Pathological network changes in patients with social anxiety disorder before and after an Internet-based CBT

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2023-11-15 DOI:10.1016/j.invent.2023.100691

Xu Wen , Juergen Margraf , Mingyi Qian , Thomas Berger , Nan Zhao , Mengke Gou , Shijuan Wei

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Abstract

A network perspective may shed light on the understanding of Internet-based CBT efficacy for social anxiety disorder. Previous cross-sectional evidence revealed a densely interconnected network for individuals with social anxiety. Yet, longitudinal network changes before and after ICBT are lacking. This study aimed to investigate pathological network changes with Graphical Gaussian Model among patients with social anxiety disorder (n = 249). Social phobia scale (SPS) and Social interaction anxiety scale (SIAS) were measured before and after 8 weeks Internet-based CBT. Results revealed the connection between symptom tension when speaking and symptom awkward when being watched was the most robust edges during ICBT interventions. The pathological network benefited from ICBT and exhibited modification in several prominent interconnections. The overall network connectivity continues to exhibit comparable strength after ICBT. This study represents the first examination of social anxiety network changes after patients with SAD completed a systematic ICBT. Changes in critical edges and nodes provide valuable insights for the design and efficacy assessment of ICBT interventions.

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网络认知行为治疗前后社交焦虑障碍患者的病理网络变化

网络视角可能有助于理解基于网络的CBT对社交焦虑障碍的疗效。先前的横断面证据显示，社交焦虑个体存在一个紧密相连的网络。然而，ICBT前后的纵向网络变化缺乏研究。本研究旨在用图形高斯模型探讨社交焦虑障碍患者的病理网络变化(n = 249)。社交恐惧量表(SPS)和社交互动焦虑量表(SIAS)分别在8周网络CBT前后进行测量。结果显示，在ICBT干预中，说话时的紧张症状和被注视时的尴尬症状之间的联系最为明显。病理网络受益于ICBT，并在几个突出的互连中表现出改变。在ICBT之后，整体网络连通性继续表现出相当的强度。本研究首次对SAD患者完成系统ICBT后的社交焦虑网络变化进行了研究。关键边缘和节点的变化为ICBT干预措施的设计和效果评估提供了有价值的见解。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions