Attentional Bias Modification for Social Anxiety Disorder: What do Patients Think and Why does it Matter?
Attentional Bias Modification for Social Anxiety Disorder: What do Patients Think and Why does it Matter?
复制标题
社交焦虑症的注意偏差修正：患者的想法是什么以及为什么它很重要？
DOI：
10.1017/s1352465818000231
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发表时间：
2019
影响因子：
1.8
通讯作者：
Beard,Courtney
中科院分区：
文献类型：
--
作者：
Kuckertz,JennieM;Schofield,CaseyA;Clerkin,EliseM;Primack,Jennifer;Boettcher,Hannah;Weisberg,RisaB;Amir,Nader;Beard,Courtney
背景在过去的十年中，大量的研究已经检查了注意偏差修正（ABM）的有效性和机制，ABM是一种计算机化的认知训练干预焦虑和其他疾病。然而，很少有研究探讨焦虑的患者如何看待ABM，目前还不清楚在何种程度上ABM的看法影响outcome.AimsTo检查病人的看法，ABM跨两项研究，使用混合方法approach.MethodIn第一项研究，参与者完成了传统的ABM程序，并收到了一份讲义，最小的信息有关的任务的目的。在第二项研究中，参与者完成了自适应ABM程序，并提供了更广泛的理由和指示，改变attentional biases.ResultsA的主题出现了一些定性数据相关的感知症状的变化和机制的行动，可接受性，早期的看法程序，障碍/促进参与，和自适应功能的反应。此外，定量数据表明，患者的感知程序预测症状减轻以及注意力偏差的变化。ConclusionsOur定量数据表明，它可能是可以快速和廉价地确定一些患者谁可能受益于目前的ABM程序，虽然我们的定性数据表明，ABM需要重大修改之前，它将是一个可接受的和可信的治疗更广泛。虽然目前的研究是有限的样本量和设计特点的母试验，这些数据的起源，我们的研究结果可能是有用的指导假设，在未来的研究中检查病人的看法对ABM。
BackgroundIn the past decade, a great deal of research has examined the efficacy and mechanisms of attentional bias modification (ABM), a computerized cognitive training intervention for anxiety and other disorders. However, little research has examined how anxious patients perceive ABM, and it is unclear to what extent perceptions of ABM influence outcome.AimsTo examine patient perceptions of ABM across two studies, using a mixed methods approach.MethodIn the first study, participants completed a traditional ABM program and received a hand-out with minimal information about the purpose of the task. In the second study, participants completed an adaptive ABM program and were provided with more extensive rationale and instructions for changing attentional biases.ResultsA number of themes emerged from qualitative data related to perceived symptom changes and mechanisms of action, acceptability, early perceptions of the program, barriers/facilitators to engagement, and responses to adaptive features. Moreover, quantitative data suggested that patients’ perceptions of the program predicted symptom reduction as well as change in attentional bias.ConclusionsOur quantitative data suggest that it may be possible to quickly and inexpensively identify some patients who may benefit from current ABM programs, although our qualitative data suggest that ABM needs major modifications before it will be an acceptable and credible treatment more broadly. Although the current study was limited by sample size and design features of the parent trials from which these data originated, our findings may be useful for guiding hypotheses in future studies examining patient perceptions towards ABM.