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低强度正念和用于治疗社会焦虑的认知行为疗法:试点随机对照试验
Shota Noda1,2, Kentaro Shirotsuki3, Mutsuhiro Nakao4
1Department of Psychology, Translational Clinical Psychology, Philipps University Marburg, Schulstraße 12, Marburg, 35032, Germany. norashouta@outlook.jp.
BMC psychiatry
|March 8, 2024
概括
正念和认知行为疗法 (M-CBT) 有效地减少了负面认知,并改善了高社会焦虑症患者的幸福感. 这种方法对那些对传统疗法没有充分反应的人来说是有前途的.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 认知科学 认知科学
背景情况:
- 认知行为疗法 (CBT) 对社会焦虑有效,但有些人没有反应.
- 非响应者经常表现出持续的成本/概率偏见,导致未解决的社会焦虑.
- 正念训练和CBT方法可以减少成本/概率偏差和社会焦虑症状.
研究的目的:
- 为了评估四个会话的正念和CBT (M-CBT) 计划的有效性.
- 在非临床样本中评估M-CBT对高度社会焦虑的个体的影响.
- 检查M-CBT对概率偏差和相关认知和情绪因素的影响.
主要方法:
- 一个随机对照试验,涉及50名日本本科生.
- 参与者被分配到四次M-CBT干预组 (n=27) 或对照组 (n=23).
- 对照组在研究期间没有接受任何治疗.
主要成果:
- 对与概率偏差,对负面评估的恐惧,情绪正念,抑郁症状和主观幸福相关的负面认知观察到显著的相互作用.
- M-CBT显示了显著的前后改善,效果大小中等至高 (ds = 0.511.55).
- 对于社会焦虑症状或自我关注的注意力,没有发现显著的相互作用.
结论:
- M-CBT有效地改善了与概率偏差和对负面评估的恐惧相关的负面认知.
- 这种干预对处置性正念,抑郁症状和主观幸福产生了积极的影响.
- 将正念与认知重组相结合可能有利于因概率偏差而经历负面认知的人.
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