Changes in intolerance of uncertainty during cognitive behavior group therapy for social phobia
Changes in intolerance of uncertainty during cognitive behavior group therapy for social phobia
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DOI：
10.1016/j.jbtep.2011.12.004
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发表时间：
2012-06-01
影响因子：
1.8
通讯作者：
McEvoy, Peter M.
中科院分区：
文献类型：
--
作者：
Mahoney, Alison E. J.;McEvoy, Peter M.
背景和目标：最近的研究表明，不容忍的不确定性（IV），最常见的与广泛性焦虑症，也有助于症状的社交恐惧症。本研究探讨了IV和社交焦虑症状之间的关系跨treatment.Method：在IV，社交焦虑症状，抑郁症状的变化进行了检查后，认知行为团体疗法（CBGT）的社交phobia（N = 32）。结果：CBGT导致社交焦虑和抑郁症状的显着改善，以及减少IU。IV的减少与社交焦虑的减少有关，但与抑郁症状的改善无关。在控制了治疗前的社交恐惧症症状和治疗后抑郁症症状的变化后，IU的降低可以预测治疗后的社交恐惧症症状。局限性：IV和社交焦虑之间的关系需要在实验和纵向设计中进一步检查，并且需要考虑到被认为是维持社交恐惧症的额外结构。目前的研究结果表明，增强不确定性的容忍度可能在社交恐惧症的最佳管理中发挥作用。理论和临床意义进行了讨论。(C)2011爱思唯尔有限公司保留所有权利。
Background and objectives: Recent research suggests that intolerance of uncertainty (IV), most commonly associated with generalized anxiety disorder, also contributes to symptoms of social phobia. This study examines the relationship between IV and social anxiety symptoms across treatment.Method: Changes in IV, social anxiety symptoms, and depression symptoms were examined following cognitive behavior group therapy (CBGT) for social phobia (N = 32).Results: CBGT led to significant improvements in symptoms of social anxiety and depression, as well as reductions in IU. Reductions in IV were associated with reductions in social anxiety but were unrelated to improvements in depression symptoms. Reductions in IU were predictive of post-treatment social phobia symptoms after controlling for pre-treatment social phobia symptoms and changes in depression symptoms following treatment.Limitations: The relationship between IV and social anxiety requires further examination within experimental and longitudinal designs, and needs to take into account additional constructs that are thought to maintain social phobia.Conclusions: Current findings suggest that the enhancing tolerance of uncertainty may play a role in the optimal management of social phobia. Theoretical and clinical implications are discussed. (C) 2011 Elsevier Ltd. All rights reserved.