Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, Pennsylvania 19122, USA.
Behav Cogn Psychother. 2010 Jul;38(4):497-504. doi: 10.1017/S1352465810000287. Epub 2010 May 28.
Subjective Units of Distress Scale (SUDS) ratings are commonly used during exposure tasks in cognitive behavioral treatment (CBT) for anxiety.
The present study examined patterns and predictors of SUDS in a sample of anxiety-disordered youth.
Youth (N = 99) aged 7 to 14 (M = 10.4, SD = 1.8) were treated with CBT for social phobia (SP), generalized anxiety disorder (GAD), and/or separation anxiety disorder (SAD). Analyses were conducted using hierarchical linear modeling.
Child's peak SUDS and magnitude of change in SUDS significantly increased between sessions. Higher child self-reported pretreatment total Multidimensional Anxiety Scale for Children (MASC) score predicted greater change in SUDS within the first exposure session. Primary GAD diagnosis predicted less increase in change in SUDS between sessions.
Results suggest that higher pretreatment total MASC scores are associated with increased first exposure within-session habituation. Additionally, youth with a principal diagnosis of GAD experienced less between-session habituation, perhaps because they may have required more imaginal than in-vivo exposures.
主观不适单位量表（SUDS）评分在焦虑症的认知行为治疗（CBT）中常被用于暴露任务。
本研究检查了焦虑障碍青年样本中 SUDS 的模式和预测因素。
年龄在 7 至 14 岁之间的儿童（N=99，M=10.4，SD=1.8）接受社交恐惧症（SP）、广泛性焦虑症（GAD）和/或分离焦虑症（SAD）的 CBT 治疗。使用分层线性模型进行分析。
儿童的峰值 SUDS 和 SUDS 的变化幅度在治疗过程中显著增加。儿童自我报告的预处理多维焦虑量表（MASC）总分越高，预示着在第一次暴露治疗中 SUDS 的变化越大。主要的 GAD 诊断预示着治疗过程中 SUDS 的变化增加幅度较小。
结果表明，较高的预处理 MASC 总分与第一次暴露治疗中更高的治疗内习惯化有关。此外，主要诊断为 GAD 的青少年经历了较少的治疗间习惯化，这可能是因为他们可能需要更多的想象暴露而不是现场暴露。
