Attention training in individuals with generalized social phobia: A randomized controlled trial.
Attention training in individuals with generalized social phobia: A randomized controlled trial.
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DOI：
10.1037/a0016685
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发表时间：
2009-10
影响因子：
5.9
通讯作者：
Chen, Xi
中科院分区：
文献类型：
--
作者：
Amir, Nader;Beard, Courtney;Taylor, Charles T.;Klumpp, Heide;Elias, Jason;Bums, Michelle;Chen, Xi
我们进行了一项随机、双盲安慰剂对照试验，以检查注意力训练程序在减轻44名被诊断患有普遍性社交恐惧症（GSP）的人的社交焦虑症状方面的功效。注意力训练包括一个探测任务，在这个任务中，带有威胁或中性情绪表达的面孔图片在计算机屏幕上提示不同的位置。在注意力修正计划（AMP）中，参与者对一个总是跟随中性面孔的探测器做出反应，当与威胁性面孔配对时，从而将注意力从威胁性上转移开。在注意力控制条件下，探针以相等的频率出现在威胁面孔和中性面孔的位置。结果显示，AMP促进注意力脱离威胁从前到后的评估，并减少临床医生和自我报告的社交焦虑症状相对于ACC. Participants不再符合DSM-IV标准的GSP在评估后的AMP和ACC. Symptoms减少在AMP组中的50%和14%在4个月的随访评估期间保持。这些结果表明，计算机化的注意力训练程序可能有利于治疗社交恐惧症。
We conducted a randomized, double-blind placebo-controlled trial to examine the efficacy of an attention training procedure in reducing symptoms of social anxiety in forty-four individuals diagnosed with Generalized Social Phobia (GSP). Attention training comprised a probe detection task where pictures of faces with either a threatening or neutral emotional expression cued different locations on the computer screen. In the Attention Modification Program (AMP), participants responded to a probe that always followed neutral faces when paired with a threatening face, thereby directing attention away from threat. In the Attention Control Condition (ACC), the probe appeared with equal frequency in the position of the threat and neutral faces. Results revealed that the AMP facilitated attention disengagement from threat from pre- to post-assessment, and reduced clinician- and self-reported symptoms of social anxiety relative to the ACC. Participants no longer meeting DSM-IV criteria for GSP at post-assessment were 50% in the AMP and 14% in the ACC. Symptom reduction in the AMP group was maintained during four-month follow-up assessment. These results suggest that computerized attention training procedures may be beneficial for treating social phobia.
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