Recommended methods, treatment systems and storage media for the interoceptive exposure program for panic disorder

By evaluating the anxiety value and episode similarity of patients with panic disorder, dynamically adjusting the recommended plan for the endosensitivity exposure program, solving the problem of difficulty in obtaining doctors in a timely manner, and achieving the effect of personalized exercises at any time and place.

CN119049662BActive Publication Date: 2025-04-29WEST CHINA HOSPITAL SICHUAN UNIV +1
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Patent Information

Application Number
CN202411033474.6
Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-07-30
Publication Date
2025-04-29
Estimated Expiration
2044-07-30

AI Technical Summary

Technical Problem

When patients with panic disorder practice in the endosensitivity exposure program, it is difficult for patients with panic disorder to obtain doctors promptly and accurately, resulting in limited time and location of practice.

Method used

Provide a recommended method for endosensitivity exposure program for panic disorders, which dynamically adjusts and optimizes recommendations for endosensitivity exposure programs by evaluating the patient's basic anxiety values, onset similarity and practice anxiety values, ensuring that patients can perform personalized exercises at any time and place.

Benefits of technology

It enables patients with panic disorder to be able to perform personalized endosensitivity exposure program exercises at any time and place, improves the flexibility and effectiveness of treatment and reduces dependence on doctors’ help.

✦ Generated by Eureka AI based on patent content.

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Abstract

The present invention belongs to the field of auxiliary treatment for panic disorder, and specifically relates to a method for recommending interoception exposure items for panic disorder, a treatment system and a storage medium. The interoception exposure item recommendation method comprises the following steps: providing an evaluation of the first interoception item practice for the patient, and obtaining a "basic anxiety value" and "attack similarity" for each interoception exposure item; after each patient completes the interoception exposure item practice, the anxiety level of the patient at the end of the practice is evaluated to obtain an "exercise anxiety value"; based on the basal anxiety value, the attack similarity and the exercise anxiety value, the interoception exposure item performed by the patient each time is determined. The present invention also provides an interoception exposure item recommendation system and a panic disorder treatment system for implementing the above method. The present invention can provide a personalized and highly adaptable interoception exposure item recommendation scheme for panic disorder patients, and provide timely and accurate guidance and assistance for panic disorder patients, and has a good application prospect.
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Description

Technical Field

[0001] The present invention belongs to the field of auxiliary treatment for panic disorder, and specifically relates to a method for recommending an internal sense exposure project for panic disorder, a treatment system and a storage medium. Background Art

[0002] Panic disorder, abbreviated as panic disorder, is a condition characterized by sudden and intense physiological reactions. Each attack generally lasts 5 to 20 minutes, and rarely lasts more than an hour. After experiencing an attack, many patients worry about experiencing a similar panic attack again, and this worry may seriously affect their daily life. Patients may seek the company of others or avoid activities and environments that they think may trigger panic attacks because they are afraid of encountering danger during an attack, such as being unwilling to go out alone, avoiding crowded places, or needing someone to accompany them when going out.

[0003] Interoceptive exposure, also known as interoceptive exposure therapy, is a strategy that intentionally elicits bodily responses associated with threat appraisals and motivates the patient to confront and experience these feared feelings. This approach has been shown to be effective in treating a variety of anxiety conditions, including but not limited to panic attacks, panic disorder, health anxiety, chronic pain, and chronic dizziness. Interoceptive exposure therapy is often considered the first choice of treatment when an individual's fear is rooted in sensations within the body.

[0004] At its most basic level, interoceptive exposure therapy involves purposefully eliciting anxiety-related bodily sensations and encouraging patients to continue experiencing these sensations and avoid distracting themselves from them through other activities. This practice can take many different forms, with the core goal of changing an individual’s subjective experience of their bodily sensations. Different practices can target different physiological systems, as well as a variety of psychological symptoms and threat appraisal processes.

[0005] However, when patients practice interoceptive exposure, they usually need to be guided, so there are certain restrictions on the time and place of practice. Panic disorder attacks are short and irregular. Therefore, patients may not be able to get timely and accurate help from doctors when they need to practice interoceptive exposure.

[0006] Therefore, there is an urgent need in this field to develop a technology that can recommend appropriate interoceptive exposure programs to panic disorder patients in a personalized manner at any time and provide guidance information so that panic disorder patients can practice interoceptive exposure programs without being limited by time and place. Summary of the invention

[0007] In view of the above problems, the present invention provides a method for recommending interoceptive exposure items for panic disorder, a treatment system and a storage medium.

[0008] A method for recommending an interoception exposure project for panic disorder, comprising the following steps:

[0009] Provide patients with an assessment of their first interoception project practice, and obtain two basic indicators, "basic anxiety value" and "attack similarity", for each interoception exposure project;

[0010] Each time the patient completes the interoception exposure project exercise, the patient's anxiety level at the end of the exercise is assessed to obtain the "exercise anxiety value";

[0011] The interoceptive exposure items to be performed by the patient each time the patient practices are determined according to the basal anxiety value, the attack similarity and the practice anxiety value.

[0012] Preferably, the basal anxiety value and attack similarity are obtained by evaluating the patient using a panic-related symptom scale.

[0013] Preferably, the practice anxiety value is obtained by evaluating the patient using a panic-related symptom scale.

[0014] Preferably, the method for determining the interoceptive exposure items to be performed by the patient each time is:

[0015] Set the R value and identify the exercise item with the highest R value as the recommended interoception exposure item;

[0016] The calculation method of R is:

[0017] For patients who have completed the baseline anxiety score and attack similarity assessment:

[0018] The M value is set. For patients who have not completed three exercises, the value of M is the basic anxiety value; for patients who have completed at least two exercises, the value of M is the average of the exercise anxiety values ​​of the most recent exercises, or the average of the exercise anxiety values ​​of the most recent exercises and the basic anxiety value;

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

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

[0021] For patients who did not complete the baseline assessment:

[0022] R = initial importance value + number of positive dimensions in the scale × 50;

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

[0024] Preferably, the interoception exposure items include at least one of the following items: transition breathing item, straw breathing item, breath holding item, elbow extension item, rotation on the spot item, shaking head left and right item, standing up suddenly item, muscle tightening item, running on the spot item, climbing stairs item, looking at the mirror / wall item, staring at the light item, temperature adjustment item, and swallowing item.

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

[0026] 1) Transitional breathing program: This program is recommended to patients when they have the following 5 physical symptoms: unreality / detachment from reality, shortness of breath, numbness / pins and needles, coldness / hot flashes, dizziness / vertigo / fainting;

[0027] 2) Breathing with a straw item: This item is recommended to patients when they have 1 of the following physical symptoms: shortness of breath / suffocation;

[0028] 3) Breath holding item: This item is recommended to patients when they have the following 3 physical symptoms: chest pain / tightness, shortness of breath / suffocation, and shortness of breath;

[0029] 4) Elbow extension item: This item is recommended to patients when they have 1 of the following somatic symptoms: chest pain / tightness;

[0030] 5) Rotation on the spot: This item is recommended to patients when they have three of the following physical symptoms: nausea / abdominal discomfort, dizziness / vertigo / fainting, and unsteady standing / unsteady steps;

[0031] 6) Shaking head left and right: This item is recommended to patients when they have two of the following physical symptoms: dizziness / vertigo / fainting, unsteady standing / unsteady steps;

[0032] 7) Sudden standing up item: This item is recommended to patients when they have 1 of the following physical symptoms: dizziness / vertigo / fainting;

[0033] 8) Muscle tightening item: This item is recommended to patients when they have 3 of the following physical symptoms: unsteady standing / unsteady steps, muscle tension / trembling / shivering, numbness / pins and needles;

[0034] 9) Running on the spot: This program is recommended to patients when they have the following three physical symptoms: chest pain / chest tightness, palpitations / tachycardia / accelerated heart rate / panic, shortness of breath / suffocation;

[0035] 10) Stair climbing program: This program is recommended to patients when they have three of the following physical symptoms: chest pain / chest tightness, palpitations / tachycardia / accelerated heart rate / panic, shortness of breath / suffocation;

[0036] 11) Mirror / wall item: This item is recommended to patients when they cover 1 of the following somatic symptoms: feeling of unreality / detachment from reality;

[0037] 12) Light-gazing item: This item is recommended to patients when they have 2 of the following physical symptoms: dizziness / vertigo / fainting, feeling of unreality / detachment from reality;

[0038] 13) Temperature adjustment item: This item is recommended to patients when they cover 2 of the following somatic symptoms: sweating, cold / hot flashes;

[0039] 14) Swallowing item: This item is recommended to patients when they have 3 of the following physical symptoms: nausea / abdominal discomfort, shortness of breath / suffocation, tightness in the throat / throat tightness;

[0040] In the description of the somatic symptoms, the symbol “ / ” means that at least one of the separated symptoms is met, which means that the patient is determined to have the somatic symptom.

[0041] The present invention provides a panic disorder interoception exposure project recommendation system, comprising:

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

[0043] The interoceptive exposure item recommendation module is configured to: determine the interoceptive exposure items to be performed by the patient each time in accordance with the above-mentioned panic disorder interoceptive exposure item recommendation method;

[0044] The output module is configured to output the interoceptive exposure items performed by the patient each time.

[0045] Preferably, it also includes:

[0046] The evaluation module is configured to: evaluate the patient's basal anxiety value, attack similarity, and practice anxiety value;

[0047] The storage module is configured to store the patient's basic anxiety value, attack similarity, exercise anxiety value and historical exercise information.

[0048] The present invention also provides a dynamic panic disorder treatment system, comprising:

[0049] The patient side is configured to: collect patient Q&A information and push internal sense exposure items to the patient;

[0050] The doctor side is configured to: communicate with the patient side and manually modify the interoceptive exposure items pushed to the patient side;

[0051] The treatment plan push system is configured to: integrate the above-mentioned panic disorder internal sense exposure project recommendation system to push the training plan to the patient end.

[0052] The present invention also provides a computer-readable storage medium, on which is stored: a computer program for implementing the above-mentioned panic disorder internal sense exposure project recommendation method, or a computer program for implementing the above-mentioned panic disorder internal sense exposure project recommendation system, or a computer program for implementing the above-mentioned dynamic panic disorder treatment system.

[0053] The present invention provides a method and system for recommending interoceptive exposure projects based on the patient's assessment results and historical practice results. The subsequent practice content of the patient can be dynamically adjusted and continuously optimized according to the patient's practice and treatment conditions. Therefore, the present invention provides a personalized and highly adaptable 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 contents of the present invention, in accordance with common technical knowledge and customary means in the art, without departing from the above basic technical ideas of the present invention, other various forms of modification, replacement or change may be made.

[0055] The above contents of the present invention are further described in detail below through specific implementation methods in the form of embodiments. However, this should not be understood as the scope of the above subject matter of the present invention being limited to the following examples. All technologies realized based on the above contents of the present invention belong to the scope of the present invention. BRIEF DESCRIPTION OF THE DRAWINGS

[0056] Figure 1 This is a flow chart of the recommended method for the panic disorder interoception exposure project in Example 1. DETAILED DESCRIPTION

[0057] It should be noted that the algorithms of data collection, transmission, storage and processing steps not specifically described in the embodiments, as well as the hardware structure, circuit connection, etc. not specifically described can all be implemented through the contents disclosed in the prior art.

[0058] Example 1 Panic disorder interoception exposure project recommendation method and system

[0059] This embodiment provides an automatic exercise item recommendation method and system for panic disorder patients who need to perform interoceptive exposure.

[0060] Among them, the recommended system for panic disorder interoception exposure project includes:

[0061] An input module is configured to: receive instructions and evaluation information input by a patient;

[0062] The interoceptive exposure item recommendation module was configured to: determine the interoceptive exposure item to be performed for each patient practice;

[0063] The evaluation module is configured to: evaluate the patient's basal anxiety value, attack similarity, and practice anxiety value;

[0064] A storage module is configured to: store the patient's basic anxiety value, attack similarity, exercise anxiety value and historical exercise information;

[0065] The output module is configured to output the interoceptive exposure items performed by the patient each time.

[0066] The evaluation module integrates a knowledge graph for panic disorder evaluation, which includes scale data, a cognitive case model for panic disorder, a CBT therapist manual, and a CBT self-help manual; as a preferred method, the scale data can refer to the literature "Zhang Mingyuan, He Yanling, Manual of Psychiatric Rating Scales, Hunan Science and Technology Press, 1st edition, 1st time, September 2015", including: Panic Disorder Severity Scale (PDSS), Panic-related Symptom Scale (PASS), etc. The Panic-related Symptom Scale can be used to evaluate the basal anxiety value, attack similarity, and practice anxiety value based on the evaluation information input by the patient.

[0067] In the internal sense exposure project recommendation module, the process is as follows Figure 1 As shown, the interoceptive exposure items to be performed by each patient in each exercise are determined according to the following recommended method for interoceptive exposure items for panic disorder:

[0068] Before practicing the interoception exposure items, patients were provided with an assessment of their first interoception item practice. Two basic indicators, "basic anxiety value" and "attack similarity", were obtained for each interoception exposure item. The basic anxiety value represented the patient's initial anxiety value caused by the interoception item practice; the attack similarity represented the degree of similarity between the patient's physical symptoms induced during the practice and the actual attack. The basic anxiety value and attack similarity were obtained by the patient through the Panic-Related Symptom Scale.

[0069] After completing each interoception exposure project exercise, the patient's anxiety level at the end of the exercise is assessed to obtain an "exercise anxiety value", which is obtained by the patient through the Panic-Related Symptom Scale.

[0070] The anticipatory anxiety (AA) index in the Panic-Associated Symptom Scale (PASS) includes the expectation of panic attacks (anxiety value) and the expectation of fear scenes (similarity of attacks), which evaluate intensity and frequency respectively. The intensity is similar to panic disorder. The scoring method of intensity is: the intensity of 0 to 10 is converted into four levels of 0 to 3 points. The frequency is based on the percentage of anxious time in the last week to the waking time, 0% = 0 points, 1% to 30% = 1 point, 31% to 60% = 2 points, 61% to 90% = 3 points, 91% to 100% = 4 points.

[0071] According to the basic anxiety value, the attack similarity and the practice anxiety value, the interoception exposure items provided to the patient are determined, specifically:

[0072] Set the R value, and practice each time with the highest R value;

[0073] The calculation method of R is:

[0074] For patients who have completed the baseline anxiety score and attack similarity assessment:

[0075] The M value is set. For patients who have not completed three exercises, the value of M is the basic anxiety value; for patients who have completed at least two exercises, the value of M is the average of the exercise anxiety values ​​of the most recent exercises, or the average of the exercise anxiety values ​​of the most recent exercises and the basic anxiety value;

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

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

[0078] For patients who did not complete the baseline assessment:

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

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

[0081] The Panic Disorder Severity Scale (PDSS) is used, and the specific indicators are: 1. Palpitations, panic or accelerated heart rate; 2. Sweating; 3. Tremor or shaking; 4. Shortness of breath or suffocation; 5. Choking; 6. Chest pain or chest discomfort; 7. Nausea or abdominal discomfort; 8. Feeling dizzy, unsteady, light-headed or fainting; 9. Chills or fever; 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 words with the same meaning as the above indicators.

[0082] The specific example of the process of practicing the interoception exposure project is as follows:

[0083] Spin on the spot. The patient is instructed to spin quickly while standing or sitting on an office chair. When spinning, spin as fast as possible and close your eyes. After spinning for 1 minute, sit and rest for 1 minute. Safety tips: Make sure there is enough space to complete the exercise to avoid injuries. The exercise time limit is: "1 minute each time, it is recommended to repeat the exercise 3 times." The first evaluation indicator is: "Attack similarity X%, basic anxiety value: Y points." Then the patient enters the formal exercise, estimates the basic anxiety value range of 0-10, and the patient selects the current estimated anxiety value. According to the content of the interoception exposure exercise, the worst result is predicted, and the recommended content is selected or the things or consequences that the patient is worried about are added. After the prediction is completed, the formal exercise is carried out. After the patient finishes the exercise, the evaluation content after the exercise is pushed, such as the maximum anxiety value during the exercise just now and the worst result of the exercise. The patient's practice is evaluated through the results before and after the exercise, providing data reference for the next exercise and dynamic adjustment of further training.

[0084] The panic disorder assessment knowledge graph of this embodiment includes 15 common physical symptoms during panic attacks and 14 interoceptive exposure training items. Based on the physical symptoms selected by the patient, the range of interoceptive exposure items recommended in this embodiment includes:

[0085] 1) Transitional breathing program: This program is recommended to patients when they have the following 5 physical symptoms: unreality / detachment from reality, shortness of breath, numbness / pins and needles, coldness / hot flashes, dizziness / vertigo / fainting;

[0086] 2) Breathing with a straw item: This item is recommended to patients when they have 1 of the following physical symptoms: shortness of breath / suffocation;

[0087] 3) Breath holding item: This item is recommended to patients when they have the following 3 physical symptoms: chest pain / tightness, shortness of breath / suffocation, and shortness of breath;

[0088] 4) Elbow extension item: This item is recommended to patients when they have 1 of the following somatic symptoms: chest pain / tightness;

[0089] 5) Rotation on the spot: This item is recommended to patients when they have three of the following physical symptoms: nausea / abdominal discomfort, dizziness / vertigo / fainting, and unsteady standing / unsteady steps;

[0090] 6) Shaking head left and right: This item is recommended to patients when they have two of the following physical symptoms: dizziness / vertigo / fainting, unsteady standing / unsteady steps;

[0091] 7) Sudden standing up item: This item is recommended to patients when they have 1 of the following physical symptoms: dizziness / vertigo / fainting;

[0092] 8) Muscle tightening item: This item is recommended to patients when they have 3 of the following physical symptoms: unsteady standing / unsteady steps, muscle tension / trembling / shivering, numbness / pins and needles;

[0093] 9) Running on the spot: This program is recommended to patients when they have the following three physical symptoms: chest pain / chest tightness, palpitations / tachycardia / accelerated heart rate / panic, shortness of breath / suffocation;

[0094] 10) Stair climbing program: This program is recommended to patients when they have three of the following physical symptoms: chest pain / chest tightness, palpitations / tachycardia / accelerated heart rate / panic, shortness of breath / suffocation;

[0095] 11) Mirror / wall item: This item is recommended to patients when they cover 1 of the following somatic symptoms: feeling of unreality / detachment from reality;

[0096] 12) Light-gazing item: This item is recommended to patients when they have 2 of the following physical symptoms: dizziness / vertigo / fainting, feeling of unreality / detachment from reality;

[0097] 13) Temperature adjustment item: This item is recommended to patients when they cover 2 of the following somatic symptoms: sweating, cold / hot flashes;

[0098] 14) Swallowing item: This item is recommended to patients when they have 3 of the following physical symptoms: nausea / abdominal discomfort, shortness of breath / suffocation, tightness in the throat / throat tightness;

[0099] In the description of the somatic symptoms, the symbol “ / ” means that at least one of the separated symptoms is met, which means that the patient is determined to have the somatic symptom.

[0100] Example 2 Dynamic Panic Disorder Treatment System

[0101] The system of this embodiment includes:

[0102] The patient side is configured to: collect patient Q&A information and push internal sense exposure items to the patient;

[0103] The doctor side is configured to: communicate with the patient side and manually modify the interoceptive exposure items pushed to the patient side;

[0104] The treatment plan push system is configured to: integrate the panic disorder internal sense exposure project recommendation system described in Example 1, and is used to push the training plan to the patient end.

[0105] Through the above embodiments, it can be seen that the present invention provides a method and system for recommending interoceptive exposure programs for panic disorder, as well as a panic disorder treatment system. It can provide personalized and highly adaptable interoceptive exposure program recommendation programs 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 interoceptive exposure items for panic disorder, characterized in that: The steps include: Provide patients with the first interoception project exercise assessment, and obtain two basic indicators, basal anxiety value and attack similarity, for each interoception exposure project; Each time the patient completes the interoception exposure project exercise, the patient's anxiety level at the end of the exercise is assessed to obtain the exercise anxiety value; Determining the interoception exposure item to be performed by the patient in each practice according to the basal anxiety value, the attack similarity and the practice anxiety value; The method for determining the interoceptive exposure items to be performed by each patient in each exercise is: Set the R value and identify the exercise item with the highest R value as the recommended interoception exposure item; The calculation method of R is: For patients who have completed the baseline anxiety score and attack similarity assessment: The M value is set. For patients who have not completed three exercises, the value of M is the basic anxiety value; for patients who have completed at least two exercises, the value of M is the average of the exercise anxiety values ​​of the most recent exercises, or the average of the exercise anxiety values ​​of the most recent exercises and the basic anxiety value; When M≤2, R=10000-(500-M×100)+seizure similarity×0.1; When M>2, R=10000+M×(-10)+seizure similarity×0.1; For patients who did not complete the baseline assessment: R = initial importance value + number of positive dimensions in the scale × 50; The initial importance value is the value of each indicator obtained by the first assessment of the panic disorder severity assessment scale after the patient registers, and the number of positive dimensions evaluated by the scale is the number of positive dimensions shown in the first assessment result of the panic disorder severity assessment scale.

2. The method for recommending interoceptive exposure items for panic disorder according to claim 1, characterized in that: The basal anxiety value and attack similarity are obtained by evaluating the patient through the Panic-Related Symptom Scale.

3. The method for recommending interoceptive exposure items for panic disorder according to claim 1, characterized in that: The exercise anxiety value is obtained by evaluating the patient using the Panic-Related Symptom Scale.

4. The method for recommending interoceptive exposure items for panic disorder according to claim 1, characterized in that: The interoception exposure items include at least one of the following items: transition breathing item, straw breathing item, breath holding item, elbow extension item, rotation on the spot item, shaking head left and right item, standing up suddenly item, muscle tightening item, running on the spot item, climbing stairs item, looking at the mirror or wall item, staring at the light item, temperature adjustment item, and swallowing item.

5. The method for recommending interoceptive exposure items for panic disorder according to claim 4, characterized in that: The criteria for deciding whether each interoceptive exposure item should be included in the recommendation to patients are as follows: 1) Transitional breathing program: This program is recommended to patients when they have five of the following physical symptoms: feeling of unreality or detachment from reality, shortness of breath, numbness or tingling, cold or hot flashes, dizziness or vertigo, or fainting; 2) Breathing with a straw item: This item is recommended to patients when they have 1 of the following physical symptoms: shortness of breath or feeling of suffocation; 3) Breath holding item: This item is recommended to patients when they have the following 3 physical symptoms: chest pain or chest tightness, shortness of breath or suffocation, and shortness of breath; 4) Elbow extension item: This item is recommended to patients when they have 1 of the following somatic symptoms: chest pain or chest tightness; 5) Rotation on the spot: This item is recommended to patients when they have three of the following physical symptoms: nausea or abdominal discomfort, dizziness or vertigo or fainting, unsteady standing or unsteady steps; 6) Shaking head left and right: This item is recommended to patients when they have two of the following physical symptoms: dizziness or vertigo or fainting, unsteady standing or unsteady steps; 7) Sudden standing up item: This item is recommended to patients when they have 1 of the following physical symptoms: dizziness or vertigo or fainting; 8) Tightening of muscles item: This item is recommended to patients when they cover the following 3 somatic symptoms: unsteady standing or unsteady steps, muscle tension or trembling or shaking, numbness or pins and needles; 9) Running on the spot: This program is recommended to patients when they have the following three physical symptoms: chest pain or chest tightness, palpitations or tachycardia or increased heart rate or panic, shortness of breath or suffocation; 10) Stair climbing program: This program is recommended to patients when they have three of the following physical symptoms: chest pain or chest tightness, palpitations or tachycardia or increased heart rate or panic, shortness of breath or suffocation; 11) Looking at the mirror or wall item: This item is recommended to patients when they cover 1 of the following physical symptoms: feeling of unreality or detachment from reality; 12) Staring at the light item: This item is recommended to patients when they cover 2 of the following somatic symptoms: dizziness or vertigo or fainting, feeling of unreality or being out of touch with reality; 13) Temperature adjustment item: This item is recommended to patients when they cover 2 of the following somatic symptoms: sweating, chills, or hot flashes; 14) Swallowing item: This item is recommended to patients when they have 3 of the following somatic symptoms: nausea or abdominal discomfort, shortness of breath or choking sensation, and tightness or tightness in the throat.

6. A panic disorder interoception exposure item recommendation system, characterized in that: include: An input module is configured to: receive instructions and evaluation information input by a patient; The interoceptive exposure project recommendation module is configured to: determine the interoceptive exposure project to be performed by the patient each time in accordance with the panic disorder interoceptive exposure project recommendation method according to any one of claims 1 to 5; The output module is configured to output the interoceptive exposure items performed by the patient each time.

7. The panic disorder interoception exposure item recommendation system according to claim 6, characterized in that: Also includes: The evaluation module is configured to: evaluate the patient's basal anxiety value, attack similarity, and practice anxiety value; The storage module is configured to store the patient's basic anxiety value, attack similarity, exercise anxiety value and historical exercise information.

8. A dynamic panic disorder treatment system, characterized in that: include: The patient side is configured to: collect patient Q&A information and push internal sense exposure items to the patient; The doctor side is configured to: communicate with the patient side and manually modify the interoceptive exposure items pushed to the patient side; The treatment plan push system is configured as follows: the panic disorder internal sense exposure project recommendation system according to claim 6 or 7 is integrated, and is used to push the training plan to the patient end.

9. A computer-readable storage medium, characterized in that: Stored thereon are: a computer program for implementing the method for recommending interoceptive exposure items for panic disorder as described in any one of claims 1 to 5, or a computer program for implementing the system for recommending interoceptive exposure items for panic disorder as described in claim 6 or 7, or a computer program for implementing the dynamic panic disorder treatment system as described in claim 8.