接纳与承诺疗法治疗社交焦虑障碍的效果：一项随机临床试验。
The effectiveness of acceptance and commitment therapy for social anxiety disorder: a randomized clinical trial.
机构信息
Department of Clinical Psychology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
出版信息
Trends Psychiatry Psychother. 2020 Jan-Mar;42(1):30-38. doi: 10.1590/2237-6089-2019-0003.
OBJECTIVE
Acceptance and commitment therapy has been used to treat anxiety disorders recently. The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy for psychological symptoms in students with social anxiety disorder, including difficulty in emotion regulation, psychological flexibility based on experiential avoidance, self-compassion, and external shame.
METHODS
This study was a semi-experimental clinical trial. Twenty four students with social anxiety disorder were randomly divided into two groups after initial evaluations: an experimental group (12 subjects) and a control group (12 subjects). The experimental group received 12 treatment sessions based on a protocol of acceptance and commitment therapy for anxiety disorders, and the control group was put on a waiting list. Self-Compassion (SCS), Difficulty in Emotion Regulation (DERS), External Shame (ESS), Social Anxiety (SPIN), and Acceptance and Action (AAQ-II) questionnaires were used to assess participants. Data were analyzed using SPSS.
RESULTS
Acceptance and commitment therapy was shown to be effective at the post-test and follow up stages for reducing external shame, social anxiety, and difficulty in emotion regulation and its components, and for increasing psychological flexibility and self-compassion (p < 0.05). The largest effect size of treatment was for increase of psychological flexibility and the lowest efficacy was for the components "difficulty in impulse control" and "limited access to emotional strategies" at the post-test and follow-up stages, respectively.
CONCLUSION
Acceptance and commitment therapy may be an appropriate psychological intervention for reducing the symptoms of students with social anxiety disorder and helping them to improve psychological flexibility. Emotion and related problems can be identified as one of the main targets of this treatment.
CLINICAL TRIAL REGISTRATION
Iranian Registry of Clinical Trials, IRCT20180421039369N1.
目的
接受与承诺疗法最近已被用于治疗焦虑障碍。本研究的目的是探讨接受与承诺疗法对社交焦虑障碍学生心理症状的疗效，包括情绪调节困难、基于经验回避的心理灵活性、自我同情和外在羞耻。
方法
本研究为半实验性临床试验。24 名社交焦虑障碍患者在初步评估后被随机分为两组：实验组（12 名受试者）和对照组（12 名受试者）。实验组接受基于焦虑障碍的接受与承诺疗法方案的 12 次治疗，对照组则进入等待名单。使用自我同情量表（SCS）、情绪调节困难量表（DERS）、外在羞耻量表（ESS）、社交焦虑量表（SPIN）和接受与行动问卷（AAQ-II）评估参与者。数据使用 SPSS 进行分析。
结果
接受与承诺疗法在治疗后和随访阶段都显示出降低外在羞耻、社交焦虑和情绪调节困难及其成分，以及提高心理灵活性和自我同情的有效性（p < 0.05）。治疗的最大效应量是心理灵活性的增加，而在治疗后和随访阶段，疗效最低的分别是“冲动控制困难”和“情感策略有限”两个成分。
结论
接受与承诺疗法可能是一种合适的心理干预方法，可用于减轻社交焦虑障碍学生的症状，帮助他们提高心理灵活性。情绪和相关问题可以作为该治疗的主要目标之一。
临床试验注册
伊朗临床试验注册中心，IRCT20180421039369N1。
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