Emotional clarity and attention to emotions in cognitive behavioral group therapy and mindfulness-based stress reduction for social anxiety disorder.

Emotional clarity and attention to emotions in cognitive behavioral group therapy and mindfulness-based stress reduction for social anxiety disorder.
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DOI:
10.1016/j.janxdis.2018.03.003
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发表时间:
2018-04
影响因子:
10.3
通讯作者:
Heimberg RG
Heimberg RG
中科院分区:
医学2区
文献类型:
--
作者:
Butler RM;Boden MT;Olino TM;Morrison AS;Goldin PR;Gross JJ;Heimberg RG

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我们检查了(1)对照组和社交焦虑症(SAD)患者在情绪清晰度和对情绪的关注方面的差异; (2) 与认知行为团体治疗 (CBGT)、基于正念的减压疗法 (MBSR) 或候补名单 (WL) 条件相关的情绪清晰度和对情绪的注意力的变化; (3)情绪清晰和对情绪的关注是否会调节治疗过程中社交焦虑的变化。参与者是健康对照 (n = 37) 和 SAD 患者 (n = 108),他们在随机对照试验中被分配到 CBGT、MBSR 或 WL。在治疗前、治疗后和 12 个月的随访中,SAD 患者完成了社交焦虑、情绪清晰度和情绪注意力的测量。仅控制基线上已完成的测量。在治疗前,SAD 患者的情绪清晰度低于对照组。接受 CBGT 的患者情绪清晰度显着提高,并且在 12 个月的随访中仍保持变化。 CBGT 和 MBSR 之间或 MBSR 和 WL 之间治疗后的情绪清晰度没有差异。情绪清晰度的变化预示着社交焦虑的变化,但情绪清晰度并不能调节治疗结果。对情绪关注的分析并不显着。讨论了情绪清晰在 SAD 治疗中的作用。
We examined (1) differences between controls and patients with social anxiety disorder (SAD) in emotional clarity and attention to emotions; (2) changes in emotional clarity and attention to emotions associated with cognitive-behavioral group therapy (CBGT), mindfulness-based stress reduction (MBSR), or a waitlist (WL) condition; and (3) whether emotional clarity and attention to emotions moderated changes in social anxiety across treatment. Participants were healthy controls (n = 37) and patients with SAD (n=108) who were assigned to CBGT, MBSR, or WL in a randomized controlled trial. At pretreatment, posttreatment, and 12-month follow-up, patients with SAD completed measures of social anxiety, emotional clarity, and attention to emotions. Controls completed measures at baseline only. At pretreatment, patients with SAD had lower levels of emotional clarity than controls. Emotional clarity increased significantly among patients receiving CBGT, and changes were maintained at 12-month follow-up. Emotional clarity at posttreatment did not differ between CBGT and MBSR or between MBSR and WL. Changes in emotional clarity predicted changes in social anxiety, but emotional clarity did not moderate treatment outcome. Analyses of attention to emotions were not significant. Implications for the role of emotional clarity in the treatment of SAD are discussed.
DOI: 10.1037/a0018441
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