anxiety value of the patient;

[0047] A storage module configured to store the baseline anxiety value, the seizure similarity, the practice anxiety value, and the historical practice information of the patient.

[0048] The application further provides a dynamic panic disorder treatment system, comprising:

[0049] A patient terminal configured to collect patient question and answer information and push the interoceptive exposure item to the patient;

[0050] A doctor terminal configured to communicate with the patient terminal and manually modify the interoceptive exposure item pushed to the patient terminal;

[0051] A treatment plan pushing system configured to integrate the panic disorder interoceptive exposure item recommendation system and push the training plan to the patient terminal.

[0052] The application further provides a computer readable storage medium having stored thereon a computer program for implementing the panic disorder interoceptive exposure item recommendation method, or a computer program for implementing the panic disorder interoceptive exposure item recommendation system, or a computer program for implementing the dynamic panic disorder treatment system.

[0053] The application provides a method and system for recommending an interoceptive exposure item according to the evaluation result and the historical practice result of a patient. The subsequent practice content of the patient can be dynamically adjusted and continuously optimized according to the practice and treatment of the patient. Therefore, the application provides a personalized and highly adaptive panic disorder treatment solution, which can provide timely and accurate guidance and assistance for panic disorder patients, and has a good application prospect.

[0054] Obviously, according to the above content of the application, according to the ordinary technical knowledge and common means in the art, other various forms of modifications, replacements or changes can be made without departing from the above basic technical idea of the application.

[0055] The above content of the application will be further described in detail through the specific embodiments in the form of examples. However, this should not be understood as limiting the scope of the above subject matter of the application to the following examples. Any technology realized based on the above content of the application belongs to the scope of the application. BRIEF DESCRIPTION OF DRAWINGS

[0056] FIG. 1 is a flowchart of the panic disorder interoceptive exposure item recommendation method in Example 1. DETAILED DESCRIPTION

[0057] It should be particularly pointed out that the algorithms of the data collection, transmission, storage and processing steps not specifically explained in the embodiments, and the hardware structure, circuit connection, etc. not specifically explained can be realized through the existing technology disclosed.

[0058] Embodiment 1: Panic disorder internal exposure project recommendation method and system

[0059] The embodiment provides an automatic exercise project recommendation method and system for a panic disorder patient who needs to perform internal exposure.

[0060] The panic disorder internal exposure project recommendation system comprises:

[0061] The input module is configured to receive the instructions and evaluation information input by the patient.

[0062] The internal exposure project recommendation module is configured to determine the internal exposure project performed by the patient in each practice.

[0063] The evaluation module is configured to evaluate the basic anxiety value, attack similarity and practice anxiety value of the patient.

[0064] The storage module is configured to store the basic anxiety value, attack similarity, practice anxiety value and historical practice information of the patient.

[0065] The output module is configured to output the internal exposure project performed by the patient in each practice.

[0066] The evaluation module integrates a panic disorder evaluation knowledge graph, wherein the panic disorder evaluation knowledge graph comprises scale data, a cognitive case model of panic disorder, a CBT therapist manual and a CBT self-help manual. As a preferred mode, the scale data can refer to the literature “Zhang Mingyuan, He Yanling, Mental Health Assessment Scale Manual, Hunan Science and Technology Press, September 2015, 1st edition, 1st time”, and comprises a panic disorder severity assessment (PDSS), a panic-related symptom scale (PASS) and the like. The basic anxiety value, attack similarity and practice anxiety value can be evaluated according to the evaluation information input by the patient through the panic-related symptom scale.

[0067] In the internal exposure project recommendation module, the process is shown in FIG. 1, and the internal exposure project performed by the patient in each practice is determined according to the following panic disorder internal exposure project recommendation method:

[0068] Before the inner sense exposure project practice, the patient is provided with the assessment of the first inner sense project practice, and two basic indexes of "basic anxiety value" and "attack similarity" are obtained respectively for each inner sense exposure project, wherein the basic anxiety value represents the initial anxiety value caused by the inner sense project practice of the patient; the attack similarity represents the similar degree of the feeling of the patient when the somatic symptoms are induced in the practice to the actual attack; the basic anxiety value and the attack similarity are obtained by the patient through the panic-related symptom scale assessment.

[0069] After completing each inner sense exposure project practice, the patient is assessed for the anxiety degree at the end of the practice, and the "practice anxiety value" is obtained, which is obtained by the patient through the panic-related symptom scale assessment.

[0070] The expected anxiety (AA) index in the panic-related symptom scale (PASS) includes the expectation of panic attack (anxiety value) and the expectation of fear scene (attack similarity), and the intensity and frequency are respectively evaluated, the intensity is similar to panic disorder, and the intensity is scored by converting 0-10 intensity into 0-3 points in four levels. The frequency is evaluated according to the percentage of the time of anxiety in the recent one week to the time of being awake, 0%=0 points, 1%-30%=1 point, 31%-60%=2 points, 61%-90%=3 points, 91%-100%=4 points.

[0071] According to the basic anxiety value, the attack similarity and the practice anxiety value, the inner sense exposure project provided for the patient is determined, specifically:

[0072] Set R value, and the inner sense practice takes the highest practice of R value each time;

[0073] The calculation method of R is:

[0074] For the patient who has completed the basic anxiety value and attack similarity evaluation:

[0075] Set M value, for the patient who has not completed three practices, the value of M is the basic anxiety value; for the patient who has completed at least 2 practices, the value of M is the average value of the practice anxiety value of the recent several practices, or the average value of the practice anxiety value of the recent several practices and the basic anxiety value;

[0076] When M≤2, R = 10000 - (500-M×100) + attack similarity×0.1;

[0077] When M>2, R = 10000 + M×(-10) + attack similarity×0.1;

[0078] For the patient who has not completed the baseline assessment:

[0079] R = initial importance value + number of positive dimensions of scale assessment × 50;

[0080] The initial importance value is the value of each indicator obtained by the first assessment after the patient registers through the panic disorder severity assessment scale, and the number of positive dimensions of scale assessment is the number of positive results in the first assessment results of the panic disorder severity assessment scale.

[0081] Using the panic disorder severity (PDSS) scale, each indicator specifically refers to: 1, palpitations, heart palpitations or accelerated heart rate; 2, sweating; 3, tremor or shivering; 4, shortness of breath or suffocation; 5, choking sensation; 6, chest pain or chest discomfort; 7, nausea or abdominal discomfort; 8, feeling dizzy, unsteady, heavy-headed or faint; 9, feeling cold or hot; 10, abnormal skin sensation (numbness or tingling); 11, derealization (feeling unreal) or depersonalization (feeling detached from oneself); 12, fear of losing control or going crazy; 13, feeling of impending death. Or the same meaning as the above indicators.

[0082] The process of practicing the internal sense exposure project is specifically as follows:

[0083] Spin in place, and the practice guide is as follows: "Spin in place quickly while standing, or spin quickly while sitting on an office chair. When turning, try to spin as fast as possible, and you can close your eyes. After 1 minute of turning, sit down and rest for 1 minute. Safety tips: make sure there is enough space to complete the exercise to avoid injury." The time limit for the exercise is as follows: "1 minute each time, and it is recommended to repeat the exercise 3 times", and the first assessment indicator is as follows: "X% of the similar degree of attack, and the basic anxiety value is Y points". Then the patient enters the formal practice, estimates the range of the basic anxiety value to be 0-10, selects the current estimated anxiety value, according to the content of the internal sense exposure practice, estimates the worst result, selects the recommended content or adds his own worries or consequences, completes the estimation, and then performs the formal practice. After the patient finishes the practice, the evaluation content after the practice is pushed, such as the maximum anxiety value during the practice and the worst result of the practice. Through the results before and after the practice, the practice of the patient is evaluated, and data reference is provided for dynamic adjustment of the next practice and further training.

[0084] The panic disorder assessment knowledge graph of the embodiment contains 15 common somatic symptoms during panic attacks and 14 internal sense exposure training projects. According to the selected somatic symptoms of the patient, the recommended internal sense exposure projects of the embodiment include:

[0085] 1) Transition breathing project: when the patient covers the following 5 somatic symptoms: unreal feeling / detached from reality, shortness of breath, numbness / tingling, cold / hot flashes, dizziness / vertigo / fainting;

[0086] 2) Straw Breathing: Recommend to the patient when the patient covers 1 of the following somatic symptoms: shortness of breath / feeling of suffocation;

[0087] 3) Holding Breath: Recommend to the patient when the patient covers 3 of the following somatic symptoms: chest pain / chest tightness, shortness of breath / feeling of suffocation, breathlessness;

[0088] 4) Elbow Extension: Recommend to the patient when the patient covers 1 of the following somatic symptoms: chest pain / chest tightness

[0089] 5) Spinning in Place: Recommend to the patient when the patient covers 3 of the following somatic symptoms: nausea / abdominal discomfort, dizziness / vertigo / fainting, unsteadiness / instability while standing;

[0090] 6) Shaking Head Side to Side: Recommend to the patient when the patient covers 2 of the following somatic symptoms: dizziness / vertigo / fainting, unsteadiness / instability while standing;

[0091] 7) Sudden Upright: Recommend to the patient when the patient covers 1 of the following somatic symptoms: dizziness / vertigo / fainting;

[0092] 8) Tensing Muscles: Recommend to the patient when the patient covers 3 of the following somatic symptoms: unsteadiness / instability while standing, muscle tightness / tremor / shaking, numbness / tingling;

[0093] 9) Running in Place: Recommend to the patient when the patient covers 3 of the following somatic symptoms: chest pain / chest tightness, palpitations / racing heart / rapid heart rate / heart pounding, shortness of breath / feeling of suffocation;

[0094] 10) Climbing Stairs: Recommend to the patient when the patient covers 3 of the following somatic symptoms: chest pain / chest tightness, palpitations / racing heart / rapid heart rate / heart pounding, shortness of breath / feeling of suffocation;

[0095] 11) Looking at Mirror / Wall: Recommend to the patient when the patient covers 1 of the following somatic symptoms: feeling of unreality / disconnection from reality;

[0096] 12) Fixating on Light: Recommend to the patient when the patient covers 2 of the following somatic symptoms: dizziness / vertigo / fainting, feeling of unreality / disconnection from reality;

[0097] 13) Adjusting Temperature: Recommend to the patient when the patient covers 2 of the following somatic symptoms: sweating, coldness / sweating;

[0098] 14) Swallowing: Recommend to the patient when the patient covers 3 of the following somatic symptoms: nausea / abdominal discomfort, shortness of breath / feeling of suffocation, tightness in throat / throat tightness;

[0099] In the description of the somatic symptoms, the symbol " / " indicates that at least one of the separated symptoms is satisfied, that is, it is determined that the patient has the somatic symptom.

[0100] Example 2 Dynamic panic disorder treatment system

[0101] The system of the present embodiment comprises:

[0102] The patient end is configured to collect patient question and answer information and push internal sense exposure items to the patient.

[0103] The doctor end is configured to communicate with the patient end and manually modify the internal sense exposure items pushed to the patient end.

[0104] The treatment plan pushing system is configured to integrate the panic disorder internal sense exposure item recommendation system of example 1 and push the training plan to the patient end.

[0105] As can be seen from the above examples, the present application provides a panic disorder internal sense exposure item recommendation method and system, and a panic disorder treatment system. The present application can provide a personalized and highly adaptive internal sense exposure item recommendation scheme for panic disorder patients, provide timely and accurate guidance and assistance for panic disorder patients, and has a good application prospect.

Claims

1. A method for recommending an internal sense exposure program for a panic disorder, characterized by, comprising the steps of: providing the patient with an assessment of the first practice of the interoceptive exposure item, and obtaining two basic indicators, "basic anxiety value" and "onset similarity", for each interoceptive exposure item; after each time the patient completes the practice of the interoceptive exposure item, assessing the anxiety level of the patient at the end of the practice, and obtaining "practice anxiety value"; determining the interoceptive exposure item for the patient to practice each time according to the basic anxiety value, the onset similarity and the practice anxiety value.

2. The method of recommending in-situ exposure for panic disorder according to claim 1, wherein: The basic anxiety value and the onset similarity are obtained by the patient through the panic-related symptom scale assessment.

3. The method of recommending in-situ exposure for panic disorder according to claim 1, wherein: The practice anxiety value is obtained by the patient through the panic-related symptom scale assessment.

4. The interoceptive exposure item recommendation method for panic disorder according to claim 1, characterized in that: The method for determining the interoceptive exposure item for the patient to practice each time is: setting the R value, and determining the practice item with the highest R value as the recommended interoceptive exposure item; wherein the calculation method of R is: For the patient who has completed the assessment of the basic anxiety value and the onset similarity: setting the M value, for the patient who has not completed three practices, the value of M is the basic anxiety value; for the patient who has completed at least 2 practices, the value of M is the average of the practice anxiety values of the recent practices, or the average of the practice anxiety values of the recent practices and the basic anxiety value; when M≤2, R = 10000 - (500-M×100) + onset similarity×0.1; when M>2, R = 10000 + M×(-10) + onset similarity×0.1; For the patient who has not completed the baseline assessment: R = initial importance value + number of positive dimensions of scale assessment × 50; The initial importance value is the value of each indicator obtained by the patient through the first assessment of the panic disorder severity assessment scale after registration, and the number of positive dimensions of scale assessment is the number of positive results in the first assessment result of the panic disorder severity assessment scale.

5. The method of recommending in-situ exposure for panic disorder of claim 1, wherein: The interoceptive exposure items include at least one of the following items: transition breathing item, straw breathing item, breath holding item, elbow extension item, in-place rotation item, left-right head shaking item, sudden body rising item, muscle tightening item, in-place running item, stair climbing item, looking at mirror / wall item, staring at light item, adjusting temperature item, and swallowing item.

6. The method of recommending in-situ exposure for panic disorder of claim 5, wherein: The criteria for determining whether each interoceptive exposure item is included in the range of recommendations to the patient are as follows: 1) Transition breathing item: when the patient covers the following 5 somatic symptoms: feeling of unreality / detachment from reality, breathlessness, numbness / needling sensation, cold / sweating, dizziness / vertigo / fainting; 2) Straw breathing item: when the patient covers the following 1 somatic symptom: shortness of breath / suffocating feeling; 3) Breath holding item: when the patient covers the following 3 somatic symptoms: chest pain / chest tightness, shortness of breath / suffocating feeling, breathlessness; 4) Elbow extension item: when the patient covers the following 1 somatic symptom: chest pain / chest tightness 5) Spin in place item: recommended to the patient when the patient covers the following 3 somatic symptoms: nausea / abdominal discomfort, dizziness / vertigo / fainting, unsteadiness / footsteps unsteady; 6) Head shaking left and right item: recommended to the patient when the patient covers the following 2 somatic symptoms: dizziness / vertigo / fainting, unsteadiness / footsteps unsteady; 7) Sudden rise item: recommended to the patient when the patient covers the following 1 somatic symptom: dizziness / vertigo / fainting; 8) Muscle tightening item: recommended to the patient when the patient covers the following 3 somatic symptoms: unsteadiness / footsteps unsteady, muscle tension / tremor / shaking, numbness / needling sensation; 9) Run in place item: recommended to the patient when the patient covers the following 3 somatic symptoms: chest pain / chest tightness, palpitation / tachycardia / heart rate acceleration / heart palpitations, shortness of breath / suffocating sensation; 10) Stair climbing item: recommended to the patient when the patient covers the following 3 somatic symptoms: chest pain / chest tightness, palpitation / tachycardia / heart rate acceleration / heart palpitations, shortness of breath / suffocating sensation; 11) Looking at mirror / wall item: recommended to the patient when the patient covers the following 1 somatic symptom: unreal feeling / disengagement from reality; 12) Gazing at light item: recommended to the patient when the patient covers the following 2 somatic symptoms: dizziness / vertigo / fainting, unreal feeling / disengagement from reality; 13) Temperature adjustment item: recommended to the patient when the patient covers the following 2 somatic symptoms: sweating, cold / hot flashes; 14) Swallowing item: recommended to the patient when the patient covers the following 3 somatic symptoms: nausea / abdominal discomfort, shortness of breath / suffocating sensation, throat tightness / throat tension; wherein, in the description of the somatic symptoms, the symbol " / " indicates that at least one of the symptoms separated by it is met, i.e. the patient is determined to have the somatic symptom.

7. A panic disorder in situ exposure program recommendation system characterized by, It comprises: an input module configured to receive instructions and evaluation information input by the patient; an interoceptive exposure item recommendation module configured to determine the interoceptive exposure item performed by the patient in each practice according to the panic disorder interoceptive exposure item recommendation method of any one of claims 1-6; an output module configured to output the interoceptive exposure item performed by the patient in each practice.

8. The panic disorder in situ exposure item recommendation system according to claim 7, characterized by, It further comprises: an evaluation module configured to evaluate the baseline anxiety value, the attack similarity and the practice anxiety value of the patient; a storage module configured to store the baseline anxiety value, the attack similarity, the practice anxiety value and the historical practice information of the patient.

9. A dynamic panic disorder treatment system, comprising: It comprises: a patient end configured to collect patient question and answer information and push interoceptive exposure items to the patient; a doctor end configured to communicate with the patient end and manually modify the interoceptive exposure items pushed to the patient end; a treatment plan pushing system configured to integrate the panic disorder interoceptive exposure item recommendation system of claim 7 or 8 and push a training plan to the patient end.

10. A computer-readable storage medium, characterized in that, a computer program for implementing the method of recommending exposure items for panic disorder according to any one of claims 1 to 6, or a computer program for implementing the system of recommending exposure items for panic disorder according to claim 7 or 8, or a computer program for implementing the dynamic panic disorder treatment system according to claim 9.

Images