附加的认知训练与暴露增强了社会焦虑的恐惧和神经结果
M M Caudle1, N Dugas2, D M Stout3
1San Diego State University, University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, United States; Department of Veteran Affairs Medical Center, 3350 La Jolla Village Dr, San Diego, CA 92161, United States; Department of Psychiatry, University of California, 9500 Gilman Dr, La Jolla, CA 92093, United States.
Psychiatry research
|August 21, 2023
概括
与暴露治疗一起训练工作记忆可能会改善社会焦虑障碍 (SAD) 的结果. 这种方法增强了减轻痛苦和改变大脑活动的效果,这表明了提高暴露程序有效性的方法.
科学领域:
- 认知神经科学 认知神经科学
- 临床心理学 临床心理学
- 精神疾病 精神疾病
背景情况:
- 使用暴露的认知行为疗法 (CBT) 是社会焦虑障碍 (SAD) 的标准.
- 工作记忆对于认知过程至关重要,这是CBT通过灭绝学习有效性的基础.
- 并非所有人都对SAD的标准CBT有充分的反应.
研究的目的:
- 调查工作记忆训练是否可以在与暴露治疗相结合时提高社会焦虑障碍 (SAD) 的结果.
- 探索工作记忆训练对与焦虑和情绪处理相关的神经机制的影响.
主要方法:
- 33名社会焦虑症较高的成年人被随机分配到工作记忆 (WM) 训练或假状况中.
- 参与者在培训后完成了WM评估,语音暴露和功能磁共振成像 (fMRI) 任务.
- 分析了WM任务和情绪面部处理期间的神经激活模式.
主要成果:
- 工作记忆训练导致了减少语音暴露期间的痛苦,并改善了WM任务的性能.
- 在WM训练组的参与者在WM任务中表现出更大的前端对象激活.
- WM训练与减少的状回环激活有关,以响应情绪化的面孔.
结论:
- 工作记忆训练可以通过增强前端对象网络功能和调节情绪处理来增强SAD的暴露治疗.
- 这些发现表明,针对工作记忆可能是改善SAD治疗成功的可行策略.
- 初步证据支持将工作记忆训练与暴露程序相结合,以获得更好的结果.
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