视频反馈更新社交焦虑障碍中的消极自我认知：互联网传递与面对面认知疗法格式的比较。

Video feedback to update negative self-perceptions in social anxiety disorder: A comparison of internet-delivered vs face-to-face cognitive therapy formats.

机构信息

Department of Experimental Psychology, University of Oxford, UK; Phoenix Australia, Department of Psychiatry, University of Melbourne, Australia.

Department of Experimental Psychology, University of Oxford, UK; King's College London, London, UK.

出版信息

J Affect Disord. 2023 Jun 15;331:139-144. doi: 10.1016/j.jad.2023.03.017. Epub 2023 Mar 11.

DOI:10.1016/j.jad.2023.03.017

PMID:36907460

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10914665/

Abstract

BACKGROUND

Video feedback is a technique used in cognitive therapy for social anxiety disorder (CT-SAD) to update patients' negative self-perceptions of how they appear to others. Clients are supported to watch video of themselves engaging in social interactions. While typically undertaken in session with a therapist, this study aimed to investigate the effectiveness of remotely delivered video feedback embedded within an Internet-based cognitive therapy program (iCT-SAD).

METHODS

We examined patients' self-perceptions and social anxiety symptoms before and after video feedback in two randomised controlled trials. Study 1 compared 49 iCT-SAD participants with 47 from face-to-face CT-SAD. Study 2 was a replication using data from 38 iCT-SAD participants from Hong Kong.

RESULTS

In Study 1, ratings of self-perceptions and social anxiety showed significant reductions following video feedback, in both treatment formats. 92 % of participants in iCT-SAD, and 96 % in CT-SAD thought they looked less anxious compared to their predictions after viewing the videos. The change in self-perception ratings was larger in CT-SAD compared to iCT-SAD, but there was no evidence that the impact of video feedback on social anxiety symptoms around a week later differed between the two treatments. Study 2 replicated the iCT-SAD findings of Study 1.

LIMITATIONS

The level of therapist support in iCT-SAD videofeedback varied with clinical need and was not measured.

CONCLUSIONS

The findings indicate that video feedback can be delivered effectively online, and that its impact on social anxiety is not significantly different from in-person treatment delivery.

摘要

背景

视频反馈是认知疗法治疗社交焦虑障碍（CT-SAD）中使用的一种技术，用于更新患者对自己在他人眼中形象的负面自我认知。患者会被鼓励观看自己参与社交互动的视频。虽然这种方法通常是在与治疗师的会话中进行，但本研究旨在调查将远程提供的视频反馈嵌入基于互联网的认知治疗程序（iCT-SAD）中对社交焦虑症的治疗效果。

方法

我们在两项随机对照试验中，在视频反馈之前和之后检查了患者的自我认知和社交焦虑症状。研究 1 将 49 名 iCT-SAD 参与者与 47 名面对面 CT-SAD 参与者进行了比较。研究 2 是使用来自香港的 38 名 iCT-SAD 参与者的数据进行的复制研究。

结果

在研究 1 中，两种治疗方式下，自我认知和社交焦虑的评分在观看视频后均显著降低。92%的 iCT-SAD 参与者和 96%的 CT-SAD 参与者在观看视频后认为自己看起来比预测的要焦虑。与 iCT-SAD 相比，CT-SAD 中自我认知评分的变化更大，但没有证据表明视频反馈对一周后社交焦虑症状的影响在两种治疗方式之间存在差异。研究 2 复制了研究 1 中的 iCT-SAD 发现。