Attention Bias Modification Treatment for Adolescents With Social Anxiety Disorder
Attention Bias Modification Treatment for Adolescents With Social Anxiety Disorder
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患有社交焦虑症的青少年的注意力偏差修正治疗
DOI：
10.1016/j.beth.2018.04.002
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发表时间：
2019-01-01
期刊：
影响因子：
3.7
通讯作者：
Smith, Maria
中科院分区：
文献类型：
--
作者：
Ollendick, Thomas H.;White, Susan W.;Smith, Maria
社交焦虑障碍（SAD）往往出现在青少年早期，即使提供标准的循证CBT治疗，也特别难以改变。已经努力开发新的，机械驱动的干预这种疾病。在本研究中，我们研究了注意偏差修正治疗（ABMT）的青年SAD。参与者是58名青少年（平均年龄= 14.29岁），他们符合SAD的诊断标准，并被随机分配到ABMT或安慰剂对照条件，注意力控制训练（ACT）。我们预测ABMT会导致威胁偏见和社交焦虑症状的更大变化。我们还探讨了变化的潜在调节因素，包括社交焦虑症状的严重程度，预处理时的威胁偏见水平，以及气质定义的注意力控制程度。与我们的假设相反，在任何一种情况下都没有观察到注意力偏差的变化，社交焦虑症状和诊断的变化都很小，ABMT和ACT条件之间没有观察到显着差异。提议的主持人获得的支持很少。我们未能找到支持ABMT及其潜在的主持人的原因进行了探讨，并建议在ABMT范式的变化。
Social anxiety disorder (SAD) tends to emerge during the early teenage years and is particularly refractory to change even when standard evidence-based CBT treatments are delivered. Efforts have been made to develop novel, mechanistic-driven interventions for this disorder. In the present study, we examined Attention Bias Modification Treatment (ABMT) for youth with SAD. Participants were 58 adolescents (mean age = 14.29 years) who met diagnostic criteria for SAD and who were randomized to ABMT or a placebo control condition, Attention Control Training (ACT). We predicted that ABMT would result in greater changes in both threat biases and social anxiety symptoms. We also explored potential moderators of change including the severity of social anxiety symptoms, the level of threat bias at pretreatment, and the degree of temperament-defined attention control. Contrary to our hypotheses, changes in attention bias were not observed in either condition, changes in social anxiety symptoms and diagnosis were small, and significant differences were not observed between the ABMT and ACT conditions. Little support for the proposed moderators was obtained. Reasons for our failure to find support for ABMT and its potential moderators are explored and recommendations for changes in the ABMT paradigm are suggested.