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视频反馈联合同伴评定用于自然情景下社交焦虑障碍的治疗:初步报告

Video feedback with peer ratings in naturalistic anxiety-provoking situations for social anxiety disorder: Preliminary report.

机构信息

Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Mizuho-cho, Mizuho-ku, Japan.

出版信息

J Behav Ther Exp Psychiatry. 2010 Mar;41(1):6-10. doi: 10.1016/j.jbtep.2009.08.005. Epub 2009 Aug 18.

Abstract

The present study aimed to examine how video feedback can affect perceived performance and anticipatory anxiety in various naturalistic social anxiety-provoking situations among clinical patients diagnosed with social anxiety disorder (SAD) and to examine predictors that might influence response to video feedback. Participants were 52 consecutive patients with DSM-IV SAD who participated in a group-based CBT program. Our results demonstrated that video feedback was associated with a decrease in the underestimation of own performance as well as the perception of feared outcomes. Moreover, anticipatory anxiety decreased after video feedback combined with peer feedback. Male sex, comorbidity with other anxiety disorders, and benzodiazepine prn, as well as patients' initial anxiety and avoidance were negative predictors of the effect of video feedback.

摘要

本研究旨在探讨视频反馈如何影响临床诊断为社交焦虑障碍(SAD)的患者在各种自然发生的社交焦虑诱发情境中对自身表现的感知和预期焦虑,并探讨可能影响视频反馈效果的预测因素。参与者为 52 名连续确诊为 SAD 的 DSM-IV 患者,他们参加了基于小组的 CBT 项目。我们的研究结果表明,视频反馈与低估自身表现以及对恐惧结果的认知有关。此外,在视频反馈结合同伴反馈后,预期焦虑降低。男性、共病其他焦虑障碍、苯二氮䓬类药物按需治疗,以及患者的初始焦虑和回避,是视频反馈效果的负性预测因素。

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