针对有社会焦虑的种族和经济多样性失业者的工作相关认知行为疗法:一项随机临床试验
Joseph A Himle1, Richard T LeBeau2, Jennifer M Jester3
1School of Social Work, University of Michigan, USA; Department of Psychiatry, Medical School, University of Michigan, USA.
Journal of anxiety disorders
|May 19, 2024
概括
与工作相关的认知行为疗法与职业服务一起,改善了社会焦虑障碍 (SAD) 患者的社会焦虑. 然而,改善并没有持续,职业服务本身也随着时间的推移显示了好处.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 职业康复 职业康复 职业康复
背景情况:
- 社会焦虑障碍 (SAD) 与重大就业挑战有关.
- 认知行为疗法 (CBT) 对SAD有效,但其在职业环境中的应用需要研究.
- 与工作相关的认知行为疗法 (WCBT) 旨在改善SAD患者的心理健康和就业结果.
研究的目的:
- 评估WCBT与通常的职业服务 (VSAU) 相结合的疗效,与单独的VSAU相比,对于患有SAD的人来说.
- 为了确定WCBT+VSAU是否导致减少社会焦虑,抑郁和增加工作时间.
- 在患有SAD的个体中探索治疗反应的调节者.
主要方法:
- 一个多站点随机对照试验,250名被诊断患有SAD的参与者寻求职业服务.
- 参与者被随机分配到WCBT+VSAU或VSAU单独.
- 测量的主要结果是使用利博维茨社会焦虑量表 (LSAS) 的社会焦虑变化. 其次结果包括抑郁症和工作时间.
主要成果:
- 与单独使用VSAU (d=-.25,p=.03) 相比,WCBT+VSAU在后评估时在社会焦虑 (LSAS分数) 中显著改善.
- 在后来的时间点或次要结果中,没有发现两组之间有显著差异.
- 心理灵活性较低,抑郁程度较高的参与者对WCBT+VSAU的积极反应更强烈.
结论:
- 在职业环境中,WCBT+VSAU在短期内有效地减少 SAD 患者的社会焦虑.
- 随着时间的推移,职业服务本身也可以改善社会焦虑.
- 需要对以就业为中心的干预措施进行进一步的改进,以维持和增强SAD患者的工作成果.
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