Norton Alice R, Abbott Maree J, Norberg Melissa M, Hunt Caroline
The University of Sydney.
J Clin Psychol. 2015 Apr;71(4):283-301. doi: 10.1002/jclp.22144. Epub 2014 Dec 21.
The cultivation of mindfulness and acceptance has been theoretically and empirically associated with psychological ancillary well-being and has demonstrated efficacy in the treatment of various disorders. Hence, mindfulness and acceptance-based treatments (MABTs) have recently been explored for the treatment of social anxiety disorder (SAD). This review aims to evaluate the benefits of MABTs for SAD.
Systematic review of studies investigating an MABT for individuals with SAD, using PsycInfo, Medline, PubMed, and Cochrane Central Register of Controlled Trials.
Nine studies were identified. Significant improvements in symptomatology were demonstrated following the MABT, but benefits were equivalent or less than yielded by cognitive-behavioral therapy (CBT).
The few treatment studies available were compromised by significant methodological weaknesses and high risk of bias across domains. Studies were largely uncontrolled with small sample sizes. The hybrid nature of these interventions creates ambiguity regarding the specific utility of treatment components or combinations.
MABTs demonstrate significant benefits for reducing SAD symptomatology; however, outcomes should be interpreted with caution until appropriate further research is conducted. Furthermore, the benefit of MABTs above and beyond CBT must be considered tentative at best; thus, CBT remains best practice for first-line treatment of SAD.
正念和接纳的培养在理论和实证上都与心理辅助幸福感相关联，并已证明在治疗各种疾病方面具有疗效。因此，最近人们探索了基于正念和接纳的治疗方法（MABT）来治疗社交焦虑障碍（SAD）。本综述旨在评估MABT对SAD的益处。
使用PsycInfo、Medline、PubMed和Cochrane对照试验中央注册库，对调查针对SAD个体的MABT的研究进行系统综述。
共识别出9项研究。MABT后症状有显著改善，但益处等同于或小于认知行为疗法（CBT）所产生的益处。
现有的少数治疗研究存在重大方法学缺陷，且各领域存在高偏倚风险。研究大多无对照且样本量小。这些干预措施的混合性质使得治疗成分或组合的具体效用存在模糊性。
MABT在减轻SAD症状方面显示出显著益处；然而，在进行适当的进一步研究之前，对结果的解释应谨慎。此外，MABT相对于CBT的益处充其量只能被视为初步的；因此，CBT仍然是SAD一线治疗的最佳实践。
