Reductions in social anxiety during treatment predict lower levels of loneliness during follow-up among individuals with social anxiety disorder.
Reductions in social anxiety during treatment predict lower levels of loneliness during follow-up among individuals with social anxiety disorder.
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DOI：
10.1016/j.janxdis.2021.102362
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发表时间：
2021-03
影响因子：
10.3
通讯作者：
Heimberg RG
中科院分区：
文献类型：
--
作者：
O'Day EB;Butler RM;Morrison AS;Goldin PR;Gross JJ;Heimberg RG
社交焦虑症（SAD）患者孤独的风险较高，但很少有研究研究探讨这一人群的孤独感。认知行为团体疗法（CBGT）和基于正念的减压（MBSR）已经证明了治疗SAD的有效性，但研究还没有研究它们是否会减少孤独感。该样本包括108名SAD患者，他们被随机分配到CBGT，MBSR或等待名单对照（WL）; WL参与者在WL后重新随机分配到CBGT或MBSR。在治疗前和治疗后以及3个月、6个月、9个月和12个月随访评估中完成评估。与WL相比，CBGT和MBSR的个体在治疗后不那么孤独;治疗后或随访期间的治疗之间没有差异。从治疗前到治疗后，社交焦虑的大幅减少预示着随访期间孤独感的降低。从治疗前到治疗后孤独感的大幅减少也预示着随访期间社交焦虑水平的降低。在治疗期间社交焦虑减少的人在治疗后也可能感到不那么孤独。孤独感的减少也会改善社交焦虑。未来的研究应该继续研究社交焦虑和孤独之间的关系，以及SAD的干预如何有助于减少孤独。
Individuals with social anxiety disorder (SAD) are at elevated risk of loneliness, yet little research has examined loneliness in this population. Cognitive-behavioral group therapy (CBGT) and mindfulness-based stress reduction (MBSR) have demonstrated efficacy in treating SAD, yet research has not examined whether they lead to reductions in loneliness. This sample comprised 108 individuals with SAD who were randomized to CBGT, MBSR, or a waitlist control (WL); WL participants were re-randomized to CBGT or MBSR following WL. Assessments were completed pre- and post-treatment, and 3-, 6-, 9-, and 12-month follow-up assessments. Compared to WL, individuals in CBGT and MBSR were less lonely at post-treatment; there was no difference between treatments after treatment or during follow-up. Greater reductions in social anxiety from pre- to post-treatment predicted lower levels of loneliness during follow-up. Greater reductions in loneliness from pre- to post-treatment also predicted lower levels of social anxiety during follow-up. Individuals who experience reductions in their social anxiety during treatment may also feel less lonely following treatment. Reductions in loneliness also lead to improvements in social anxiety. Future research should continue to examine the relationship between social anxiety and loneliness and how interventions for SAD may help reduce loneliness.
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影响因子：
5.9
作者：
Goldin PR;Morrison A;Jazaieri H;Brozovich F;Heimberg R;Gross JJ
通讯作者：
Gross JJ
影响因子：
5.9
作者：
Kall, Anton;Shafran, Roz;Andersson, Gerhard
通讯作者：
Andersson, Gerhard
影响因子：
4.2
作者：
Goldin, Philippe R.;Gross, James J.
通讯作者：
Gross, James J.
影响因子：
5.9
作者：
Hofmann, Stefan G.;Sawyer, Alice T.;Witt, Ashley A.;Oh, Diana
通讯作者：
Oh, Diana
影响因子：
6.9
作者：
Fresco, DM;Coles, ME;Goetz, D
通讯作者：
Goetz, D