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Accessing social media: Help or hindrance for people with social anxiety? 访问社交媒体:对社交焦虑症患者是帮助还是阻碍?
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-04 eCollection Date: 2019-04-01 DOI: 10.1177/2043808719837811
Sophie E Carruthers, Emma L Warnock-Parkes, David M Clark

Despite increasing use of social media and the potential benefits for people with social anxiety (SA) disorder, little is known about the online experience of people with SA. Our study aimed to investigate the occurrence of cognitive and behavioral processes during a series of online and off-line Facebook (FB)-based tasks among individuals with high and low levels of SA. Sixty-one undergraduates with low or high SA were asked to use FB in a laboratory setting, to make an FB post, and to imagine three ambiguous FB scenarios. Participants with high SA reported higher anxiety throughout the study with an interaction effect, indicating greater relative increases in anxiety for those with high SA over low SA across tasks. The high SA group were more likely to negatively interpret the ambiguous FB scenarios than the low SA group. They also reported using more safety-seeking behaviors and having more negative thoughts. The findings suggest that the cognitive and behavioral processes that characterize socially anxious face-to-face interaction are also evident in online communication. Suggestions are made for the clinical implications of such findings.

尽管社交媒体的使用越来越多,而且社交焦虑症(SA)患者可能从中受益,但人们对社交焦虑症患者的在线体验却知之甚少。我们的研究旨在调查高度和低度社交焦虑症患者在一系列基于 Facebook(FB)的在线和离线任务中的认知和行为过程。我们要求 61 名自闭症程度较低或较高的本科生在实验室环境中使用 FB、在 FB 上发帖并想象三种模糊的 FB 场景。在整个研究过程中,高自律性参与者的焦虑程度较高,并且存在交互效应,这表明在不同任务中,高自律性参与者的焦虑程度相对于低自律性参与者会有更大的增加。与低安全等级组相比,高安全等级组更有可能对模棱两可的转播场景做出负面解释。他们还表示使用了更多寻求安全的行为,并有更多消极的想法。研究结果表明,社交焦虑面对面互动的认知和行为过程在网络交流中也很明显。本文就这些发现的临床意义提出了一些建议。
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引用次数: 0
Metaperception of personality in schizophrenia 精神分裂症的人格元知觉
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719840915
A. Pinkham, Jonathon R Shasteen, R. Ackerman
Individuals with schizophrenia (SCZ) form less accurate mental representations of the self and others, which contributes to social dysfunction. It remains unclear, however, whether such deficits extend to metaperception (MP), the ability to understand how others view one’s own personality. In Phase 1 of this study, 30 individuals with SCZ and 30 healthy controls (HCs) had a videotaped conversation with an experimenter and then completed a Big Five trait questionnaire, with the goal of predicting how strangers who view their videos would rate them on the five personality traits. In Phase 2, separate participants watched the videos and rated targets’ personalities. These ratings served as “The Truth” to which Phase 1 MPs were compared for Tracking Accuracy (i.e., extent to which The Truth predicts MPs) and Directional Bias (i.e., extent to which MPs overestimate or underestimate the truth). Tracking Accuracy was weaker in SCZ than in HC for Openness, Conscientiousness, and Agreeableness. Moreover, Tracking Accuracy and Directional Bias of MPs in SCZ were unrelated to mentalizing abilities and clinical insight. Our results suggest that the capacity to understand how others view one’s own personality is impaired in SCZ and may be a distinct component of the social cognitive system.
精神分裂症(SCZ)患者对自我和他人的心理表征不准确,这导致了社会功能障碍。然而,尚不清楚这种缺陷是否延伸到元知觉(MP),即理解他人如何看待自己个性的能力。在本研究的第一阶段,30名SCZ患者和30名健康对照组(hc)与一名实验者进行了一段视频对话,然后完成了一份大五人格特质问卷,目的是预测陌生人看了他们的视频后会如何评价他们的五种人格特质。在第二阶段,不同的参与者观看视频并评价目标的性格。这些评级作为“真相”,与第一阶段的mp进行跟踪准确性(即真相预测mp的程度)和方向性偏差(即mp高估或低估真相的程度)的比较。开放性、严谨性和亲和性的跟踪准确性在SCZ组低于HC组。此外,SCZ的MPs跟踪准确性和方向偏差与心智化能力和临床洞察力无关。我们的研究结果表明,SCZ患者理解他人如何看待自己人格的能力受损,这可能是社会认知系统的一个独特组成部分。
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引用次数: 2
A randomized controlled trial of Internet-delivered CBT and attention bias modification for early intervention of depression 网络认知行为治疗和注意偏倚修正对抑郁症早期干预的随机对照试验
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719842502
R. Mcdermott, D. Dozois
The conceptualization and empirical knowledge base related to major depression has increased dramatically in recent years. We now have well-developed and validated models of depression from a range of theoretical perspectives. These models have significantly enhanced the development of effective treatments and preventative interventions. Although various prevention programs are available, Web-based protocols can enhance accessibility to evidence-based prevention programs. The current study involved a randomized controlled trial focused on the prevention and treatment of depression in high-risk first- and second-year undergraduate students. Three Internet-delivered preventative programs were compared: cognitive behavioral therapy (CBT; MoodGym), attentional bias modification, and an active attentional control condition. Participants (n = 350) completed symptom measurement pre- and post-intervention (6 weeks) and again at a 4-month follow-up, when they were also administered a structured diagnostic interview. Participants in the CBT condition showed more dramatic and continuous depressive symptom improvement between baseline and follow-up than did participants in the other two conditions. In addition, significantly fewer individuals in CBT condition met diagnostic criteria for major depression at follow-up than in the other conditions. These findings have important implications for future early intervention research and practice.
近年来,与严重抑郁症相关的概念化和经验知识库急剧增加。我们现在有了从一系列理论角度发展和验证的抑郁症模型。这些模式大大促进了有效治疗和预防干预措施的发展。尽管有各种预防方案,但基于网络的协议可以提高循证预防方案的可访问性。目前的研究涉及一项随机对照试验,重点是高危一年级和二年级本科生抑郁症的预防和治疗。比较了三种互联网提供的预防方案:认知行为疗法(CBT;MoodGym)、注意偏差修正和主动注意控制条件。参与者(n=350)在干预前和干预后(6周)完成了症状测量,并在4个月的随访中再次完成,当时他们还接受了结构化诊断访谈。与其他两种情况下的参与者相比,CBT条件下的参与者在基线和随访期间表现出更显著和持续的抑郁症状改善。此外,在随访中,符合严重抑郁症诊断标准的CBT患者明显少于其他患者。这些发现对未来的早期干预研究和实践具有重要意义。
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引用次数: 10
Greater body appreciation moderates the association between maladaptive attentional biases and body dissatisfaction in undergraduate women 更大的身体欣赏调节了大学生女性适应不良的注意力偏见与身体不满之间的联系
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719838937
Leah N. Tobin, Amy Barron, C. Sears, K. V. von Ranson
Attentional biases for weight-related information are thought to contribute to maintenance of body dissatisfaction and eating disorders. Women with greater body appreciation may pay less attention to thin-ideal cues if body appreciation protects them from negative effects of thin-ideal media, and if so, they may be less susceptible to development of maladaptive attentional biases. The present study used eye-gaze tracking to measure attention to weight-related words/images in 167 body-dissatisfied undergraduate women (aged 17–39 years) to examine the associations among body dissatisfaction, body appreciation, and attentional biases. Participants viewed displays of thin-related, fat-related, and neutral words/images while their eye fixations were tracked over 8-s intervals. We hypothesized body appreciation (as measured by the Body Appreciation Scale) would moderate the documented association between body dissatisfaction and attentional biases for thin-related information only, such that as body appreciation increased, the strength of the relationship between body dissatisfaction and attentional biases would decrease. Results indicated that body appreciation moderated the association between body dissatisfaction and attentional biases for thin-related words only. With low body appreciation, body dissatisfaction was positively associated with attention to thin-related words. With high body appreciation, there was an inverse association between body dissatisfaction and attention to thin-related words. Results suggest that body appreciation may be an effective prevention target for reducing maladaptive attentional biases.
对体重相关信息的注意偏差被认为有助于维持身体不满和饮食失调。如果身体欣赏能保护女性免受瘦的理想媒介的负面影响,那么身体欣赏能力更强的女性可能会较少关注瘦的理想线索,如果是这样,她们可能不太容易产生适应不良的注意力偏差。本研究使用眼动追踪来测量167名对身体不满意的本科生女性(年龄17-39岁)对体重相关单词/图像的关注,以检验身体不满意、身体欣赏和注意力偏差之间的关系。参与者观看与瘦相关、与胖相关和中性单词/图像的显示,同时在8秒的时间间隔内跟踪他们的眼睛注视。我们假设,身体欣赏(通过身体欣赏量表测量)将缓和身体不满与注意力偏差之间的联系,这种联系仅限于与瘦相关的信息,因此,随着身体欣赏的增加,身体不满与注意偏差之间的关系强度将降低。结果表明,对瘦相关词的身体欣赏调节了身体不满和注意偏差之间的联系。在身体欣赏度较低的情况下,身体不满与对瘦相关词的关注呈正相关。在对身材高度赞赏的情况下,对身材的不满和对瘦相关词的关注之间存在着相反的联系。研究结果表明,身体欣赏可能是减少适应不良注意偏差的有效预防目标。
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引用次数: 12
Self-concept certainty in adaptive and maladaptive perfectionists 适应性和非适应性完美主义者的自我概念确定性
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719843455
Alice Lo, Maree J. Abbott
The present study examined the content of self-related beliefs (i.e., the self-concept) and the level of certainty associated with these beliefs (i.e., self-concept certainty) across adaptive and maladaptive dimensions of perfectionism. A sample of 103 university students (26 adaptive perfectionists, 28 maladaptive perfectionists, and 49 non-perfectionists) completed a series of questionnaires and a reaction-timed computer task assessing their self-concept content and level of self-concept certainty. Results revealed significant differences in the content of self-beliefs about personality attributes between perfectionist groups, such that those classified as adaptive perfectionists held more positive beliefs and less negative-related beliefs about their personality attributes when compared to maladaptive perfectionists. Results regarding self-concept certainty were less clear, with adaptive perfectionists being most certain in general on self-report measures, but more certain for positive personality attributes only when compared to maladaptive perfectionists on a reaction-timed decision-making task. Findings from the present study are discussed in terms of the way that self-concept certainty may differ across adaptive and maladaptive subtypes of perfectionists.
本研究在完美主义的适应和不适应维度上考察了自我相关信念(即自我概念)的内容以及与这些信念相关的确定性水平(即自我观念的确定性)。103名大学生(26名适应性完美主义者、28名不适应性完美主义者和49名非完美主义者)完成了一系列问卷调查和一项反应时间计算机任务,评估了他们的自我概念内容和自我概念确定性水平。结果显示,完美主义者群体之间对人格属性的自我信念内容存在显著差异,因此,与不适应完美主义者相比,被归类为适应性完美主义者的人对其人格属性持有更多的积极信念,而较少的负向相关信念。关于自我概念确定性的结果不太清楚,适应性完美主义者通常对自我报告测量最为确定,但只有与反应时间决策任务中的不适应完美主义者相比,才对积极的人格属性更为确定。本研究的结果是从自我概念确定性在完美主义者的适应和不适应亚型中可能不同的方式来讨论的。
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引用次数: 4
Metacognition in psychosis 精神病中的元认知
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719841146
A. Pinkham
This Special Issue of the Journal of Experimental Psychopathology is designed to provide an overview of metacognition in psychosis. While the term metacognition has been used extensively in the psychological literature since it was formally defined by Flavell in 1979, the application of the construct to psychotic disorders, specifically schizophrenia, has been much slower and has only recently gained significant interest (Figure 1). Reasons for the relatively slow shift of attention to metacognition are unclear; however, several developments likely support the increased, and now sustained, focus on this topic. First, the definition of metacognition, and how it may conceptually relate to schizophrenia, has recently been clarified. Instead of presenting metacognition as “thinking about thinking,” which could be assumed to be a singular construct that is either intact or impaired in schizophrenia, it is now acknowledged as an overarching term that includes a spectrum of processes spanning discrete to more integrated activities. At the discrete end of the continuum are activities consistent with self-assessment such as immediate awareness of the accuracy of one’s judgments (i.e., introspective accuracy (IA)). Knowledge of cognitive processes, and the biases that may be present within them, is also included along this continuum as well as the ability to regulate or improve these processes. And, as Lysaker and colleagues argue (this issue), metacognition also includes more complex and integrated processes that allow individuals to combine multiple pieces of information into an idea or representation about the self. For example, multiple episodes of forgetting important information may lead to the idea that one has a poor memory. Recent formulations of social processes, such as the Research Domain Criteria (RDoC) framework of the National Institute of Mental Health, have also helped to refine the conceptualization of metacognition and separate it from related constructs like mentalizing or Theory of Mind. Specifically, the RDoC matrix parses the perception and understanding of the self (e.g., self-knowledge) from perception and understanding of others (e.g., understanding mental states). Thus, metacognitive processes like IA or metacognitive regulation can be distinguished from related constructs in that they are primarily self-focused. Metacognition therefore represents a distinct domain, and as demonstrated by the articles included in this Special Issue, the spectrum view provides numerous avenues for metacognitive research to improve our understanding of psychosis and to help promote functional recovery. Second, multiple strategies and measures are now available to assess metacognition. To address the more discrete activities, such as IA, participant reports of ability can be compared to objective task performance (e.g., Koren, Seidman, Goldsmith, & Harvey, 2006; Pinkham, Klein, Hardaway, Kemp, & Harvey, 2018) or to reports of knowledgeable informant
本期《实验精神病理学杂志》特刊旨在概述精神病中的元认知。自1979年Flavell正式定义元认知以来,元认知一词在心理学文献中被广泛使用,但将其应用于精神疾病,特别是精神分裂症,则要慢得多,直到最近才引起人们的极大兴趣(图1)。人们对元认知的关注相对缓慢的原因尚不清楚;然而,一些事态发展可能支持对这一主题的日益关注,并且现在持续关注。首先,元认知的定义,以及它在概念上与精神分裂症的关系,最近得到了澄清。元认知不再被认为是“关于思考的思考”,它可能被认为是一个单一的结构,在精神分裂症中要么是完整的,要么是受损的,它现在被认为是一个包罗万象的术语,包括一系列跨越离散到更综合的活动的过程。在连续体的离散端是与自我评估相一致的活动,例如立即意识到自己判断的准确性(即内省准确性(IA))。认知过程的知识,以及可能在其中出现的偏见,也包括在这个连续体中,以及调节或改善这些过程的能力。而且,正如Lysaker和他的同事所争论的那样,元认知还包括更复杂和综合的过程,它允许个人将多个信息片段组合成一个关于自我的想法或表象。例如,多次忘记重要信息可能会导致人们认为自己记忆力差。社会过程的最新表述,如国家心理健康研究所的研究领域标准(RDoC)框架,也有助于完善元认知的概念化,并将其与心理化或心理理论等相关结构区分开来。具体来说,RDoC矩阵通过对他人的感知和理解(如对心理状态的理解)来解析对自我的感知和理解(如对自我的认识)。因此,像IA或元认知调节这样的元认知过程可以与相关构念区分开来,因为它们主要是自我关注的。因此,元认知代表了一个独特的领域,正如本期特刊中所包含的文章所证明的那样,谱视图为元认知研究提供了许多途径,以提高我们对精神病的理解,并有助于促进功能恢复。其次,现在有多种策略和措施可用于评估元认知。为了解决更离散的活动,如IA,可以将参与者的能力报告与客观任务绩效进行比较(例如,Koren, Seidman, Goldsmith, & Harvey, 2006;Pinkham, Klein, Hardaway, Kemp, & Harvey, 2018)或知识渊博的线人的报告(Gould et al., 2015)。现在也可以使用利用信号检测框架来控制偏差的复杂方法(例如,Davies等人,2018),先进的统计技术为评估准确性和偏差提供了改进的方法(Pinkham等人,本期)。集成的方面
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引用次数: 3
Investigating the effects of imagery rescripting on emotional memory: A series of analogue studies 研究意象重写对情绪记忆的影响:一系列模拟研究
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719850733
A. Kunze, A. Arntz, M. Kindt
Imagery rescripting (IR) is a promising treatment for a variety of disorders, but its working mechanisms remain largely unknown. To elucidate the associative and evaluative learning processes underlying IR, we exposed participants to an aversive film clip followed by an instructed fear-conditioning procedure. The acquired fear memory was subsequently manipulated by either rescripting- (IR) or exposure-based (imaginal exposure; IE) interventions and their effects were examined on subjective and psychophysiological fear responses in three successive studies. Though the interpretation of the results was challenged with respect to the employed analogue IR intervention (Exp 1) and unexpected findings in the control condition (Exp 3), the present results establish preliminary evidence for the hypothesis that IR produces differential effects on fear responding when compared to IE. For example, in line with stimulus devaluation theory, IR effectively reduced subjective distress to the conditioned stimulus (Exp 2). Also, IR resulted in decreased physiological fear responses after fear reinstatement (Exp 3). The findings advance our general understanding of the processes involved in IR and they tentatively indicate that rescripting- and exposure-based treatments may work through different mechanisms. Moreover, this line of research demonstrates the challenges encountered when working with analogue models to test mechanisms of therapeutic change.
图像再转录(IR)是一种很有前景的治疗多种疾病的方法,但其工作机制仍在很大程度上未知。为了阐明IR背后的联想和评价学习过程,我们让参与者观看一段厌恶的电影片段,然后进行指示的恐惧调节程序。获得性恐惧记忆随后被改写(IR)或基于暴露(想象暴露;在三个连续的研究中,研究了IE干预及其对主观和心理生理恐惧反应的影响。尽管对模拟IR干预(实验1)和控制条件(实验3)中意外发现的结果的解释受到挑战,但目前的结果为与IE相比IR对恐惧反应产生不同影响的假设建立了初步证据。例如,根据刺激贬值理论,IR有效地减少了对条件刺激的主观痛苦(经验2)。此外,IR导致恐惧恢复后的生理恐惧反应减少(经验3)。研究结果促进了我们对IR所涉及的过程的总体理解,并初步表明基于处方和暴露的治疗可能通过不同的机制起作用。此外,这条研究路线表明,当使用类似模型来测试治疗变化的机制时,遇到的挑战。
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引用次数: 21
Male body dissatisfaction, eating disorder symptoms, body composition, and attentional bias to body stimuli evaluated using visual search 男性身体不满意、饮食失调症状、身体组成和对身体刺激的注意偏向使用视觉搜索进行评估
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719848292
Danielle Talbot, Evelyn Smith, J. Cass
This study investigated the relationship between body dissatisfaction, eating disorder symptoms, and attentional bias to images of male bodies using a compound visual search task. Sixty-three male participants searched for a horizontal or vertical target line among tilted lines. A separate male body image was presented within proximity to each line. Overall, search times were faster when the target line was paired with a muscular or obese body and distractor lines were paired with bodies of average muscularity and body fat (congruent trials) than on neutral trials, in which only average muscularity and body fat images were shown. Attentional bias for muscular bodies was correlated with muscle dissatisfaction, eating restraint, and shape concern, and attentional bias for obese bodies was correlated with eating restraint. For incongruent trials, in which a single muscular or obese body was paired with a distractor line, search times were indistinguishable from neutral trials. Unexpectedly, we found a negative association between search times and both body fat dissatisfaction and eating disorder symptoms in conditions where obese bodies were paired with distracting stimuli. This result implicates a potential role for attentional filtering and/or avoidance of obese bodies in predicting body fat dissatisfaction and eating disorder symptomology.
本研究使用复合视觉搜索任务调查了身体不满、饮食失调症状和对男性身体图像的注意偏差之间的关系。63名男性参与者在倾斜的线中寻找水平或垂直的目标线。在每条线附近呈现一个单独的男性身体图像。总的来说,当目标线与肌肉或肥胖的身体配对,而分心线与平均肌肉和体脂的身体配对(一致性试验)时,搜索时间比中性试验快,在中性试验中,只显示平均肌肉和体脂图像。肌肉身体的注意偏倚与肌肉不满意、饮食限制和形状关注相关,肥胖身体的注意偏倚与饮食限制相关。在不一致的试验中,单个肌肉或肥胖的身体与干扰线配对,搜索时间与中性试验没有区别。出乎意料的是,我们发现在肥胖的身体与分散注意力的刺激配对的情况下,搜索时间与身体脂肪不满和饮食失调症状之间存在负相关。这一结果暗示了注意过滤和/或避免肥胖身体在预测体脂不满和饮食失调症状方面的潜在作用。
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引用次数: 11
How malleable are attentional biases in women with body dissatisfaction? Priming effects and their impact on attention to images of women’s bodies 对身体不满意的女性的注意力偏见有多大的可塑性?启动效应及其对女性身体图像注意力的影响
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719837137
Samantha J Withnell, C. Sears, K. V. von Ranson
Understanding attentional biases associated with body dissatisfaction can aid in devising and refining programs to reduce body dissatisfaction. This study compared attention to images of women’s bodies before and after a body satisfaction or body dissatisfaction priming task. Attention was assessed using eye-gaze tracking, by measuring participants’ fixations to images of “thin” models, “fat” models, and images of average women over an 8-s presentation. Women with high (n = 65) and low (n = 43) levels of trait body dissatisfaction, as measured by the Body Shape Questionnaire, were randomly assigned to a body satisfaction or body dissatisfaction priming task. Results indicated that both priming tasks were effective at modifying participants’ state body satisfaction. Women with high body dissatisfaction exhibited an attentional bias to thin and fat model images prior to the priming procedure, replicating previous findings. Contrary to predictions, body dissatisfaction priming increased attention to body images for women with both high and low body dissatisfaction, whereas body satisfaction priming had no effect on attention for either group. These findings show that women with high and low body dissatisfaction are vulnerable to the effects of body dissatisfaction priming.
了解与身体不满意相关的注意偏差可以帮助设计和改进减少身体不满意的计划。这项研究比较了在身体满意或身体不满意启动任务之前和之后对女性身体图像的关注。通过测量参与者对“瘦”模特、“胖”模特和普通女性在8- 5秒展示中的形象的注视程度,通过眼球注视追踪来评估注意力。对身材特征不满意程度高(n = 65)和低(n = 43)的女性被随机分配到身材满意或身材不满意启动任务中。结果表明,两个启动任务都能有效地改变被试的状态体满意度。对身体高度不满的女性在启动程序之前对瘦和胖的模特图像表现出注意偏见,重复了先前的研究结果。与预测相反,身体不满启动增加了对身体形象高度和低不满的女性的注意力,而身体满意启动对两组的注意力都没有影响。这些发现表明,对身体不满程度高低的女性都容易受到身体不满启动效应的影响。
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引用次数: 7
A preliminary test of the therapeutic potential of written exposure with rescripting for generalized anxiety disorder 书面暴露与处方治疗广泛性焦虑症的初步试验
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-04-01 DOI: 10.1177/2043808719841529
M. Ovanessian, N. Koerner, M. Antony, M. Dugas
This experiment tested a novel written exposure intervention for generalized anxiety disorder (GAD) that consisted of guided rescripting of participants’ worst fear. After describing their worst fear, adults with GAD (N = 79) were randomly assigned to one of three writing interventions, each consisting of three sessions on consecutive days: (1) standard written exposure (WE), (2) written exposure with rescripting (RWE), and (3) neutral control writing (NC). Measures of symptoms and worry-associated processes were administered at pre- and post-intervention, and at 1-week and 1-month follow-ups. Worry declined significantly in all three conditions. Participants in WE reported significant reductions in fear of anxiety, whereas those in RWE reported significant reductions in fear of anger. Participants in RWE and NC reported a significant decrease in fear of positive emotion. Following RWE, participants perceived their feared scenario as less costly and perceived themselves as better able to cope with it, whereas participants in the WE and NC did not show these changes. Cognitive avoidance, intolerance of uncertainty, and negative problem orientation did not change. Findings suggest overall, RWE was not superior to WE, and that more research is needed to assess their therapeutic potential. Strengths and limitations are discussed for the benefit of future research on exposure for GAD.
本实验测试了一种针对广泛性焦虑障碍(GAD)的新型书面暴露干预,该干预包括对参与者最大恐惧的指导重写。在描述了他们最害怕的事情后,GAD成人(N = 79)被随机分配到三种写作干预中的一种,每一种干预包括连续三天的三个阶段:(1)标准书面暴露(WE),(2)书面暴露与重写(RWE),(3)中性对照写作(NC)。在干预前和干预后以及随访1周和1个月时对症状和焦虑相关过程进行测量。在所有三种情况下,担忧情绪都显著下降。WE组的参与者报告说他们对焦虑的恐惧显著减少,而RWE组的参与者报告说他们对愤怒的恐惧显著减少。RWE组和NC组的参与者报告说,他们对积极情绪的恐惧显著减少。在RWE之后,参与者认为他们害怕的场景成本更低,并且认为自己能够更好地应对它,而在WE和NC中的参与者没有表现出这些变化。认知回避、不确定性容忍和消极问题取向没有改变。研究结果表明,总的来说,RWE并不优于WE,需要更多的研究来评估它们的治疗潜力。本文讨论了该方法的优势和局限性,以期为今后的广泛性焦虑症暴露研究提供参考。
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引用次数: 5
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Journal of Experimental Psychopathology
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