The role of maladaptive beliefs in cognitive-behavioral therapy: Evidence from social anxiety disorder
The role of maladaptive beliefs in cognitive-behavioral therapy: Evidence from social anxiety disorder
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DOI：
10.1016/j.brat.2012.02.007
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发表时间：
2012-05-01
影响因子：
4.1
通讯作者：
Gross, James J.
中科院分区：
文献类型：
--
作者：
Boden, Matthew Tyler;John, Oliver P.;Gross, James J.
消极偏见、不准确和僵化的信念被认为在情绪和焦虑障碍中发挥着关键作用。我们在这项研究中的目标是检验适应不良信念的改变是否介导了针对社交焦虑症（SAD）的个体认知行为疗法（CBT）的结果。在接受 CBT 的 47 名 SAD 患者样本中，我们测量了基线时和治疗完成后的不适应的人际信念以及社交焦虑的情绪和行为成分。我们发现（a）适应不良的人际信念与基线和治疗完成时的社交焦虑有关； (b) 从基线到治疗完成，适应不良的人际信念显着减少； (c) 与治疗相关的适应不良的人际信念的减少充分解释了 CBT 后社交焦虑的减少。这些结果为广义的精神障碍，特别是季节性情感障碍的认知模型提供了支持，从而扩展了文献。由爱思唯尔有限公司出版
Beliefs that are negatively biased, inaccurate, and rigid are thought to play a key role in the mood and anxiety disorders. Our goal in this study was to examine whether a change in maladaptive beliefs mediated the outcome of individual cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD). In a sample of 47 individuals with SAD receiving CBT, we measured maladaptive interpersonal beliefs as well as emotional and behavioral components of social anxiety, both at baseline and after treatment completion. We found that (a) maladaptive interpersonal beliefs were associated with social anxiety at baseline and treatment completion; (b) maladaptive interpersonal beliefs were significantly reduced from baseline to treatment completion; and (c) treatment-related reductions in maladaptive interpersonal beliefs fully accounted for reductions in social anxiety after CBT. These results extend the literature by providing support for cognitive models of mental disorders, broadly, and SAD, specifically. Published by Elsevier Ltd.