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注意力训练与认知疗法治疗社交恐惧症的比较:初步研究。

Comparison of attention training and cognitive therapy in the treatment of social phobia: a preliminary investigation.

机构信息

University of Sydney, Australia.

出版信息

Behav Cogn Psychother. 2014 Jan;42(1):74-91. doi: 10.1017/S1352465812001051. Epub 2012 Dec 11.

DOI:10.1017/S1352465812001051
PMID:23228587
Abstract

BACKGROUND

Prominent models of social phobia highlight the role played by attentional factors, such as self-focused attention, in the development and maintenance of social phobia. Elevated self-focused attention is associated with increases in self-rated anxiety. Treatments that aim to modify and change attentional processes, specifically self-focused attention, will have a direct effect on social phobia symptoms. Thus, Attention Training targets attentional focus.

AIM

The present study aimed to investigate the efficacy of Attention Training in comparison to an established treatment for social phobia, Cognitive Therapy.

METHOD

Participants (Intention-to-treat = 45; completers = 30) were allocated to either 6 weeks of Attention Training or Cognitive Therapy. It was hypothesized that both treatments would be effective in reducing social phobia symptoms, but that Attention Training would work primarily by reducing levels of self-focused attention.

RESULTS

The results found an overall effectiveness of both treatment conditions in reducing social phobia symptoms. However, Attention Training significantly improved scores on the Self-Focused Attention questionnaire and the Brief Fear of Negative Evaluation questionnaire compared to Cognitive Therapy.

CONCLUSION

Attention Training seems to be a promising treatment for social phobia.

摘要

背景

社交恐惧症的突出模型强调了注意力因素的作用,例如自我关注,在社交恐惧症的发展和维持中。自我关注的增加与自我报告的焦虑增加有关。旨在改变和改变注意力过程的治疗方法,特别是自我关注,将直接影响社交恐惧症症状。因此,注意训练针对注意力焦点。

目的

本研究旨在比较注意训练和社交恐惧症的既定治疗认知疗法的疗效。

方法

参与者(意向治疗= 45;完成者= 30)被分配到注意训练或认知疗法 6 周。假设两种治疗方法都能有效减轻社交恐惧症症状,但注意训练主要通过降低自我关注水平起作用。

结果

研究结果发现,两种治疗条件均能有效减轻社交恐惧症症状。然而,与认知疗法相比,注意训练显著提高了自我关注注意力问卷和简短恐惧负面评价问卷的分数。

结论

注意训练似乎是治疗社交恐惧症的一种有前途的方法。

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