社会焦虑障碍认知疗法的变化过程:面对面和基于互联网的治疗格式的比较
Graham R Thew1,2,3, Anke Ehlers1,3, David M Clark1
1Department of Experimental Psychology, University of Oxford, The Old Rectory, Paradise Square, Oxford OX1 1TW, UK.
Internet interventions
|November 19, 2024
概括
社交焦虑障碍的在线和面对面的认知疗法共享类似的变化过程. 负面的社会认知和自我关注显著介导了这两种形式的改善,这表明社会焦虑障碍干预的可比治疗机制.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 关于心理治疗改变过程的研究,特别是基于互联网的干预,是有限的.
- 在线疗法经常适应面对面的协议,但对变化机制的直接比较很少.
研究的目的:
- 研究在线治疗师指导的社会焦虑障碍 (iCT-SAD) 认知疗法的变化过程.
- 将这些过程与社会焦虑障碍 (CT-SAD) 传统面对面认知治疗中的过程进行比较.
主要方法:
- 使用多级结构方程模型对随机对照试验 (n=99) 的数据进行分析.
- 检查以自我为中心的注意力,负面的社会认知和抑郁情绪作为候选变化过程.
- 测试适度调解,以评估治疗形式的影响.
主要成果:
- 负面的社会认知和自我专注的注意力显著介导了iCT-SAD和CT-SAD的临床改善.
- 这些调解效应在两种治疗形式中都具有相似的强度.
- 抑郁情绪在CT-SAD中是一个弱的调解者,但在ICT-SAD中没有显著的作用;在社会焦虑和过程变量之间观察到周期性关系.
结论:
- 对于社会焦虑障碍的认知疗法的在线交付显示了与其面对面的对应物相比的变化过程模式.
- 自我关注和负面的社会认知是临床改善的关键媒介,无论是在线还是面对面的干预.
- 针对这些因素的干预措施在改善社会焦虑障碍方面可能同样有效,而不管交付格式如何.
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