基于网络的认知行为疗法的有效性与社会焦虑障碍的羞耻特定干预:随机对照试验
Xu Wen1,2, Mengke Gou2, Huijing Chen3
1Department of Clinical Psychology and Psychotherapy, Ruhr University Bochum, Bochum, Germany.
JMIR mental health
|August 8, 2024
概括
将羞耻干预整合到基于网络的认知行为疗法 (WCBT) 中,显著减少了社会焦虑症症状和羞耻感. 这种以羞耻为中心的WCBT方法比标准的WCBT更有效.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为治疗是一种行为疗法.
背景情况:
- 社会焦虑障碍 (SAD) 非常普遍,经常与羞耻感增加并发.
- 以前针对羞耻的干预措施已经改善了SAD的结果.
- 整合直接的羞耻干预措施可能会提高认知行为疗法 (CBT) 的有效性.
研究的目的:
- 为基于网络的CBT (WCBT) 设计一种羞耻干预组件.
- 通过一项随机对照试验,调查这种羞耻干预措施在减少SAD患者的社会焦虑和羞耻感方面的有效性.
主要方法:
- 基于CBT原则和纵向数据,开发了一个耻辱干预组件.
- 患有SAD的参与者 (N=201) 被随机分为羞耻WCBT,正常WCBT或等待组.
- 干预结果被评估使用经验的羞耻度表 (ESS) 和社会交互焦虑度表 (SIAS).
主要成果:
- 与正常的WCBT和等待组相比,羞耻 WCBT 组显示羞耻 (ESS) 和社会焦虑 (SIAS) 的显著减少.
- 羞耻 WCBT 组的羞耻减少明显大于正常 WCBT 组.
- 解决问题和自责调解了羞耻和社会焦虑之间的关系.
结论:
- 这项研究是第一个在WCBT中纳入和验证羞耻干预组件的研究.
- 以羞耻为中心的WCBT有效地减少了羞耻和社会焦虑症状.
- 直接解决羞耻问题可以提高WCBT对社会焦虑障碍的疗效.
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