上调广泛性焦虑障碍的正性情绪：SkillJoy 生态瞬时干预的随机对照试验。
Upregulating positive emotion in generalized anxiety disorder: A randomized controlled trial of the SkillJoy ecological momentary intervention.
机构信息
Department of Psychology, Skidmore College.
Department of Psychology, Pennsylvania State University.
出版信息
J Consult Clin Psychol. 2023 Jun;91(6):381-387. doi: 10.1037/ccp0000794. Epub 2023 Jan 30.
OBJECTIVE
This study sought to determine if upregulating positive emotion both reduces symptoms and increases well-being for those with generalized anxiety disorder (GAD).
METHOD
Eighty-five participants were diagnosed with GAD by both questionnaire and clinical interview. They were then randomly assigned to one of two seven-day smartphone-delivered ecological momentary interventions (EMIs). SkillJoy, a savoring ecological momentary intervention, prompted participants to attend to positive aspects of the present moment, engage in and savor planned enjoyable activities, record and reflect on recent positive experiences, note events that turned out well, and look forward to positive events. The active self-monitoring control (ASM) mirrored SkillJoy's activities and wording, yet omitted savoring. It included attending to current thoughts and feelings, planning everyday activities, remembering and recording daily events, and anticipating important events. Participants were assessed at pre- and posttreatment with a 30th day follow-up. Linear mixed models and simple slope analyses with multiple imputation examined outcome change between and within conditions.
RESULTS
Pretrial to posttrial, SkillJoy (vs. ASM) led to significantly greater reductions in worry and increases in positive emotions and savoring. Depression symptoms significantly decreased for both EMIs. Pretrial to follow-up, SkillJoy (vs. ASM) users showed significantly greater increases in savoring. Both SkillJoy and ASM significantly decreased worry ( = -1.02 vs. -0.51) and depression ( = -1.09 vs. -0.63) pre-to-follow-up, yet SkillJoy had greater effect sizes. SkillJoy significantly increased positive emotions and savoring pre-to-follow-up, yet ASM did not.
CONCLUSION
SkillJoy may strengthen positive emotions and skills for enhancing them, while also reducing worry. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
目的
本研究旨在确定正向情绪调节是否能减轻广泛性焦虑症（GAD）患者的症状并提高其幸福感。
方法
85 名参与者通过问卷和临床访谈被诊断为 GAD。然后，他们被随机分配到两种为期七天的智能手机提供的生态瞬间干预（EMI）之一。SkillJoy 是一种享受的生态瞬间干预，它促使参与者关注当下的积极方面，参与并享受计划好的愉快活动，记录和反思最近的积极经历，注意到事情进展顺利的时刻，并期待积极的事件。主动自我监测控制（ASM）模仿了 SkillJoy 的活动和措辞，但省略了享受。它包括关注当前的想法和感受、计划日常活动、记住和记录日常事件以及预测重要事件。参与者在治疗前和治疗后进行了 30 天的随访评估。线性混合模型和带有多重插补的简单斜率分析检查了条件之间和条件内的结果变化。
结果
从治疗前到治疗后，SkillJoy（与 ASM 相比）显著降低了担忧，增加了积极情绪和享受。两种 EMI 都显著降低了抑郁症状。从治疗前到随访，SkillJoy（与 ASM 相比）使用者的享受显著增加。SkillJoy 和 ASM 都显著降低了担忧（= -1.02 与 -0.51）和抑郁（= -1.09 与 -0.63）从治疗前到随访，然而 SkillJoy 的效果量更大。SkillJoy 显著增加了积极情绪和享受，从治疗前到随访，但 ASM 没有。
结论
SkillJoy 可能会增强积极情绪和技能，从而增强它们，同时减轻担忧。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
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