在急性精神病治疗期间,社会焦虑障碍患者的积极和消极影响的变化
Emily M Bowers1, Andrew D Peckham2, Fallon R Goodman3
1Utah State University, Logan, UT, USA.
Depression and anxiety
|April 14, 2025
概括
接受治疗的社会焦虑障碍 (SAD) 患者的负面影响减少,但积极影响没有变化. 抑郁症的严重程度影响了积极的情绪变化,这表明需要在SAD治疗中准这一点.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 焦虑症 焦虑症 焦虑症
背景情况:
- 社会焦虑障碍 (SAD) 的特点是积极影响 (PA) 较少,负面影响 (NA) 较多,类似于抑郁症.
- 针对SAD中PA的有效治疗研究不足,尽管它对生活质量的重要性很大.
研究的目的:
- 在接受部分医院计划 (PHP) 治疗的SAD患者中检查自我报告的PA和NA的每日变化.
- 调查基线抑郁症严重程度是否会在治疗期间缓和PA和NA的变化.
主要方法:
- 在PHP中患有SAD的成年患者 (N=241) 每天完成国际积极和消极影响表-简单表 (IPANAS-SF) 和患者健康问卷-9 (PHQ-9) 在基线.
- 两级多级建模 (MLM) 分析了前9个治疗日的数据,将PHQ-9分数作为调节者.
主要成果:
- 患者在PHP治疗期间报告了NA显著下降,但PA没有显著变化.
- 基线抑郁症严重程度没有缓和NA变化,但缓和了PA变化,在更抑郁的患者中,PA增加更大.
结论:
- 对SAD进行跨诊断组治疗有效地减少NA,但不会显著改变PA.
- 虽然抑郁症的严重程度会影响PA的变化,但目前的治疗方法可能无法在SAD患者中优化PA.
- 未来的研究应该探索专门针对PA的干预措施,以改善SAD的整体治疗结果.
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