Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia.
Department of Clinical Psychology, Behavioural Science Institute, Radboud University, Montessorilaan 3, 6525 HR, Nijmegen, the Netherlands.
Child Psychiatry Hum Dev. 2023 Apr;54(2):558-569. doi: 10.1007/s10578-021-01268-6. Epub 2021 Oct 21.
This study examined whether distorted cognition changes during cognitive behavioural therapy (CBT) in children (N = 61; aged 7-12) with social anxiety disorder (SAD) and whether changes in distorted cognition from pre- to post-treatment predict SAD at 6-month follow-up. Baseline distorted cognition was also examined as a predictor of post-treatment outcome. Multiple informant SAD-measures were obtained pre-treatment, post-treatment and at 6-month follow-up. Children reported on interpretation bias and dysfunctional beliefs. A decrease in interpretation bias and dysfunctional beliefs was prospectively related to greater SAD change between post-treatment and 6-month follow-up. Child-reported SAD-change at post-treatment predicted greater change in dysfunctional beliefs at 6-month follow-up. Higher baseline interpretation bias predicted greater change in SAD-severity at post-treatment. Children with greater distorted cognition reductions during treatment, showed greater treatment gains at 6-month follow-up. Children who do not show this reduction may require additional efforts focused on distorted cognition to maximally benefit from treatment.
本研究考察了认知行为疗法（CBT）过程中儿童（N=61；年龄 7-12 岁）社交焦虑障碍（SAD）的认知扭曲是否会发生变化，以及从治疗前到治疗后的认知扭曲变化是否可以预测 6 个月随访时的 SAD。还检查了基线认知扭曲是否可以预测治疗后的结果。在治疗前、治疗后和 6 个月随访时，使用多种信息源的 SAD 测量方法获得数据。儿童报告了对解释偏差和功能失调信念的看法。解释偏差和功能失调信念的减少与治疗后和 6 个月随访时 SAD 变化之间的更大变化呈前瞻性相关。治疗后儿童报告的 SAD 变化预测了 6 个月随访时功能失调信念变化更大。较高的基线解释偏差预测了治疗后 SAD 严重程度的更大变化。在治疗过程中认知扭曲减少更多的儿童，在 6 个月随访时会有更大的治疗效果。那些没有表现出这种减少的孩子可能需要额外的关注认知扭曲的努力，以最大限度地从治疗中受益。
