The effect of emotional working memory training on emotional and cognitive outcomes in individuals with elevated social anxiety
The effect of emotional working memory training on emotional and cognitive outcomes in individuals with elevated social anxiety
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DOI：
10.1016/j.jad.2019.09.085
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发表时间：
2020-01-15
影响因子：
6.6
通讯作者：
Wong, Quincy J. J.
中科院分区：
文献类型：
--
作者：
du Toit, Simone A.;Kade, Saif A.;Wong, Quincy J. J.
背景：虽然认知行为疗法是社交焦虑症（SAD）患者的黄金标准心理治疗，但它并不能使所有人受益。情绪工作记忆训练（eWMT）是一种有前途的替代干预措施。本研究探讨了 eWMT 与对照训练 (CT) 对社交焦虑升高个体情绪和认知结果的影响。方法：40 名社交焦虑升高的参与者被随机分配到 eWMT (n= 21) 或 CT (n= 19)，每个组包含 6 次训练课程。在训练前和训练后，参与者完成：工作记忆任务、即兴演讲以及自我报告的情绪和认知结果测量（预期处理、演讲期间的峰值焦虑和注意力集中、事件后处理）。结果：两种训练条件下的参与者在各自的训练任务上都表现出绩效提高。正如预期的那样，峰值焦虑存在时间 x 条件交互作用，反映了 eWMT 条件下的峰值焦虑下降，但 CT 条件下没有。探索性分析还表明，事件后处理的一个方面存在时间与条件的交互作用，反映出 eWMT 状况而非 CT 状况对过去的思考减少。 局限性：虽然当前样本的社交焦虑水平与文献中诊断为 SAD 的个体样本相当，但本研究未评估参与者的诊断。结论：研究结果表明，eWMT 有潜力作为社交焦虑升高个体的替代干预措施。
Background: Although cognitive-behavioural therapy is the gold standard psychological treatment for individuals with social anxiety disorder (SAD), it does not benefit everyone. Emotional working memory training (eWMT) is a promising alternative intervention. This study examined the effects of eWMT versus control training (CT) on emotional and cognitive outcomes in individuals with elevated social anxiety.Methods: Forty participants with elevated social anxiety were randomly allocated to eWMT (n= 21) or CT (n= 19), each consisting of six training sessions. At pre- and post-training, participants completed: a working memory task, an impromptu speech, and self-reported measures of emotional and cognitive outcomes (anticipatory processing, peak anxiety and attentional focus during the speech, post-event processing).Results: Participants in both training conditions exhibited performance improvements on their respective training tasks. As expected, there was a Time x Condition interaction for peak anxiety, reflecting a decrease in peak anxiety for the eWMT condition but not the CT condition. Exploratory analyses also indicated a Time x Condition interaction for an aspect of post-event processing, reflecting a decrease in thinking about the past for the eWMT condition but not the CT condition.Limitations: Although the level of social anxiety of the current sample is comparable to that of samples of individuals diagnosed with SAD in the literature, participant diagnoses were not assessed in this study.Conclusions: The findings suggest that eWMT has potential as an alternative intervention for individuals with elevated social anxiety.