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体现认知重构:姿势和运动对改变功能失调态度的影响。

Embodied cognitive restructuring: The impact of posture and movement on changing dysfunctional attitudes.

机构信息

Department of Psychology and Behavioral Sciences, Aarhus University, Denmark.

Department für Psychologie und Psychotherapie, Witten/Herdecke University, Germany.

出版信息

J Behav Ther Exp Psychiatry. 2024 Sep;84:101955. doi: 10.1016/j.jbtep.2024.101955. Epub 2024 Feb 24.

Abstract

BACKGROUND AND OBJECTIVES

Previous theoretical and empirical work has pointed to the important role of the body in emotion generation and emotion regulation. In the present study, we wanted to investigate if the performance of certain body postures and movement could facilitate cognitive restructuring of dysfunctional cognitive attitudes more effectively than traditional, verbal-only methods.

METHODS

In total, 130 participants were randomized to one of two groups. One group was subjected to cognitive restructuring (i.e., restructure only group; CR-only), verbally exploring a dysfunctional attitude from a curious, strong, and courageous perspective. The other group received the same verbal instructions but in addition to this, was asked to perform different bodily exercises (i.e., motor-enhanced restructuring group; M-CR) supposed to enhance experience of the different perspectives from which cognitive restructuring was employed.

RESULTS

Results confirmed the primary hypothesis, showing that the M-CR-group showed a larger decline in belief in dysfunctional attitudes compared with the CR-only group (F = 4.2, p = 0.041, d = 0.25). No differences on secondary outcomes were observed between the two groups.

LIMITATIONS

Future research should explore the effects of motor-enhanced CR both more long-term (e.g., durability over weeks) and in clinical samples (e.g., anxiety and depression).

CONCLUSION

Should the findings be replicated in clinical samples, it is encouraging that simple bodily exercises can enhance the effect of one of the most central skills of cognitive therapy.

摘要

背景与目的

先前的理论和实证研究指出,身体在情绪产生和情绪调节中起着重要作用。在本研究中,我们想探讨某些身体姿势和动作的表现是否能比传统的仅口头方法更有效地促进功能失调认知态度的认知重构。

方法

共有 130 名参与者被随机分为两组。一组接受认知重构(即仅重构组;CR-only),即从好奇、坚强和勇敢的角度口头探索功能失调的态度。另一组接受相同的口头指导,但除此之外,还被要求进行不同的身体练习(即运动增强的重构组;M-CR),以增强对认知重构所采用的不同视角的体验。

结果

结果证实了主要假设,表明 M-CR 组在对功能失调态度的信念下降方面明显大于 CR-only 组(F=4.2,p=0.041,d=0.25)。两组在次要结果上无差异。

局限性

未来的研究应探讨运动增强的 CR 在更长期(例如,数周的耐久性)和临床样本中的效果(例如,焦虑和抑郁)。

结论

如果这些发现能在临床样本中得到复制,那么令人鼓舞的是,简单的身体练习可以增强认知疗法中最核心技能之一的效果。

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