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Work Stressors and Resources Among Police Emergency Dispatchers. Exploring Opportunities for Improving Working Conditions for Employees Critical for Public Safety. 警察紧急调度员的工作压力和资源。探索改善对公共安全至关重要的雇员的工作条件的机会。
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-06-16 DOI: 10.1111/sjop.70001
Lea Loncar, Eva Langvik, Ingrid Steen Rostad, Ingvild Saksvik-Lehouillier, Brita Bjørkelo

Emergency dispatchers are required to remain calm and focused, managing complex and intense situations when allocating resources and providing information to first responders on site. However, despite their importance in securing public safety, the working conditions of emergency dispatchers have received marginal attention. This study addresses this gap by exploring: (1) "How do police emergency dispatchers experience their working conditions?" and (2) "Which initiatives do the emergency dispatchers suggest for reducing stress, improving the working conditions, and promoting health maintenance?" We applied qualitative content analysis to responses from 78 police emergency dispatchers to open-ended questions from an online survey. The work's demanding and intense nature is regarded as both stressful and engaging. Cumulative stress is perceived as more challenging than dramatic incidents. Noise and suboptimal technical solutions add to the burden. Lack of follow-up, understaffing and turnover may be depicted as a vicious circle that could be counterbalanced by more staff, outsourcing of redundant tasks, better technical equipment, and leadership-initiated debriefing. Although limitations apply, the results from this study are important for practitioners and researchers within the field of operative psychology and emergency dispatchers. The results can contribute to an improved work environment, work culture, training, well-being, and performance of police emergency dispatchers, which can increase job performance as well as effectiveness and, consequently, secure public safety.

紧急调度员需要保持冷静和专注,在分配资源和向现场第一响应者提供信息时管理复杂和紧张的情况。然而,尽管紧急调度员在确保公共安全方面很重要,但他们的工作条件却很少受到重视。本研究通过以下探索解决了这一差距:(1)“警察紧急调度员如何体验他们的工作条件?”和(2)“紧急调度员建议采取哪些措施来减轻压力、改善工作条件和促进健康维护?”我们对78名警察紧急调度员对在线调查开放式问题的回答进行了定性内容分析。这项工作要求高、强度大,被认为既紧张又吸引人。累积的压力被认为比戏剧性的事件更具挑战性。噪音和次优的技术解决方案增加了负担。缺乏后续行动、人员不足和人员更替可能被描述为一个恶性循环,可以通过增加工作人员、将多余的任务外包、更好的技术设备和领导发起的汇报来加以平衡。尽管存在局限性,但本研究的结果对手术心理学和紧急调度员领域的从业人员和研究人员很重要。其结果可有助于改善警察紧急调度员的工作环境、工作文化、培训、福利和绩效,从而提高工作绩效和效率,从而确保公共安全。
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引用次数: 0
Symptoms of Psychological Stress and Sickness Absence Among Healthcare Workers During a Persistent Crisis. 持续危机期间医护人员的心理压力和疾病缺勤症状
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-05-26 DOI: 10.1111/sjop.13127
Sophia Appelbom, Anna Finnes, Rikard K Wicksell, Aleksandra Bujacz

Elevated psychological stress reactions among healthcare workers during the COVID-19 pandemic necessitated a need to better understand their possible impact on sickness absence (SA). The study aimed to describe the relation between SA related to mental health problems and symptoms of psychological stress among healthcare workers during the COVID-19 pandemic. We further aimed to identify whether latent profiles of psychological stress reactions exist within the same population. In this observational registry-based study, survey data between May 2020 and March 2021 and SA register data between May 2019 and February 2023 were collected from 1245 Swedish healthcare workers. Differences between symptoms of burnout, depression, anxiety, PTSD, sleep disturbance, lack of detachment, and lack of recovery among groups with no, few (< 90), or many (≥ 90) SA days were analyzed with Kruskal-Wallis tests. Interrelations between symptoms of psychological stress were identified using latent profile analysis. Compared to healthy participants, participants with SA days (in total 6.3%) reported more severe symptoms of psychological stress, were younger, and more likely to work as assistant nurses. Furthermore, they displayed a higher degree of previous SA (prior to the pandemic). No statistically significant differences between groups with few (< 90) and many (≥ 90) days of SA in symptoms were noted. Four latent profiles of psychological stress were identified, but they differed only in the level of experienced symptoms. We conclude that different symptoms of psychological stress are highly interrelated among healthcare workers during a crisis. Although many healthcare workers may experience elevated symptoms in relation to the crisis, it will not necessarily lead to serious mental health problems requiring SA.

在COVID-19大流行期间,卫生保健工作者的心理应激反应升高,因此有必要更好地了解其对病假缺勤的可能影响。本研究旨在描述COVID-19大流行期间医护人员与心理健康问题相关的SA与心理压力症状之间的关系。我们进一步旨在确定心理应激反应的潜在特征是否存在于同一人群中。在这项基于登记的观察性研究中,从1245名瑞典卫生保健工作者中收集了2020年5月至2021年3月的调查数据和2019年5月至2023年2月的SA登记数据。倦怠、抑郁、焦虑、创伤后应激障碍、睡眠障碍、缺乏超然和缺乏康复症状在没有、很少(
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引用次数: 0
Cognitive-Emotional Impact of Negative Interpretations of Ambiguous Social Information and Fear of Negative Evaluation on the Association Between Intolerance of Uncertainty and Social Anxiety Subtypes: A Cross-Sectional Mediation Analysis. 对模糊社会信息的负面解释和对负面评价的恐惧对不确定性不耐受与社交焦虑亚型之间关系的认知情绪影响:横断面中介分析
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-05-27 DOI: 10.1111/sjop.13115
Flavia I Spiroiu, Kathryn Amanda Maranzan

This study investigated whether negative interpretations of ambiguous social information and fear of negative evaluation (FNE) mediate the relationship between intolerance of uncertainty (IU) and social anxiety subtypes, specifically social interaction anxiety and performance anxiety. Sixty-six participants completed measures examining IU, social interaction anxiety, social performance anxiety, fear of negative evaluation, and negative interpretation bias in the context of ambiguous social scenarios. As expected, fear of negative evaluation mediated the association between IU and social interaction anxiety, and the relationship between IU and performance anxiety. Negative interpretation bias, as measured by a higher likelihood of having negative interpretations of ambiguous social content come to mind, mediated the association between IU and both social anxiety subtypes; however, participants' belief in those negative interpretations did not. Results of this study suggest that difficulty tolerating uncertainty about perceived negative evaluation and about the meaning and possible consequences of ambiguous social situations may be a critical element in the development, maintenance, and/or exacerbation of social anxiety. Future studies should incorporate longitudinal designs using serial moderation models to examine the complex causal relations between IU, FNE, negative appraisals of ambiguous social content, and social anxiety subtypes.

本研究探讨了对模糊社会信息的负面解读和对负面评价的恐惧(FNE)是否介导了不确定性不耐受(IU)与社交焦虑亚型(特别是社交互动焦虑和表现焦虑)之间的关系。66名参与者完成了在模棱两可的社会情境下IU、社会互动焦虑、社会表现焦虑、对负面评价的恐惧和负面解释偏见的测量。正如预期的那样,对负面评价的恐惧介导了IU与社会互动焦虑之间的关联,以及IU与绩效焦虑之间的关系。负面解释偏差,通过对模棱两可的社会内容产生负面解释的可能性更高来衡量,介导了IU与两种社交焦虑亚型之间的关联;然而,参与者对这些负面解释的信念却没有。本研究的结果表明,难以忍受对感知到的负面评价的不确定性,以及对模棱两可的社交情境的意义和可能的后果的不确定性,可能是社交焦虑发展、维持和/或恶化的关键因素。未来的研究应该采用纵向设计,使用连续调节模型来检验IU、FNE、对模糊社会内容的负面评价和社交焦虑亚型之间的复杂因果关系。
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引用次数: 0
A Symphony of Fire, Ice, and Fog: How Leaders' Interpersonal Styles Shape Psychological Needs and Motivation. 《火、冰和雾的交响曲:领导者的人际关系风格如何塑造心理需求和动机》。
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-05-08 DOI: 10.1111/sjop.13123
Leoni van der Vaart, Siw Tone Innstrand, Marit Christensen

Understanding the socio-contextual factors associated with self-determined motivation is crucial for addressing work-related well-being challenges. Leadership behaviors that support, thwart, or neglect employees' psychological needs play a pivotal role in shaping these motivational dynamics. Building on this understanding, this study investigated how different need-oriented leadership behaviors-supportive, thwarting, and indifferent-relate to motivation through various pathways. The study sample surveyed 353 Norwegian employees using the Tripartite Measure of Interpersonal Behaviors-Supervisor (TMIB-S) scale, Psychological Need States at Work Scale (PNSW-S), and the Multidimensional Work Motivation Scale (MWMS). In the bright path, need-supportive behaviors were associated with psychological need fulfillment, aligning with self-determined motivation. In the dark pathway, results indicated need-thwarting behaviors associated with competence frustration, which corresponded with higher introjected regulation. In the dim pathway, need-indifferent behaviors were linked to external regulation and amotivation through need unfulfillment. Cross-path analyses suggested that need frustration may be less detrimental to motivation than need unfulfillment. Our research contributes to self-determination theory and leadership literature by clarifying how three distinct pathways relate to motivation. Practically, these findings underscore the importance of understanding and addressing the nuanced roles of different leader behaviors to effectively manage and foster motivation in organizational settings.

了解与自我决定动机相关的社会背景因素对于解决与工作相关的福祉挑战至关重要。支持、阻碍或忽视员工心理需求的领导行为在形成这些激励动力方面发挥着关键作用。在此基础上,本研究调查了不同的需求导向领导行为——支持型、挫败型和冷漠型——是如何通过不同的途径与动机联系起来的。研究样本采用人际行为三分量量表(TMIB-S)、工作心理需要状态量表(PNSW-S)和多维工作动机量表(MWMS)对353名挪威员工进行了调查。在光明的道路上,需求支持行为与心理需求满足有关,与自我决定动机一致。在黑暗通路中,研究结果表明需求挫败行为与能力挫败相关,这与较高的内射调节相对应。在模糊路径中,需求无关行为通过需求未实现与外部调节和动机相联系。交叉路径分析表明,需求受挫对动机的危害可能小于需求未实现。我们的研究通过阐明三种不同的途径如何与动机相关,为自决理论和领导力文献做出了贡献。实际上,这些发现强调了理解和处理不同领导行为的微妙角色对于有效管理和培养组织环境中的动机的重要性。
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引用次数: 0
Childhood Emotional Abuse and Somatic Symptoms: The Mediating Effect of Self-Hate. 儿童情绪虐待与躯体症状:自我憎恨的中介作用。
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-08-04 DOI: 10.1111/sjop.70008
Pierre Gilbert Rossini, Francesco Gazzillo, David Kealy

Childhood emotional abuse is a recognized factor for long-term psychological and physical health problems, including persistent somatic symptoms. Negative self-beliefs, such as self-hate-related beliefs, may explain how emotional mistreatment contributes to physical distress in adulthood beyond general emotional difficulties. A longitudinal study was conducted with 298 help-seeking adults. At baseline, participants completed measures of childhood emotional abuse, self-hate, and general negative affectivity. Somatic symptoms were assessed two months later. Mediation analyses tested whether self-hate mediated the relationship between childhood emotional abuse and somatic symptoms while accounting for the influence of general negative affectivity, which reflects a general tendency to experience negative emotional states. Participants (Mage = 33.7, SD = 11.8) were predominantly female (63.3%) and Caucasian (84.2%). Childhood emotional abuse (M = 11.24, SD = 6.60) was significantly associated with self-hate (M = 10.35, SD = 6.13, r = 0.33, p < 0.001) and somatic symptoms (M = 13.99, SD = 6.76, r = 0.27, p < 0.001). Self-hate strongly correlated with somatic symptoms (r = 0.45, p < 0.001). Mediation analyses showed that self-hate significantly mediated the link between emotional abuse and somatic symptoms, even after accounting for general negative affectivity as a covariate (indirect effect = 0.07, 99% CI [0.03, 0.13]). These findings highlight self-hate as a key mechanism linking childhood emotional abuse to somatic symptoms. Even when controlling for broader emotional instability, self-hate remained central. Addressing these negative self-beliefs through targeted interventions may help reduce both emotional suffering and associated physical manifestations.

儿童时期的情感虐待是造成长期心理和身体健康问题的公认因素,包括持续的躯体症状。消极的自我信念,例如与自我憎恨相关的信念,可以解释情绪虐待如何导致成年后的身体痛苦,而不仅仅是一般的情绪困难。对298名寻求帮助的成年人进行了一项纵向研究。在基线,参与者完成了童年情绪虐待、自我憎恨和一般负面情绪的测量。两个月后评估躯体症状。中介分析测试了自我憎恨是否介导了童年情绪虐待与躯体症状之间的关系,同时解释了一般消极情感的影响,这反映了经历消极情绪状态的一般倾向。参与者(Mage = 33.7, SD = 11.8)主要为女性(63.3%)和高加索人(84.2%)。儿童期情绪虐待(M = 11.24, SD = 6.60)与自我憎恨显著相关(M = 10.35, SD = 6.13, r = 0.33, p
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引用次数: 0
Facial Formidability Uniquely Informs Perceptions of White and Asian Men: Evidence From Two Samples in the United States. 面部强大性是白人和亚裔男性的独特特征:来自美国两个样本的证据。
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-07-14 DOI: 10.1111/sjop.70005
Mitch Brown, Lindsey E Eagan, Donald F Sacco, Nicholas P Maxwell

Perceivers rely on men's facial width-to-height ratio (fWHR) as the basis of several stereotypes about men's proclivities as parents. High-fWHR men are perceived as especially prone toward disciplining their offspring. Nonetheless, such ascriptions may vary across different racial categories based on concomitant parenting stereotypes for different cultures. One such stereotype could include a proclivity toward tough love, frequently described as "tiger parenting" in the context of East Asian families among U.S. perceivers. Competing stereotypes of East Asian men's high expectations could render the ascription of this parenting style more apparent from less formidable men. Two studies tasked U.S. participants to evaluate White and Asian targets varying in fWHR based on their proclivity to discipline their children and employ tough love. In replicating previous findings, high-fWHR men were perceived as more prone to punishing their offspring. This perception was most apparent for White targets, whereas low-fWHR East Asian men were perceived as more prone to tough love (Study 1). This inference of low-fWHR East Asian men further corresponded with perceptions of them as especially competent (Study 2), an interplay between stereotypes centering around race and formidability. Findings contribute to understanding formidability stereotypes across racial categories.

感知者依靠男性的面部宽高比(fWHR)作为对男性为人父母倾向的几种刻板印象的基础。高腰高比的男性被认为特别倾向于管教他们的子女。尽管如此,基于不同文化中伴随的父母刻板印象,这种归属可能在不同的种族类别中有所不同。其中一个刻板印象可能包括对严厉的爱的倾向,在美国人的认知中,东亚家庭经常被描述为“虎式教育”。对东亚男性的高期望的刻板印象可能会使这种育儿方式更明显地归咎于不那么强大的男性。两项研究要求美国参与者根据白人和亚洲人管教孩子和采用严厉的爱的倾向来评估他们的身高比。在重复之前的研究结果中,高腰宽比的男性被认为更倾向于惩罚他们的后代。这种看法在白人目标中最为明显,而低腰高比的东亚男性被认为更倾向于严厉的爱(研究1)。对低腰高比的东亚男性的推断进一步印证了人们对他们特别有能力的看法(研究2),这是围绕种族和强大的刻板印象之间的相互作用。研究结果有助于理解跨种族的强大刻板印象。
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引用次数: 0
Who's Interested in Global Warming? 谁对全球变暖感兴趣?
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-07-20 DOI: 10.1111/sjop.70007
Mark Fenton-O'Creevy, Adrian Furnham

We report on a study of the correlates of attitude to global warming (GW). We build on prior research on the role of demographic variables, personality, and political orientation in predicting attitude to GW. We argue dispositional optimism should increase willingness to treat GW seriously, via its impact on active coping behaviors and reducing cognitive avoidance in the face of anxiety, and that there should be an interactive effect of optimism with political orientation. We draw on an existing data set (N = 819) of adult respondents. We use correlation and regression analysis to examine the association between demographic variables, personality traits, optimism, political orientation and GW attitude. We use moderated regression to test for an interactive effect between political orientation and optimism on GW attitude. We find a significant inverse association between (more right-wing) political orientation and GW attitude, and a positive association between education and GW attitude. We find personality effects, the strongest of which is an inverse association between Competitiveness and GW attitude. As hypothesized, we find that optimism is positively associated with GW attitude and that this association is stronger for more right-wing political orientation. We draw conclusions for the efficacy of approaches to communicating about climate change to different groups. We consider limitations of the research and implications for future research.

我们报告了对全球变暖态度(GW)的相关研究。我们建立在先前关于人口变量、个性和政治取向在预测GW态度中的作用的研究基础上。我们认为,性格乐观可以通过影响积极应对行为和减少面对焦虑的认知回避来提高认真对待GW的意愿,并且乐观与政治取向之间应该存在互动效应。我们利用成人受访者的现有数据集(N = 819)。本文采用相关回归分析的方法,考察了人口统计学变量、人格特质、乐观主义、政治倾向与大学生政治态度之间的关系。我们使用缓和回归来检验政治倾向和乐观主义对GW态度的交互作用。我们发现(更右翼的)政治倾向与政治倾向态度之间存在显著的负相关关系,而教育程度与政治倾向态度之间存在正相关关系。我们发现了人格效应,其中最强的是竞争力与GW态度之间的负相关。正如假设的那样,我们发现乐观主义与GW态度呈正相关,并且这种关联在更右翼的政治倾向中更强。我们得出结论,对不同群体进行气候变化沟通的方法的有效性。我们考虑了研究的局限性和对未来研究的启示。
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引用次数: 0
Circle of Security-Parenting and Parent-Child Interaction Therapy-Toddler: A Qualitative Exploration of Parents' Perspectives. 安全圈-养育与亲子互动治疗-幼儿:父母视角的质性探索。
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-12-01 Epub Date: 2025-07-23 DOI: 10.1111/sjop.70009
Jane Kohlhoff, Sara Cibralic, Nancy Wallace, Susan Morgan, Linda Lennie, Lucinda Rabbetts

Parent-Child Interaction Therapy-Toddler (PCIT-T) and Circle of Security-Parenting (COS-P) are two attachment-based early parenting programs with emerging evidence bases. Most of the research has, however, been quantitative in nature. Understanding caregiver perspectives and acceptability of the programs is therefore needed. This study aimed to address this gap in research by examining perspectives of parents who participated in PCIT-T or COS-P at an Australian community-based child behavior clinic for treatment of toddler behavior problems. Twenty-nine mothers were purposively recruited to participate in a semi-structured post-program interview (COS-P: n = 10; PCIT-T: n = 19). Data were analyzed using an inductive thematic analysis approach. Results of thematic analysis showed that parents in both groups experienced a range of positive gains (for the toddler, themselves as a parent, and for relationships). Participants in both groups identified the clinician as a key facilitator of positive program outcomes, and time commitment as a barrier. For the COS-P group, the group process and treatment journey were identified as facilitators, and inconsistent attendance from group attendees was a barrier. The PCIT-T group viewed the live coaching and the manualized protocol as facilitators. Results suggest that both COS-P and PCIT-T are viewed positively by parents and identify several parent-identified facilitators/barriers.

亲子互动治疗-幼儿(pct - t)和安全圈-育儿(COS-P)是两个基于依恋的早期育儿项目,有新的证据基础。然而,大多数研究本质上都是定量的。因此,需要了解护理者的观点和程序的可接受性。本研究旨在通过调查在澳大利亚社区儿童行为诊所参加pct - t或COS-P治疗幼儿行为问题的父母的观点来解决这一研究空白。有目的地招募29名母亲参加半结构化的项目后访谈(COS-P: n = 10;pct - t: n = 19)。数据分析采用归纳专题分析方法。主题分析的结果表明,两组父母都经历了一系列积极的收获(对孩子来说,作为父母的自己,以及与孩子的关系)。两组的参与者都认为临床医生是积极项目结果的关键推动者,而时间承诺是一个障碍。对于COS-P组,小组过程和治疗过程被确定为促进因素,小组参与者不一致的出勤是一个障碍。pct - t组将现场指导和手动协议视为促进因素。结果表明,家长对COS-P和pct - t都持积极态度,并确定了一些家长认为的促进因素/障碍。
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引用次数: 0
Directionality of Self-Regulation and Self-Efficacy Within a Treatment Targeting Cardiovascular Exercise and Emotional Eating in Women: Interpretation and Application of Behavioral Theory. 自我调节和自我效能在女性心血管运动和情绪饮食治疗中的方向性:行为理论的解释和应用。
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-11-28 DOI: 10.1111/sjop.70057
James J Annesi, Phillip G Post

Because of the limited success at fostering sustained weight loss through behavioral changes, surgical and pharmaceutical interventions are increasingly relied upon. Better accommodating key constructs within health behavior-change theory might be necessary for improving success through behavioral means. Women with obesity (N = 73) participated in a 6-month theory-informed and community-based weight-loss program. They demonstrated significant within-group improvements in self-regulation and self-efficacy related to exercise and eating, dietary behaviors, cardiovascular exercise, and weight over 12 months. Paths from early changes in self-regulation, to early changes in behavior, to longer-term changes in self-efficacy and further behavioral changes were significant for both cardiovascular exercise and dietary behavior changes. Similar paths, but initiating from self-efficacy change, were not significant. Reductions in weight over both 6 months (-6.0%) and 12 months (-5.5%) were significantly predicted by the changes in cardiovascular exercise and dietary behaviors. Findings suggested that an initial emphasis on self-regulatory skill development will promote self-efficacy and weight-loss behaviors.

由于通过行为改变来促进持续减肥的成功有限,手术和药物干预越来越依赖。更好地适应健康行为改变理论中的关键结构可能是通过行为手段提高成功的必要条件。肥胖妇女(N = 73)参加了为期6个月的基于理论和社区的减肥计划。在12个月的时间里,他们在运动和饮食、饮食行为、心血管运动和体重方面的自我调节和自我效能方面表现出了显著的改善。从早期自我调节的改变,到早期行为的改变,再到自我效能的长期改变,再到进一步的行为改变,这些途径对心血管运动和饮食行为的改变都有重要意义。相似的路径,但从自我效能感的改变开始,不显著。6个月(-6.0%)和12个月(-5.5%)的体重减轻与心血管运动和饮食行为的改变有显著关系。研究结果表明,最初强调自我调节技能的发展将促进自我效能感和减肥行为。
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引用次数: 0
Internet-Based Acceptance and Commitment Therapy With Interoceptive Exposure for Panic Disorder: A Randomized Controlled Trial and Working Alliance Analysis. 基于网络的接受与承诺疗法与内感受性暴露治疗惊恐障碍:一项随机对照试验与工作联盟分析。
IF 2.1 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-11-28 DOI: 10.1111/sjop.70045
Lisa Bäckman, Sandra Weineland, Kristofer Vernmark, Ella Radvogin, Pär Bjälkebring, Esther Enbuske, Ida Hermansson, Nina Johansson, Nathalie Petersen, Timo Hursti

This study's primary aim was to evaluate the efficacy of an internet-based Acceptance and Commitment Therapy (IACT) program modified to include interoceptive exposure for treating panic disorder with or without concurrent agoraphobia. Its secondary aim was to examine whether therapist- and client-rated working alliances were related to treatment outcomes. This randomized controlled trial included 79 participants, assigned to either a treatment group (n = 40) or a waitlist control group (n = 39) over 10 weeks. The study investigated the effects on panic disorder and quality of life, as well as the relationship between working alliances (rated by therapists and clients) and treatment outcomes. At post-treatment, there was a significant between-group treatment effect on panic disorder symptoms, with an observed effect size of d = 0.92. The model-predicted effect size based on the multilevel model was dGMA-raw = 0.86. Furthermore, 43% of participants no longer met the diagnostic criteria. Participants with concurrent agoraphobia exhibited higher initial panic symptom scores and were less likely to be diagnosis-free post-treatment. However, they still experienced significant and large treatment effects, with an observed effect size d = 1.22 and dGMA-raw = 0,99. There was no significant between-group difference in quality-of-life measurements. The therapist-rated working alliance was associated with treatment outcome, but no significant relationship was found for the client-rated alliance. Overall, the study suggests that interoceptive exposure-modified IACT is an effective treatment for panic disorder and shows promise for patients with concurrent agoraphobia.

本研究的主要目的是评估一个基于网络的接受和承诺治疗(IACT)项目的疗效,该项目经过修改后包括内感受性暴露,用于治疗伴有或不伴有广场恐怖症的恐慌障碍。它的第二个目的是检查治疗师和客户评价的工作联盟是否与治疗结果有关。这项随机对照试验包括79名参与者,在10周内被分配到治疗组(n = 40)或候补组(n = 39)。该研究调查了对恐慌症和生活质量的影响,以及工作联盟(由治疗师和客户评定)与治疗结果之间的关系。治疗后,惊恐障碍症状组间治疗效果显著,观察到效应量d = 0.92。基于多水平模型的模型预测效应量为dGMA-raw = 0.86。此外,43%的参与者不再符合诊断标准。并发广场恐怖症的参与者表现出较高的初始恐慌症状评分,并且治疗后不太可能无诊断。然而,他们仍然经历了显著而巨大的治疗效果,观察到的效应量d = 1.22, dGMA-raw = 0,99。在生活质量测量方面,组间无显著差异。治疗师评定的工作联盟与治疗结果相关,但未发现客户评定的联盟有显著关系。总的来说,该研究表明,内感受性暴露修饰的IACT是一种有效的治疗恐慌障碍的方法,对并发广场恐怖症患者有希望。
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引用次数: 0
期刊
Scandinavian journal of psychology
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