在认知行为疗法和社会焦虑障碍的图像重写中,核心信念,羞耻和自我同情的变化
Halaina R Winter1, Alice R Norton1,2, Bethany M Wootton1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
The British journal of clinical psychology
|December 15, 2025
概括
认知行为疗法 (CBT) 和图像重写 (ImR) 有效地减少了社会焦虑障碍 (SAD) 患者的不适应核心信念和羞耻感. 自我同情也得到了CBT的改善,表明这些疗法在SAD治疗中有利于与恐惧无关的结构.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗 心理治疗
背景情况:
- 不适应的核心信念,羞耻感和低自我同情心与社会焦虑障碍 (SAD) 密切相关.
- 了解治疗干预对这些特定结构的影响对于有效的SAD治疗至关重要.
研究的目的:
- 探索认知行为疗法 (CBT) 和图像重写 (ImR) 在减少 SAD 个体的不适应核心信念,羞耻和低自我同情的有效性.
- 评估这些疗法在3个月后的持续效果.
主要方法:
- 一项涉及72名被诊断患有SAD的参与者的特设后探索性研究.
- 参与者被分配到CBT (n=37) 或ImR (n=35) 中.
- 对核心信念,羞耻和自我同情的测量是在治疗前,治疗后和3个月后进行的.
主要成果:
- 无论是CBT还是ImR,都显著减少了不适应的核心信念和羞耻感,从治疗前到治疗后以及3个月的随访.
- 自我同情在CBT组治疗后和随访时显著增加,但在ImR组没有.
- 减少核心信念和羞耻感的效果大小在两种疗法中均为中等至大.
结论:
- 无论是CBT还是ImR,都在改善SAD患者的非恐惧相关心理结构方面表现出有效性.
- 这些发现突显了这两种治疗方法在综合性SAD治疗中的潜力.
- 进一步的研究可能会探索对自我同情和长期结果的差异性影响.
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