在社会焦虑障碍的认知治疗中,行为实验与口头干预:一种随机对照试验
Cem Yilmaz1, Arwin Nemani1, Jan Schittenhelm1
1Goethe University Frankfurt, Department of Psychology, Clinical Psychology and Psychotherapy, Germany.
用行为实验 (CT-BE) 进行认知治疗对社会焦虑障碍 (SAD) 是有前途的,特别是在提高长期情绪调节技能方面. 虽然立即减少焦虑症状是相似的,但CT-BE在随访情绪调节方面表现出显著的优势.
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:
- 认知疗法 (CT) 对社会焦虑障碍 (SAD) 有效,但效果大小各不相同.
- 行为实验 (BE) 可能是影响治疗结果的关键活性成分.
- 这项研究将CT与BE (CT-BE) 与CT与口头干预 (CT-VI) 进行了比较.
研究的目的:
- 为了比较CT-BE与CT-VI在减少社会焦虑症状方面的有效性.
- 研究BEs对社会焦虑,抑郁和情绪调节的影响.
- 为了评估治疗后的治疗结果和6个月后的随访.
主要方法:
- 60名患有SAD的患者被随机分配到CT-BE或CT-VI (每组n=30).
- 主要结局:利博维茨社会焦虑量表 (LSAS),用于症状严重程度和反应.
- 二次结果:社会恐惧症清单 (SPIN),抑郁症和情绪调节技能.
主要成果:
- 在治疗后的社会焦虑结果中没有显著差异,但趋势有利于CT-BE (LSAS,p=.072).
- 这两种治疗都是有效的,对焦虑的参与者内部效果大小很大.
- 在随访时,CT-BE显示了情绪调节的显著改善 (p<.001,d=1.19).
结论:
- 行为实验似乎是对SADCT的有效组成部分.
- 与CT-VI相比,CT-BE可能特别提高长期情绪调节技能.
- 未来的研究应该在更大的试验中探索BE机制.
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