Fogler Jason M, Tompson Martha C, Steketee Gail, Hofmann Stefan G
Department of Psychology and Center for Anxiety and Related Disorders at Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02215, USA.
Behav Res Ther. 2007 Feb;45(2):235-49. doi: 10.1016/j.brat.2006.03.002. Epub 2006 Apr 25.
This study examined significant others' expressed emotion (EE) and a closely related construct, perceived criticism, as predictors of cognitive-behavioral therapy outcome in a sample of 40 patients with social phobia (social anxiety disorder). Patients enrolled in group therapy for social phobia completed pre- and post-treatment questionnaire measures of perceived criticism and anxious and depressive symptoms. Designated significant others were assessed for the components of high EE (criticism, hostility and emotional overinvolvement) using the Camberwell Family Interview. It was hypothesized that these high-EE components and patients' perceived criticism would be associated with poorer treatment outcome, and results ran counter to these expectations. Controlling for initial social phobia severity, lower levels of perceived criticism predicted treatment dropout. There was also a nonsignificant trend for participants with a significant other rated as high in emotional overinvolvement to show less change on a composite symptom measure. Findings from this study suggest that close relationships impact the outcome of cognitive-behavioral interventions for social phobia.
本研究在40名社交恐惧症（社交焦虑障碍）患者样本中，考察了重要他人的表达性情绪（EE）以及一个与之密切相关的构念——感知到的批评，将其作为认知行为疗法疗效的预测因素。参加社交恐惧症团体治疗的患者完成了治疗前和治疗后的问卷测量，内容包括感知到的批评以及焦虑和抑郁症状。使用坎伯韦尔家庭访谈对指定的重要他人进行高EE（批评、敌意和情感过度卷入）成分的评估。研究假设这些高EE成分以及患者感知到的批评会与较差的治疗效果相关，但结果与这些预期相反。在控制初始社交恐惧症严重程度的情况下，较低水平的感知到的批评预示着治疗退出。在复合症状测量中，情感过度卷入被评定为高的重要他人的参与者也有一个不显著的趋势，即显示出较少的变化。本研究结果表明，亲密关系会影响社交恐惧症认知行为干预的效果。
