Temple University, United States.
Veterans Administration Palo Alto Health Care System, United States.
J Anxiety Disord. 2018 Apr;55:31-38. doi: 10.1016/j.janxdis.2018.03.003. Epub 2018 Mar 9.
We examined (1) differences between controls and patients with social anxiety disorder (SAD) in emotional clarity and attention to emotions; (2) changes in emotional clarity and attention to emotions associated with cognitive-behavioral group therapy (CBGT), mindfulness-based stress reduction (MBSR), or a waitlist (WL) condition; and (3) whether emotional clarity and attention to emotions moderated changes in social anxiety across treatment. Participants were healthy controls (n = 37) and patients with SAD (n = 108) who were assigned to CBGT, MBSR, or WL in a randomized controlled trial. At pretreatment, posttreatment, and 12-month follow-up, patients with SAD completed measures of social anxiety, emotional clarity, and attention to emotions. Controls completed measures at baseline only. At pretreatment, patients with SAD had lower levels of emotional clarity than controls. Emotional clarity increased significantly among patients receiving CBGT, and changes were maintained at 12-month follow-up. Emotional clarity at posttreatment did not differ between CBGT and MBSR or between MBSR and WL. Changes in emotional clarity predicted changes in social anxiety, but emotional clarity did not moderate treatment outcome. Analyses of attention to emotions were not significant. Implications for the role of emotional clarity in the treatment of SAD are discussed.
我们考察了（1）社交焦虑障碍（SAD）患者与对照组在情绪清晰度和情绪关注方面的差异；（2）认知行为团体治疗（CBGT）、正念减压疗法（MBSR）或候补名单（WL）条件下情绪清晰度和情绪关注的变化；（3）情绪清晰度和情绪关注是否调节了治疗过程中社交焦虑的变化。参与者包括健康对照组（n=37）和 SAD 患者（n=108），他们在一项随机对照试验中被分配到 CBGT、MBSR 或 WL 组。在治疗前、治疗后和 12 个月随访时，SAD 患者完成了社交焦虑、情绪清晰度和情绪关注的测量。对照组仅在基线时完成测量。在治疗前，SAD 患者的情绪清晰度低于对照组。接受 CBGT 的患者的情绪清晰度显著提高，且在 12 个月随访时保持不变。CBGT 和 MBSR 之间或 MBSR 和 WL 之间的情绪清晰度变化没有差异。情绪清晰度的变化预测了社交焦虑的变化，但情绪清晰度并没有调节治疗效果。对情绪关注的分析没有显著意义。讨论了情绪清晰度在 SAD 治疗中的作用。
