常规临床实践中针对社交焦虑障碍的认知疗法中的改变过程。
Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice.
作者信息
Thew Graham R, Ehlers Anke, Grey Nick, Wild Jennifer, Warnock-Parkes Emma, Dawson Rachelle L, Clark David M
机构信息
Department of Experimental Psychology, University of Oxford, UK.
Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
出版信息
Clin Psychol Eur. 2020 Jun 30;2(2). doi: 10.32872/cpe.v2i2.2947.
BACKGROUND
Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings.
METHOD
To assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models.
RESULTS
Significant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. 'Reversed' relationships, where social anxiety predicted subsequent process variable scores, were also supported.
CONCLUSION
The findings suggest the processes of change in this treatment may be similar between research trials and routine care.
背景
大多数关于社交焦虑障碍（SAD）心理治疗中变化过程的研究分析了研究环境中随机对照试验的数据。
方法
为了评估这些结果是否代表常规临床实践，我们分析了来自接受社交焦虑障碍认知治疗的两个患者样本的审计数据（总样本量N = 271）。使用多层次结构方程模型检查了三个过程变量（自我关注、消极社会认知和抑郁情绪）。
结果
在两个样本中，所有三个变量均观察到显著的间接效应，消极社会认知显示出最强的中介效应百分比。还支持“反向”关系，即社交焦虑预测随后的过程变量得分。
结论
研究结果表明，该治疗的变化过程在研究试验和常规护理之间可能相似。
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