在认知行为疗法期间情绪调节的改善预测了随后的社会焦虑减少
Maria Å Garke1, Nils Hentati Isacsson1, Örn Kolbeinsson2
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm 171 77, Sweden.
Cognitive behaviour therapy
|July 10, 2024
概括
患有社会焦虑障碍 (SAD) 的个人经历了显著的情绪调节困难. 在认知行为疗法 (CBT) 中改善这些困难预测减少了社会焦虑症状.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
背景情况:
- 社会焦虑障碍 (SAD) 的特点是情绪调节缺陷.
- 这些缺陷对SAD认知行为疗法 (CBT) 结果的长期影响仍未得到充分研究.
研究的目的:
- 检查情绪调节困难在互联网提供的SADCBT中的作用.
- 评估情绪调节变化对社会焦虑症状减少的长期预测价值.
主要方法:
- 在46名患有SAD的患者中进行了长度研究,这些患者接受了通过互联网提供的CBT和39名健康对照 (HC).
- 在28个月内使用了情绪调节难度表 (DERS) 和利博维茨社会焦虑量表 (LSAS-SR).
- 采用分类增长曲线建模和回归分析来分析随时间的变化.
主要成果:
- 患有SAD的患者在治疗前表现出比HC更大的情绪调节困难.
- 在CBT期间个人内情绪调节的改善显著预测了随后社会焦虑症状的减少 (伪R2=43%).
- 在患有SAD的患者中,DERS和LSAS-SR评级显示出高可靠性.
结论:
- 情绪调节困难是社会焦虑症的一个关键因素.
- 治疗期间情绪调节的改善对于SAD中成功的CBT结果至关重要.
- 监测情绪调节可能会提高通过互联网提供的CBT对社会焦虑的有效性.
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