Teachman Bethany A, Woody Sheila R
Department of Psychology,Yale University, USA.
J Abnorm Psychol. 2003 Feb;112(1):100-9.
This study evaluates the cognitive model of anxiety by investigating treatment-related changes in automatic associations to evaluate schematic processing. Spider-phobic participants (n = 31) and healthy controls (n = 30) completed fear-based Implicit Association Tests (IATs), which are reaction-time measures that tap implicit associations without requiring conscious introspection. The specific tasks involved classifying pictures of snakes and spiders along with semantic categorizations (good vs.bad, afraid vs. unafraid, danger vs. safety, and disgusting vs. appealing). Phobic individuals were assessed before and after group-based exposure treatment and 2 months later, controls were assessed at matched time points. Results supported clinical applications for implicit fear associations, including prediction of phobic avoidance, and treatment sensitivity of the fear- and disgust-specific automatic associations.
本研究通过调查与治疗相关的自动联想变化来评估焦虑的认知模型，以评估图式加工。蜘蛛恐惧症患者（n = 31）和健康对照组（n = 30）完成了基于恐惧的内隐联想测验（IAT），这是一种反应时间测量方法，可挖掘内隐联想而无需有意识的内省。具体任务包括对蛇和蜘蛛的图片进行分类以及语义分类（好与坏、害怕与不害怕、危险与安全、恶心与吸引人）。对恐惧症患者在基于团体的暴露治疗前后以及2个月后进行评估，对照组在匹配的时间点进行评估。结果支持了内隐恐惧联想的临床应用，包括对恐惧回避的预测以及恐惧和厌恶特定自动联想的治疗敏感性。
