Nowakowski Matilda E, Antony Martin M, Koerner Naomi
Department of Psychology, Ryerson University, Toronto, Ontario, Canada.
Department of Psychology, Ryerson University, Toronto, Ontario, Canada.
J Behav Ther Exp Psychiatry. 2015 Dec;49(Pt A):44-52. doi: 10.1016/j.jbtep.2015.04.004. Epub 2015 Apr 13.
The present study investigated the effects of computerized interpretation training and cognitive restructuring on symptomatology, behavior, and physiological reactivity in an analogue social anxiety sample.
Seventy-two participants with elevated social anxiety scores were randomized to one session of computerized interpretation training (n = 24), cognitive restructuring (n = 24), or an active placebo control condition (n = 24). Participants completed self-report questionnaires focused on interpretation biases and social anxiety symptomatology at pre and posttraining and a speech task at posttraining during which subjective, behavioral, and physiological measures of anxiety were assessed.
Only participants in the interpretation training condition endorsed significantly more positive than negative interpretations of ambiguous social situations at posttraining. There was no evidence of generalizability of interpretation training effects to self-report measures of interpretation biases and symptomatology or the anxiety response during the posttraining speech task. Participants in the cognitive restructuring condition were rated as having higher quality speeches and showing fewer signs of anxiety during the posttraining speech task compared to participants in the interpretation training condition.
The present study did not include baseline measures of speech performance or computer assessed interpretation biases.
The results of the present study bring into question the generalizability of computerized interpretation training as well as the effectiveness of a single session of cognitive restructuring in modifying the full anxiety response. Clinical and theoretical implications are discussed.
本研究调查了计算机化解释训练和认知重构对模拟社交焦虑样本中的症状学、行为及生理反应性的影响。
72名社交焦虑得分较高的参与者被随机分为三组，分别接受一次计算机化解释训练（n = 24）、认知重构（n = 24）或积极安慰剂对照（n = 24）。参与者在训练前后完成了聚焦于解释偏差和社交焦虑症状学的自我报告问卷，并在训练后完成了一项言语任务，期间对焦虑的主观、行为和生理指标进行了评估。
仅接受解释训练的参与者在训练后对模糊社交情境的积极解释显著多于消极解释。没有证据表明解释训练效果可推广至解释偏差和症状学的自我报告测量，或训练后言语任务中的焦虑反应。与接受解释训练的参与者相比，接受认知重构的参与者在训练后言语任务中被评为演讲质量更高，焦虑迹象更少。
本研究未纳入言语表现的基线测量或计算机评估的解释偏差。
本研究结果对计算机化解释训练的可推广性以及单次认知重构在改变整体焦虑反应方面的有效性提出了质疑。讨论了其临床和理论意义。
