Interpretation training in individuals with generalized social anxiety disorder: a randomized controlled trial.
Interpretation training in individuals with generalized social anxiety disorder: a randomized controlled trial.
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DOI：
10.1037/a0026928
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发表时间：
2012-06
影响因子：
5.9
通讯作者：
Taylor, Charles T.
中科院分区：
文献类型：
--
作者：
Amir, Nader;Taylor, Charles T.
关键词：
探讨多阶段计算机化解释修改程序（IMP）治疗广泛性社交焦虑障碍（GSAD）的疗效。样本包括49名符合GSAD诊断标准的个体，他们入组了一项比较IMP（n = 23）与解释对照条件（ICC; n = 26）的随机、双盲安慰剂对照试验。口译训练程序包括一个词-句联想任务，在这个任务中，参与者决定一个暗示威胁或善意的词是否与一个模糊的社会场景有关。在IMP组中，参与者以一种非威胁性和更良性的方式解释模糊的社会信息。在ICC组中，参与者以相同的频率以威胁或善意的方式解释模糊的社会信息。意向治疗和完成者分析显示，相对于ICC组，从评估前到评估后，IMP显著降低了威胁解释，增加了良性解释。此外，IMP参与者在临床医生评定的社交焦虑症状和功能障碍以及自我报告的特质焦虑和抑郁方面的降幅明显大于ICC参与者。各组在自评社交焦虑症状的变化上没有差异。在评估后不再符合DSM-IV GSAD标准的参与者在IMP中为65%，在ICC中为13%。这些结果表明，计算机化的口译培训程序可能是有益的治疗社交焦虑症。
To examine the efficacy of a multi-session computerized Interpretation Modification Program (IMP) in the treatment of Generalized Social Anxiety Disorder (GSAD). The sample comprised 49 individuals meeting diagnostic criteria for GSAD who were enrolled in a randomized, double-blind placebo-controlled trial comparing IMP (n = 23) to an Interpretation Control Condition (ICC; n = 26). The interpretation training procedures comprised a word-sentence association task in which participants decided whether or not a word implying a threatening or benign meaning was related to an ambiguous social scenario. In the IMP group, participants were reinforced for interpreting ambiguous social information in a non-threatening and more benign manner. In the ICC group, participants were reinforced with equal frequency for interpreting ambiguous social information in either a threatening or benign manner. Intent-to-treat and completer analyses revealed that IMP significantly decreased threat interpretations and increased benign interpretations from pre- to post-assessment relative to the ICC group. Moreover, IMP participants displayed significantly larger reductions in clinician-rated social anxiety symptoms and functional impairment as well as self-reported trait anxiety and depression relative to ICC participants. Groups did not differ on change in self-rated social anxiety symptoms. Participants no longer meeting DSM-IV criteria for GSAD at post-assessment were 65% in IMP and 13% in ICC. These results suggest that computerized interpretation training procedures may be beneficial for treating social anxiety disorder.
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