高强度正念和认知行为小组治疗社会焦虑障碍:初步疗效
Shota Noda1,2, Kentaro Shirotsuki3, Yoshio Kodama4
1Department of Psychology Philipps University of Marburg Marburg Germany.
PCN reports : psychiatry and clinical neurosciences
|December 9, 2025
概括
高强度正念和认知行为小组治疗 (M-CBT) 有效地减少了社会焦虑障碍 (SAD) 症状和认知偏见. 这项试点研究表明,M-CBT对于SAD患者来说是一个有前途的干预措施.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床心理学 临床心理学
背景情况:
- 认知偏见,特别是成本和概率偏见,与社会焦虑障碍 (SAD) 有关.
- 正念和认知行为疗法 (CBT) 是已建立的治疗方法.
- 开发了一种高强度,以小组为基础的格式 (M-CBT),以针对SAD中的这些偏见.
研究的目的:
- 为患有SAD的患者开发和评估高强度M-CBT计划的初步疗效.
- 评估该计划对SAD症状和相关认知偏差的影响.
- 检查相关心理因素的变化,如对负面评价的恐惧和抑郁症状.
主要方法:
- 一个单臂试点试验,涉及10名被诊断患有SAD的患者.
- 一个为期八次的高强度M-CBT课程,包括正念,精神教育,认知重组,暴露和小组共享.
- 评估SAD症状,成本/概率偏差,以及其他心理变量 - 干预前,干预中期,干预后和随访.
主要成果:
- 在SAD症状,成本和概率偏见,抑郁症状,主观幸福,情绪正念和认知重新评估 (p <0.05) 中观察到显著改善.
- 在降低成本偏差 (d=0.85-1.27) 和概率偏差 (d=1.07-2.42) 方面发现了较大的效果大小.
- 在SAD症状改善方面,观察到中度效果大小 (d=0.57-0.67).
结论:
- 高强度M-CBT显示了缓解SAD症状和减少认知偏差的潜力.
- 群体格式和高强度的M-CBT治疗对患有SAD的人来说似乎有效.
- 建议进行进一步的随机对照试验,以证实这些初步发现.
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