Department of Psychology, Ben-Gurion University, Beer-Sheva, Israel.
The Paul Baerwald School of Social Work and Social Welfare, The Hebrew Universityof Jerusalem, Jerusalem, Israel.
Psychother Res. 2019 Oct;29(7):908-918. doi: 10.1080/10503307.2018.1426896. Epub 2018 Jan 24.
This study examined purported change mechanisms in emotion-focused therapy for social anxiety disorder. The sample included nine clients who had participated in a multiple-baseline case study trial examining the efficacy of emotion-focused therapy for social anxiety disorder (SAD). Multilevel analyses were conducted to examine the trajectories of emotions over the course of treatment, and whether primary adaptive emotions in a given session predicted levels of SAD symptoms, self-criticism, and self-reassurance over the course of the following week. Findings showed a significant decrease in shame, and a marginally significant increase in assertive anger, over the course of treatment. Adaptive sadness/grief in a given session predicted less fear of negative evaluation over the course of the following week. Shame in a given session predicted higher levels of inadequate-self over the course of the following week. Finally, shame, and to a lesser degree assertive anger, in a given session predicted reassurance of self over the course of the following week. Neither assertive anger nor adaptive sadness/grief in a given session predicted levels of self-criticism over the course of the following week. These findings lend partial preliminary support for the therapeutic role of evoking and processing adaptive sadness/grief and assertive anger in the treatment of SAD.
本研究考察了情绪焦点疗法治疗社交焦虑障碍中所谓的变化机制。样本包括九名曾参加过一项多基线案例研究试验的患者，该试验检验了情绪焦点疗法治疗社交焦虑障碍（SAD）的疗效。采用多层次分析来考察治疗过程中情绪的变化轨迹，以及特定治疗阶段的主要适应性情绪是否能预测接下来一周的 SAD 症状、自我批评和自我安慰水平。研究结果显示，治疗过程中羞耻感显著下降，而自信愤怒感略有增加。特定治疗阶段的适应性悲伤/悲痛情绪预测了接下来一周的负面评价恐惧程度降低。特定治疗阶段的羞耻感预测了接下来一周的自我不足感升高。最后，特定治疗阶段的羞耻感和自信愤怒感在一定程度上预测了接下来一周的自我安慰感。特定治疗阶段的自信愤怒感和适应性悲伤/悲痛情绪都不能预测接下来一周的自我批评水平。这些发现部分初步支持了在 SAD 治疗中唤起和处理适应性悲伤/悲痛和自信愤怒感的治疗作用。
