A Randomized Trial of Attention Training for Generalized Social Phobia: Does Attention Training Change Social Behavior?
A Randomized Trial of Attention Training for Generalized Social Phobia: Does Attention Training Change Social Behavior?
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DOI：
10.1016/j.beth.2013.04.010
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发表时间：
2013-12-01
期刊：
影响因子：
3.7
通讯作者：
Mesa, Franklin
中科院分区：
文献类型：
--
作者：
Bunnell, Brian E.;Beidel, Deborah C.;Mesa, Franklin
使用注意力训练方案治疗广泛性社交焦虑症（SAD）正在接受越来越多的检查。最初的调查是积极的，但最近的调查不太支持治疗模式。目前调查的一个重要局限是过度依赖自我报告。在这项研究中，我们通过使用患者功能的多模式评估（即，包括行为评估）。初步诊断为SAD的患者（n = 31）被随机分配到8个阶段的注意力训练组（n = 15）或安慰剂/对照组（n = 16）。参与者在治疗前和治疗后通过自我和临床医生报告社交焦虑以及对两种体内社交互动的焦虑和行为反应进行评估。结果显示，在治疗后的所有研究结果变量组间没有差异，表明缺乏效果的注意力训练条件。结果是一致的，最近的调查发现，缺乏支持使用的注意力训练作为一种有效的治疗SAD患者。
The use of attention training protocols for the treatment of generalized social anxiety disorder (SAD) is undergoing increased examination. Initial investigations were positive but more recent investigations have been less supportive of the treatment paradigm. One significant limitation of current investigations is overreliance on self-report. In this investigation, we expanded on initial investigations by using a muhimodal assessment of patient functioning (i.e., including behavioral assessment). Patients with a primary diagnosis of SAD (n = 31) were randomly assigned to eight sessions of attention training (n = 15) or placebo/control (n = 16). Participants were assessed at pre- and posttreatment via self- and clinician-report of social anxiety as well as anxious and behavioral response to two in vivo social interactions. Results revealed no differences between groups at posttreatment for all study outcome variables, suggesting a lack of effect for the attention training condition. The results are concordant with recent investigations finding a lack of support for the use of attention training as an efficacious treatment for patients with SAD.