The moderated effects of video feedback for social anxiety disorder.

The moderated effects of video feedback for social anxiety disorder.
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DOI:
10.1016/j.janxdis.2010.04.007
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发表时间:
2010-10
影响因子:
10.3
通讯作者:
Blackmore, Michelle
Blackmore, Michelle
中科院分区:
医学2区
文献类型:
--
作者:
Rodebaugh, Thomas L.;Heimberg, Richard G.;Schultz, Luke T.;Blackmore, Michelle

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尽管最初的结果是积极的,但社交焦虑的视频反馈从未被证明可以在诊断参与者的对照实验中减少社交焦虑,并且只有一次未诊断参与者。以前的研究可以说没有检测到这种影响,因为有限的评估焦虑和潜在的调节。我们在初步诊断为社交焦虑障碍的寻求治疗的参与者中测试了具有认知准备的视频反馈。在第一次会议中,参与者发表了即席演讲,并接受或不接受干预。在6至14天后的第二次会议上,与会者作了第二次即席发言。干预改善了对表现的自我感知,特别是对于那些对他们的表现有最不切实际的负面印象的参与者(即,高自我观察者差异)。此外,干预降低了高自我观察者差异的参与者对第二次演讲的预期焦虑。这些发现扩展了以前关于视频反馈的结果,并表明这种干预可能对社交焦虑症患者和特定任务的自我观察者差异更高的人有用。
Despite initially positive results, video feedback for social anxiety has never been shown to reduce social anxiety in a controlled experiment with diagnosed participants, and only once with undiagnosed participants. Previous studies arguably did not detect such an effect because of limited assessment of anxiety and potential moderators. We tested video feedback with cognitive preparation among treatment-seeking participants with a primary diagnosis of social anxiety disorder. In Session 1, participants gave an extemporaneous speech and either received the intervention or not. In Session 2, 6 to 14 days later, participants gave a second extemporaneous speech. The intervention improved self-perception of performance, particularly for those participants with the most unrealistically negative impressions of their performance (i.e., high self-observer discrepancy). In addition, the intervention reduced anticipatory anxiety for the second speech for participants with high self-observer discrepancy. These findings extend previous results regarding video feedback and suggest that the intervention may be useful for people with social anxiety disorder and higher self-observer discrepancies for a specific task.
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