Self-Efficacy Effects on Symptom Experiences in Daily Life and Early Treatment Success in Anxiety Patients

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL ACS Applied Energy Materials Pub Date : 2024-05-14 DOI:10.1177/21677026231205262

Christina Paersch, D. Recher, A. Schulz, Mirka Henninger, Barbara Schlup, F. Künzler, Stephanie Homan, Tobias Kowatsch, Aaron J. Fisher, Andrea B. Horn, Birgit Kleim

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Abstract

Self-efficacy is a key construct in behavioral science affecting mental health and psychopathology. Here, we expand on previously demonstrated between-persons self-efficacy effects. We prompted 66 patients five times daily for 14 days before starting cognitive behavioral therapy (CBT) to provide avoidance, hope, and perceived psychophysiological-arousal ratings. Multilevel logistic regression analyses confirmed self-efficacy’s significant effects on avoidance in daily life (odds ratio [ OR] = 0.53, 95% confidence interval [CI] = [0.34, 0.84], p = .008) and interaction effects with anxiety in predicting perceived psychophysiological arousal ( OR = 0.79, 95% CI = [0.62, 1.00], p = .046) and hope ( OR = 1.21, 95% CI = [1.03, 1.42], p = .02). More self-efficacious patients also reported greater anxiety-symptom reduction early in treatment. Our findings assign a key role to self-efficacy for daily anxiety-symptom experiences and for early CBT success. Self-efficacy interventions delivered in patients’ daily lives could help improve treatment outcome.

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自我效能对焦虑症患者日常生活中症状体验和早期治疗成功的影响

自我效能感是行为科学中影响心理健康和心理病理学的一个关键概念。在此，我们对之前证明的人际自我效能效应进行了扩展。在开始认知行为疗法（CBT）之前，我们对 66 名患者进行了为期 14 天、每天五次的回避、希望和感知心理生理唤醒评级。多层次逻辑回归分析证实，自我效能对日常生活中的回避有显著影响（几率比[ OR] = 0.53，95% 置信区间[CI] = [0.34, 0.84]，P = .008），以及与焦虑的交互效应，以预测感知到的心理生理唤醒（OR = 0.79，95% CI = [0.62，1.00]，p = .046）和希望（OR = 1.21，95% CI = [1.03，1.42]，p = .02）。自我效能较高的患者在治疗早期也报告了焦虑症状的减轻。我们的研究结果表明，自我效能感在日常焦虑症状体验和早期 CBT 成功中发挥着关键作用。在患者日常生活中进行自我效能干预有助于改善治疗效果。

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.