School of Psychology, Flinders University, Adelaide, South Australia, Australia.
School of Psychology, Flinders University, Adelaide, South Australia, Australia.
Behav Res Ther. 2019 Dec;123:103492. doi: 10.1016/j.brat.2019.103492. Epub 2019 Oct 18.
We compared two brief online interventions of 2-week duration for individuals with elevated levels of social anxiety. Participants were randomized to self-compassion or cognitive restructuring conditions (N = 119) and assessed across five assessment points, including a 5-week follow-up. Mediators and moderators of outcome were also examined. Both interventions led to significant decreases in social anxiety (d's ranged from 0.26 to 0.58), which were maintained and improved at follow-up (d's from baseline ranged from 0.53 to 0.80). Of those who were above social anxiety cut-off at baseline (>75%), approximately 20% of participants in each group showed reliable and clinically significant changes in symptoms. No differences between the treatment conditions were found for social anxiety outcomes. Similarly, there were no measures that differentially mediated the effect of treatment condition on social anxiety. Furthermore, we did not find support for a theory-driven mediational model in which self-compassion reduced social anxiety through activation of the soothing system. Contrary to predictions and theory, neither self-criticism nor fear of self-compassion moderated the effect of the interventions. Although preliminary, the findings suggest that self-compassion techniques warrant further study as an additional means of reducing social anxiety.
我们比较了两种为期两周的简短在线干预措施，用于治疗社交焦虑水平升高的个体。参与者被随机分配到自我同情或认知重构条件（N=119），并在五个评估点进行评估，包括 5 周的随访。还检查了结果的中介和调节因素。两种干预措施都导致社交焦虑显著下降（d 值范围为 0.26 至 0.58），在随访时得到维持和改善（从基线开始的 d 值范围为 0.53 至 0.80）。在基线时（>75%）社交焦虑超过临界值的人中，大约 20%的每组参与者在症状上有可靠和临床显著的变化。治疗条件对社交焦虑结果没有差异。同样，没有措施对治疗条件对社交焦虑的影响有差异中介作用。此外，我们没有发现支持自我同情通过激活安抚系统来减轻社交焦虑的理论驱动的中介模型的证据。与预测和理论相反，自我批判和对自我同情的恐惧都没有调节干预的效果。尽管初步，但这些发现表明，自我同情技术值得进一步研究，作为减轻社交焦虑的另一种手段。
