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从元认知的角度来看,担心推迟:一个随机的等候名单控制试验
Clara Krzikalla1, Ulrike Buhlmann1, Janina Schug1
1Institute of Psychology, University of Münster, Münster, Germany.
Clinical psychology in Europe
|August 9, 2024
概括
焦虑推迟 (WP) 在使用元认知方法时,有效地减少了一般性焦虑障碍 (GAD) 患者的焦虑. 这种干预对GAD患者产生了持久的效果,但对心脏病的影响有限.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 焦虑症 焦虑症 焦虑症
背景情况:
- 病理性焦虑通常与人们认为焦虑是无法控制的感知有关.
- 使用刺激控制逻辑的焦虑推迟 (WP) 在非临床组中显示出有希望.
- 在一般焦虑障碍 (GAD) 患者群体中进行的先前研究没有支持WP在减少负面元认知或担忧方面的有效性.
研究的目的:
- 为了研究焦虑推迟 (WP) 的有效性,利用一个超认知的理由.
- 为了评估WP对负面元认知和焦虑严重性的影响,在患有GAD和下丘病 (HYP) 的个体中.
主要方法:
- 47名患有GAD和35名患有HYP的参与者被随机分配到干预组 (IG) 或等待列表 (WL).
- 总理接受了为期两届会议的工作组的干预,重点是减少对担心无法控制的负面元认知.
- 参与者被指示将担忧推迟到每天6天的固定时间,并完成了干预前,干预后和随访评估.
主要成果:
- 对于负面的元认知和担忧,观察到一个显著的时间*组相互作用.
- 与WL组相比,接受治疗的GAD样本显示了明显较低的担忧得分.
- 在GAD组中,对于负面的元认知发现了小效果大小,而对于担忧发现了大效果大小,在四周的随访中效果持续.
结论:
- 焦虑推迟 (WP) 具有超认知逻辑,似乎有效地减少了被诊断为GAD的个体的焦虑.
- 这种WP方法对缺陷体质症 (HYP) 的疗效似乎有限,可能是由于这个群体的样本规模较小.
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