Bluett Ellen J, Landy Lauren L, Twohig Michel P, Arch Joanna J
Department of Psychology, Utah State University.
Department of Psychology and Neuroscience, University of Colorado Boulder.
J Cogn Psychother. 2016;30(2):77-93. doi: 10.1891/0889-8391.30.2.77. Epub 2016 Jan 1.
Exposure-based therapy represents a first line treatment for anxiety disorders, but it is often underused. One target for improving client engagement is manipulating the theoretical perspective from which exposure is framed. Ninety-six adults with elevated social anxiety were enrolled in a two-session exposure therapy intervention. Participants were randomized to one of four conditions: (a) , (b) , (c) , or (d) The first three included brief psychoeducation and condition-specific experiential exercises and rationale; all four included in-session speech exposure and between-session exposure for homework. Results revealed that compared to the experimental control, the three active conditions reported significantly higher treatment credibility, initial in-vivo exposure engagement, and improvement in social anxiety symptoms. The three active conditions showed few differences among themselves. This study demonstrates that a brief exposure intervention using a credible rationale led to initial engagement in exposure therapy and improvement in social anxiety symptoms.
基于暴露的疗法是焦虑症的一线治疗方法，但它常常未得到充分利用。提高来访者参与度的一个目标是改变暴露疗法的理论框架。96名社交焦虑水平较高的成年人参加了为期两阶段的暴露疗法干预。参与者被随机分配到以下四种情况之一：(a) ，(b) ，(c) ，或(d) 前三种情况包括简短的心理教育、特定情况的体验练习及原理说明；所有四种情况都包括在治疗期间的言语暴露以及在治疗期间之间作为家庭作业的暴露。结果显示，与实验对照组相比，三种有效情况在治疗可信度、最初的现场暴露参与度以及社交焦虑症状改善方面的报告得分显著更高。这三种有效情况之间几乎没有差异。这项研究表明，使用可信原理的简短暴露干预会使来访者初步参与暴露疗法，并改善社交焦虑症状。
