Behavior Therapy最新文献_第2页

Effects of Parent-Coached Exposure Therapy Versus CBT on Avoidance, Impairment, and Remission in Childhood Anxiety 父母指导的暴露疗法与CBT对儿童焦虑的避免、损害和缓解的影响

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.07.002

Lilianne M. Gloe, Bridget K. Biggs, Jennifer R. Geske, Stephanie T. Reneson-Feeder, Julie E. Dammann, Deanna R. Hofschulte, Stephen P.H. Whiteside

The most effective therapy for childhood anxiety disorders (CADs), cognitive-behavioral therapy (CBT), leaves more than 50% of youth symptomatic, has yet to demonstrate superiority over treatment as usual, and requires more sessions than is typical in clinical settings. Parent-coached exposure therapy (PCET) is designed to increase the effectiveness and efficiency of treatment by focusing on exposure and including parents in all sessions. This study evaluated whether PCET had a greater effect than CBT on secondary outcomes. Participants were 78 predominantly White patients (78% female) ages 7–17 with CADs in a randomized controlled trial that were assigned to PCET or the gold-standard CBT. Data were collected from youth, parents, and independent evaluators (IEs) at pre-, mid- and posttreatment on avoidance, functioning, and treatment response. Across treatment conditions, youth showed improvement on all measures. Compared to those in CBT, participants in PCET demonstrated greater reductions in avoidance (parent- and IE rated), functional impairment (parent rated), and response/remission (IE rated) at midtreatment. Only differences in avoidance remained significant at posttreatment. There were no differences identified in therapeutic alliance. Approximately two thirds of patients had symptoms in the nonanxious range with PCET at posttreatment. Findings suggest that PCET more quickly addresses avoidance and impairment in CADs than current treatment options. These findings build on the primary outcome results, suggesting PCET may offer a more effective and efficient intervention than traditional CBT, without sacrificing therapeutic alliance.

儿童焦虑症（CADs）最有效的治疗方法是认知行为疗法（CBT），它使50%以上的青少年出现症状，尚未证明比常规治疗更优越，并且需要比典型临床环境更多的疗程。家长指导的暴露疗法（PCET）旨在通过关注暴露并让家长参与所有疗程来提高治疗的有效性和效率。本研究评估了PCET是否比CBT对次要结局有更大的影响。在一项随机对照试验中，参与者是78名年龄在7-17岁的CADs患者，主要是白人（78%为女性），他们被分配到PCET或金标准CBT。在治疗前、治疗中和治疗后，从青少年、父母和独立评估者（IEs）那里收集有关回避、功能和治疗反应的数据。在不同的治疗条件下，青少年在所有指标上都有所改善。与CBT相比，PCET的参与者在治疗中期表现出更大的逃避（父母和IE评分）、功能损害（父母评分）和反应/缓解（IE评分）的减少。在治疗后，只有回避的差异仍然显著。在治疗联合方面没有发现差异。大约三分之二的患者在治疗后出现了非焦虑症状。研究结果表明，与目前的治疗方案相比，PCET可以更快地解决心血管疾病的避免和损害问题。这些发现建立在主要结果的基础上，表明PCET可能比传统的CBT提供更有效和高效的干预，而不会牺牲治疗联盟。

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引用次数: 0

Diversity in Randomized Controlled Trials for Parent Management Training: A Systematic Review 家长管理培训随机对照试验的多样性：系统综述

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.07.004

Alan Garcia, Jorge A. Cao-Noya, Jacky Lopez, Lorraine T. Benuto

The NIH Revitalization Act was passed by the United States Congress in 1993 and mandated that researchers include women and minorities in clinical research. However, the extent that researchers have adhered to the NIH Revitalization Act in randomized controlled studies of parent training programs for treatment of child disruptive behavior is unknown. This systematic review examined how minority inclusion was addressed in randomized controlled trials (RCTs) of parent management training for child disruptive behavior. This review focused on a variety of parent training programs such as The Incredible Years, Parent-Child Interaction Therapy, and Coping Power. The researchers identified 35 studies that met the inclusion criteria. When ethnic and racial minority data was analyzed, it was found that 44% of participants were White; 13.16% were African American; 18.41% were Latinx; 2.91% were Asian; and 5.85% were reported as “other.” Ethnic and racial data was not reported for 15.96% of participants. Overall, racial and ethnic inclusion in RCTs for parent training programs has improved in recent years and there is proximal concordance between population make-up and representation of African Americans and (to a lesser degree) Latinxs in parenting intervention RCTs. However there remains a need for improved inclusion that more closely represents the racial and ethnic make-up of the general population for other groups (e.g., Asians and Indigenous populations).

1993年，美国国会通过了《美国国立卫生研究院振兴法案》，要求临床研究人员包括女性和少数族裔。然而，研究人员在治疗儿童破坏性行为的父母培训计划的随机对照研究中遵守NIH振兴法案的程度尚不清楚。本系统综述研究了如何在针对儿童破坏性行为的家长管理培训的随机对照试验（rct）中解决少数民族纳入问题。这篇综述的重点是各种各样的家长培训项目，如不可思议的岁月，亲子互动疗法，和应对能力。研究人员确定了35项符合纳入标准的研究。当分析少数民族和少数族裔的数据时，发现44%的参与者是白人；13.16%为非洲裔美国人；18.41%为拉丁裔；2.91%为亚洲人；5.85%为“其他”。15.96%的参与者未报告民族和种族数据。总体而言，近年来父母培训项目的随机对照试验中的种族和民族包容性有所改善，在育儿干预随机对照试验中，人口构成与非裔美国人和拉丁裔美国人的代表性（程度较低）之间存在近似的一致性。但是，仍然需要改善其他群体（例如亚洲人和土著人口）的包容性，使其更接近地代表一般人口的种族和族裔构成。

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引用次数: 0

Improving the State of the Science in Global Training: Promoting the World Confederation of Cognitive and Behavioural Therapies’ Training Guidelines 改善全球培训的科学状况：促进世界认知和行为治疗联合会的培训指南

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.06.002

Advanced professional skills and activities such as psychotherapy require training. However, models and methods for training practitioners to effectively deliver cognitive-behavioural therapies (CBTs) have not been clearly articulated and/or consistently applied. To address the need for global guidance in providing training in the CBTs, the World Confederation of Cognitive and Behavioural Therapies (WCCBT) recently put forward training guidelines. This State of the Science article presents the need and rationale for the WCCBT Training Guidelines and describes their assumptions and content. Such guidelines can improve the training of CBT therapists and thus ensure the global community receives the highest level of care and best possible clinical outcomes. The implications of the guidelines for trainers, practitioners, and organizations are discussed, and indications for dissemination and evaluation are articulated.

高级专业技能和心理治疗等活动需要培训。然而，培训从业者有效提供认知行为疗法（cbt）的模型和方法尚未得到明确的阐述和/或一致的应用。为了解决提供cbt培训的全球指导的需求，世界认知和行为治疗联合会（WCCBT）最近提出了培训指南。这篇科学现状文章介绍了WCCBT培训指南的必要性和基本原理，并描述了其假设和内容。这样的指导方针可以改善CBT治疗师的培训，从而确保全球社区获得最高水平的护理和最好的临床结果。讨论了指导方针对培训人员、从业人员和组织的影响，并阐明了传播和评价的指示。

引用次数: 0

Applying the Principles of Direct-to-Consumer Marketing to Recruit Mothers and Fathers to Parenting Programs: A Randomized Controlled Trial 应用直接面向消费者的营销原则来招募父母参与育儿计划：一项随机对照试验

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.07.001

Raziye Salari, Anna Sarkadi, Helena Fabian, Shirin Malek, Anton Dahlberg

Parenting programs are effective in promoting positive changes and improving the mental health of children and parents. However, low program uptake undermines the incorporation of these programs into routine community settings. Therefore, we examined whether redesigning the program flyer using insight from consumer science could increase parental participation. In this randomized controlled trial, 164 preschools were randomly assigned to a control condition or one of four experimental conditions. Parents of children in each condition were invited to participate in a universal parenting program using either the usual flyer used by local practitioners (control flyer) or one of four new flyers. The new flyers were designed based on prior research findings on why parents participate in universal parenting programs. Because fathers and mothers have been shown to have different reasons for attending parenting programs, we tailored the flyers separately for mothers and fathers. The four flyers were one mother-specific flyer, one father-specific flyer and two mixed-content flyers. The number of participants recruited varied significantly across the flyers. Overall, the redesigned mother-specific and father-specific flyers, but not the mixed-content flyers, outperformed the control flyer in recruiting parents. In addition, compared with the two mixed-content flyers, the mother-specific flyer attracted significantly more mothers and the father-specific flyer attracted more fathers. However, we found no difference between the two specific flyers themselves. Simple direct-to-consumer (DTC) marketing strategies tailored specifically to mothers or fathers can potentially increase program uptake. Future studies should further examine the importance of the visual and content of DTC messages.

育儿计划在促进积极的变化和改善儿童和父母的心理健康方面是有效的。然而，较低的项目使用率阻碍了这些项目融入日常社区环境。因此，我们研究了使用消费者科学的见解重新设计节目传单是否可以增加父母的参与。在这个随机对照试验中，164名学龄前儿童被随机分配到一个控制条件或四个实验条件中的一个。在每一种情况下，孩子的父母都被邀请参加一个普遍的育儿计划，使用当地从业人员常用的传单（对照传单）或四种新传单中的一种。新传单的设计是基于之前关于父母为什么参与普遍育儿计划的研究结果。由于父亲和母亲参加育儿课程的原因不同，我们为母亲和父亲分别量身定制了传单。这四份传单是一份针对母亲的传单，一份针对父亲的传单和两份混合内容的传单。在不同的传单中，被招募的参与者数量差异很大。总体而言，重新设计的针对母亲和父亲的传单，而不是混合内容的传单，在招募父母方面表现优于对照传单。此外，与两种混合内容传单相比，针对母亲的传单吸引了更多的母亲，而针对父亲的传单吸引了更多的父亲。然而，我们发现这两个特定的传单本身没有区别。简单的直接面向消费者（DTC）营销策略专门为母亲或父亲量身定制，可以潜在地增加计划的吸收。未来的研究应该进一步研究DTC信息的视觉和内容的重要性。

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引用次数: 0

Treatment of Youth Misophonia: A Randomized Controlled Trial Comparing Transdiagnostic Cognitive-Behavioral Therapy to Psychoeducation and Relaxation Training 青少年恐音症的治疗：一项比较跨诊断认知行为疗法与心理教育和放松训练的随机对照试验

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2026-01-01 DOI: 10.1016/j.beth.2025.04.006

Adam B. Lewin, Lauren Milgram, Sandra L. Cepeda, Ashley Karlovich, Sarah Dickinson, Morgan Bolen, Sherelle L. Harmon, Brent J. Small, Jill Ehrenreich-May

Misophonia is a distinct clinical disorder that lacks official diagnostic classification. Despite growing evidence of the prevalence and impairment associated with this condition, little research has tested possible evidence-based interventions. The current study presents outcomes from a two-site randomized controlled trial (N = 43) comparing the efficacy of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A; n = 29) to a psychoeducation and relaxation training (PRT; n = 14) intervention for youth with misophonia. Participants in each condition received 10 telehealth treatment sessions and completed symptom assessments at 5- and 10-weeks postenrollment. Across both conditions, 47% of youth were treatment responders. Approximately half (54%) of youth receiving UP-C/A were treatment responders, and approximately one quarter (25%) of youth receiving PRT were treatment responders. Compared to those receiving PRT, participants receiving UP-C/A treatment exhibited greater improvement in misophonia symptoms and global functioning on some but not all outcome measures. Participants in each condition reported comparable treatment satisfaction. Results suggest that existing evidence-based interventions may be effectively applied, in a brief format, to treat youth misophonia. Moreover, findings highlight the high acceptability of cognitive-behavioral intervention (i.e., UP-C/A) for this youth sample. Future large-scale trials with a longer treatment duration and a follow-up period are needed to inform the development of evidence-based interventions for youth misophonia.

恐音症是一种独特的临床障碍，缺乏官方的诊断分类。尽管越来越多的证据表明这种情况的患病率和损害与此有关，但很少有研究测试可能的循证干预措施。目前的研究展示了一项两点随机对照试验的结果（N = 43），比较了儿童和青少年情绪障碍跨诊断治疗统一方案（UP-C/ a; N = 29）和心理教育和放松训练（PRT; N = 14）对青少年恐音症的干预效果。每种情况的参与者都接受了10次远程医疗治疗，并在登记后5周和10周完成了症状评估。在这两种情况下，47%的年轻人对治疗有反应。接受UP-C/A治疗的青少年中约有一半（54%）是治疗应答者，接受PRT治疗的青少年中约有四分之一（25%）是治疗应答者。与接受PRT的参与者相比，接受UP-C/A治疗的参与者在一些但不是所有的结果测量中表现出更大的恐音症症状和整体功能的改善。每一种情况下的参与者都报告了相当的治疗满意度。结果表明，现有的循证干预措施可以有效地以简短的形式应用于治疗青少年恐音症。此外，研究结果强调了这一青年样本的认知行为干预（即UP-C/A）的高可接受性。未来需要更长的治疗持续时间和随访期的大规模试验，为制定针对青少年恐音症的循证干预措施提供信息。

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引用次数: 0

Fibromyalgia and Depression: A Network Analysis Approach 纤维肌痛与抑郁：一种网络分析方法

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-06-28 DOI: 10.1016/j.beth.2025.06.003

Tal Malka, Hadar Marom-Harel, Lee Frumer, Nancy Agmon-Levin, Renen Taub, Ittai Glick, Roee Admon, Shir Hanuka, Naama Peretz-Tamari, Adam Brown, Danny Horesh

Fibromyalgia (FM) is a complex disorder characterized by chronic and widespread musculoskeletal pain. FM and depression are highly comorbid; however, their relationship remains unclear. In line with the hypothesis that there are bidirectional relationships between symptoms of both disorders, a network analysis was conducted. This method is a graphical representation of a partial correlation matrix between individual symptoms, which enables an understanding of how these symptoms relate to one another.

Data were pooled from three studies conducted on patients with FM (n = 219). Well-established network analyses methods were used to illustrate the network of FM and depressive symptoms, determine the centrality and bridge strength of each symptom, and identify clusters from within the data.

Most clusters detected included both FM and depression symptoms. The most central symptoms that also exhibited high bridge strength were cognitive and psychological: (1) negative affect, and (2) memory problems. Surprisingly, pain did not emerge as central to this network.

Utilizing a network analysis approach to examine symptom-to-symptom relationships yielded novel insight into the maintenance of this comorbidity. The research and clinical implications of the findings, such as developing treatments targeting the most central symptoms and avenues for further research, are discussed.

纤维肌痛（FM）是一种以慢性和广泛的肌肉骨骼疼痛为特征的复杂疾病。FM和抑郁症高度共病；然而，他们的关系仍不清楚。根据两种疾病的症状之间存在双向关系的假设，进行了网络分析。这种方法是单个症状之间部分相关矩阵的图形表示，使人们能够了解这些症状之间的关系。数据来源于对FM患者进行的三项研究（n = 219）。我们使用成熟的网络分析方法来说明FM和抑郁症状之间的网络，确定每种症状的中心性和桥梁强度，并从数据中识别聚类。大多数检测到的集群包括FM和抑郁症状。同样表现出高桥强度的最核心症状是认知和心理：(1)负面情绪，(2)记忆问题。令人惊讶的是，疼痛并没有出现在这个网络的中心。利用网络分析方法来检查症状与症状之间的关系，对这种合并症的维持产生了新的见解。讨论了研究结果的研究和临床意义，例如开发针对最核心症状的治疗方法和进一步研究的途径。

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引用次数: 0

Interoceptive Accuracy, Sensitivity, and Attention are Associated with Suicidal Thoughts and Behaviors 内感受的准确性、敏感性和注意力与自杀想法和行为有关

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-06-28 DOI: 10.1016/j.beth.2025.06.004

Azure Reid-Russell, Matthew K. Nock

Suicide is a leading cause of death. Although significant research has focused on suicide, surprisingly little examines the role of interoception, or the perception of internal bodily states. We examined associations between dimensions of interoception and suicidal thoughts and behaviors (STBs). This online study (N = 450) assessed self-reported interoceptive accuracy, sensitivity, and attention as well as STBs. People with recent STBs reported perceiving body sensations less accurately (i.e., lower interoceptive accuracy), difficulty perceiving lower intensity sensations (i.e., lower interoceptive sensitivity), and paying more attention to sensations (i.e., greater interoceptive attention). Interoceptive sensitivity moderated the association between negative affect and recent suicidal behaviors, such that people with lower interoceptive sensitivity (i.e., difficulty perceiving lower intensity sensations) were more likely to report suicidal behaviors at all levels of negative affect, whereas people with higher interoceptive sensitivity were more likely to report suicidal behaviors only at high levels of negative affect. This study examines cross-sectional, self-reported associations between interoceptive processes and STBs. Future work should focus on examining objective measures of interoception and longitudinal associations. We provide evidence that the process of perceiving and understanding internal body states may differ for people with suicidal thoughts and behaviors – people with suicidal thoughts and behaviors described perceiving their body sensations inaccurately, especially when sensations were low intensity, and attending to their body sensations often. Interoception may represent an important, underexamined process for understanding STBs.

自杀是导致死亡的主要原因。尽管大量的研究都集中在自杀上，但令人惊讶的是，很少有人研究内感受的作用，即对身体内部状态的感知。我们研究了内感受维度与自杀想法和行为（STBs）之间的联系。这项在线研究（N = 450）评估了自我报告的内感受准确性、敏感性和注意力以及STBs。最近的stb患者报告说，他们对身体感觉的感知较不准确（即，较低的内感受准确性），难以感知较低强度的感觉（即，较低的内感受敏感性），并且更加关注感觉（即，更大的内感受注意力）。内感受敏感性调节了负性情绪与近期自杀行为之间的关系，因此，内感受敏感性较低的人（即难以感知低强度的感觉）更有可能在所有水平的负性情绪下报告自杀行为，而内感受敏感性较高的人更有可能在高水平的负性情绪下报告自杀行为。本研究考察了内感受过程与stb之间的横断面、自我报告的关联。未来的工作应侧重于检查内感受和纵向关联的客观测量。我们提供的证据表明，有自杀想法和行为的人感知和理解身体内部状态的过程可能与有自杀想法和行为的人不同——有自杀想法和行为的人描述他们对身体感觉的感知不准确，特别是当感觉强度低时，并且经常关注他们的身体感觉。内感受可能是理解性传播疾病的一个重要但未被充分研究的过程。

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引用次数: 0

Shared and Unique Effects of Enacted Stigma Based on Sexual Identity, Age, and Race/Ethnicity Among a Sample of Sexual and Gender Minority Older Adults 基于性别和性别少数的老年人性别认同、年龄和种族/民族的既定污名的共同和独特影响

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-06-14 DOI: 10.1016/j.beth.2025.06.001

Christina Dyar, Ethan Morgan

Numerous daily diary studies have demonstrated that sexual minority enacted stigma is associated with elevated same-day anxious/depressed affect. Despite the multiple marginalized identities held by many sexual and gender minorities (SGM), studies have rarely examined other types of enacted stigma (e.g., racism, ageism) experienced by SGM at the daily level. Further, it is unclear whether enacted stigma based on different identities have similar or distinct effects on anxious/depressed affect. The current study aimed to examine the effect of experiencing enacted stigma based on any marginalized identity on anxious/depressed affect (i.e., a common enacted stigma effect) and to determine if specific types of enacted stigma have unique effects above and beyond this common enacted stigma effect. We utilized ecological momentary assessment data from a sample of SGM older adults (50+ in age; 38% people of color). Experiencing any type of enacted stigma was associated with elevated anxious/depressed affect during the same observation. No specific types of enacted stigma predicted anxious/depressed affect above and beyond the common enacted stigma effect. Among SGM of color, experiencing multiple types of enacted stigma during the same observation was associated with additional anxious/depressed affect, but this did not generalize to the full sample. Results suggest that enacted stigma has a concurrent effect on anxious/depressed affect regardless of the targeted identity and specific types of enacted stigma do not have additional effects. This has potential implications for future research on effects of enacted stigma at the daily level, particularly among samples with multiple marginalized identities.

大量的日常日记研究表明，性少数群体制定的耻辱与当天焦虑/抑郁情绪升高有关。尽管许多性和性别少数群体（SGM）拥有多种边缘化身份，但研究很少调查SGM在日常层面上经历的其他类型的制定污名（例如种族主义，年龄歧视）。此外，还不清楚基于不同身份的制定污名是否对焦虑/抑郁影响有相似或不同的影响。本研究旨在探讨基于任何边缘身份的制定污名对焦虑/抑郁影响的影响（即共同的制定污名效应），并确定特定类型的制定污名是否具有超越这种共同制定污名效应的独特影响。我们利用了SGM老年人（50岁以上，38%的有色人种）样本的生态瞬时评估数据。在同一观察期间，经历任何类型的制定耻辱都与焦虑/抑郁情绪升高有关。没有特定类型的制定污名比普通的制定污名效应更能预测焦虑/抑郁影响。在有色人种的SGM中，在同一观察期间经历多种类型的制定耻辱与额外的焦虑/抑郁影响相关，但这并未推广到整个样本。结果表明，制定的污名对焦虑/抑郁的影响与目标身份无关，特定类型的制定污名没有额外的影响。这对未来研究在日常水平上制定的耻辱的影响具有潜在的意义，特别是在具有多个边缘身份的样本中。

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引用次数: 0

Engagement in Ecological Momentary Assessment of Suicidal Thoughts and Behaviors: A Mixed Methods Study 参与自杀念头和行为的生态瞬间评估：一项混合方法研究

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-05-29 DOI: 10.1016/j.beth.2025.05.007

Molly I. Ball, Nathan S. Fishbein, Narise Ramlal, Nancy Hu, Joseph S. Maimone, Adam Bear, Evan M. Kleiman, Michelle B. Stein, Matthew K. Nock, Kate H. Bentley

Ecological momentary assessment (EMA) holds great potential for understanding suicidal thoughts and behaviors (STBs) in real time. However, since the burden of EMA can lower participant engagement, more research is needed to understand how individuals engage with it, particularly during high suicide risk periods. This study aims to better understand participant engagement with EMA using both qualitative and quantitative indices. One hundred adults were enrolled in an EMA study during psychiatric inpatient hospitalization for STBs and completed six brief EMA surveys per day assessing STBs and related factors during hospitalization and for four weeks after. At the end of the study, participants completed a qualitative interview assessing motivations to participate, study perceptions, perspectives on EMA, engagement barriers, and recommendations. Participants completed 14,464 EMA surveys in total, with an average completion rate of 58%. Engagement was higher during hospitalization (66%) than after (54%). In interviews, most found EMA acceptable (59% enjoyed participation), noting that surveys often increased emotional awareness (51%). Some found EMA repetitive or tedious, and only a small minority found it distressing. Primary motivations were financial compensation (73%) and contributing to research (69%). Main barriers were schedules (92%) and momentary distress (60%). Recommendations largely focused on improving EMA administration, such as survey frequency. Most qualitative themes did not significantly differ by EMA engagement, although lower engagers gave more recommendations and had more unique barriers than high engagers. Quantitative and qualitative findings indicate EMA of STBs is generally acceptable during and after psychiatric hospitalization, with important recommendations for improvement. Integrating participant experiences is critical as researchers and clinicians work to optimize EMA with individuals at risk for suicide.

生态瞬间评估（EMA）在实时理解自杀想法和行为（STBs）方面具有巨大的潜力。然而，由于EMA的负担会降低参与者的参与度，因此需要更多的研究来了解个人如何参与其中，特别是在高自杀风险时期。本研究旨在通过定性和定量指标更好地了解参与者对EMA的参与情况。100名成年人在因性传播感染而住院的精神科住院期间参加了一项EMA研究，并在住院期间和住院后4周内每天完成6次简短的EMA调查，评估性传播感染和相关因素。在研究结束时，参与者完成了一个定性访谈，评估参与动机、研究看法、对环境管理的看法、参与障碍和建议。参与者总共完成了14,464份EMA调查，平均完成率为58%。住院期间（66%）的敬业度高于住院后（54%）。在访谈中，大多数人认为EMA是可以接受的（59%的人喜欢参与），并指出调查通常会提高情绪意识（51%）。有些人认为EMA重复或乏味，只有少数人觉得它令人痛苦。主要动机是经济补偿（73%）和为研究做出贡献（69%）。主要障碍是日程安排（92%）和短暂的痛苦（60%）。建议主要集中于改善EMA管理，如调查频率。大多数定性主题没有显著差异，尽管较低的参与给出了更多的建议，并有更多的独特障碍比高的参与。定量和定性研究结果表明，在精神科住院期间和之后，性传播感染的EMA通常是可以接受的，并提出了重要的改进建议。当研究人员和临床医生致力于优化自杀风险个体的EMA时，整合参与者的经验至关重要。

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引用次数: 0

Effects of a Cognitive Behavioral Therapy-Based Workshop Intervention on Social Anxiety Among Secondary Vocational Students: A Randomized Controlled Trial 基于认知行为疗法的工作坊干预对中职学生社交焦虑的影响：一项随机对照试验

IF 3.8 2区心理学 Q2 PSYCHIATRY

Behavior Therapy

Pub Date : 2025-05-29 DOI: 10.1016/j.beth.2025.05.005

Huiyan Li, Xinfeng Tang

Social anxiety and related mental health problems in secondary school students require urgent attention. Workshop interventions are particularly suited for school settings, as they can be delivered in a single day and accommodate large groups of participants. This study examined the effects of a 1-day workshop, grounded in cognitive behavioral therapy (CBT), on outcomes such as social anxiety among secondary school students.

A total of 89 secondary school students participated in the study, with 44 assigned to the intervention group and 45 to a wait-list control group. The effects of group (intervention vs. wait-list control) and time (pre-intervention T1, post-intervention T2, and 1-month follow-up T3) on social anxiety symptoms, negative emotional symptoms, social anxiety knowledge, attitudes toward professional help-seeking, social anxiety stigma, and fear of negative evaluation were analyzed using linear mixed models.

Compared to the control group, the intervention group demonstrated significant improvements in social anxiety symptoms, negative emotional symptoms, social anxiety knowledge, and professional help-seeking attitudes. At the 1-month follow-up, social anxiety knowledge had the largest effect size (d = 1.00), and social anxiety symptoms, negative emotional symptoms, and professional help-seeking attitudes had medium effect sizes (d = 0.45–0.64).

The CBT-based workshop enhanced social anxiety knowledge and attitudes toward seeking professional help among secondary students, and these effects persisted at the 1-month follow-up. Furthermore, the workshop reduced secondary students’ social anxiety and negative emotions—a change that, although not as rapid as immediately after the intervention, was significant at the 1-month mark.

中学生的社交焦虑及相关心理健康问题亟需关注。讲习班干预措施特别适合学校环境，因为它们可以在一天内交付，并容纳大量参与者。这项研究考察了为期一天的以认知行为疗法（CBT）为基础的研讨会对中学生社交焦虑等结果的影响。共有89名中学生参加了这项研究，其中44人被分配到干预组，45人被分配到等候名单对照组。采用线性混合模型分析群体（干预vs等候名单对照）和时间（干预前T1、干预后T2和随访1个月T3）对社交焦虑症状、负性情绪症状、社交焦虑知识、专业求助态度、社交焦虑污名化和对负面评价恐惧的影响。干预组在社交焦虑症状、负性情绪症状、社交焦虑知识、专业求助态度等方面均较对照组有显著改善。随访1个月时，社交焦虑知识的效应量最大（d = 1.00），社交焦虑症状、负性情绪症状和专业求助态度的效应量中等（d = 0.45-0.64）。以cbt为基础的工作坊提高了中学生的社交焦虑知识和寻求专业帮助的态度，这些效果在1个月的随访中持续存在。此外，工作坊减少了中学生的社交焦虑和负面情绪，这种变化虽然没有干预后立即发生的那么快，但在1个月的时间里是显著的。

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