Changes in Decentering Across Cognitive Behavioral Group Therapy for Social Anxiety Disorder.
Changes in Decentering Across Cognitive Behavioral Group Therapy for Social Anxiety Disorder.
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DOI：
10.1016/j.beth.2018.01.005
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发表时间：
2018-09
期刊：
影响因子：
3.7
通讯作者：
Lee CS
中科院分区：
文献类型：
--
作者：
Hayes-Skelton SA;Lee CS
为了进一步改善治疗，我们需要更好地理解潜在的常见治疗机制，例如偏心，或者将思想和感受作为头脑中的客观事件进行观察的能力，而不是亲自识别它们。因此，本研究探讨了是否12届认知行为团体治疗81名客户（57.6%女性，50.8%白色）诊断为社交焦虑症导致偏心增加，以及偏心增加是否与改善的结果。此外，本研究还探讨了偏心是否与结果有关，而不是与认知重新评价竞争。总体而言，结果表明，本研究中的CBGT导致与先前研究相似的结局，并且偏心率高于CBGT（d从0.81增加到2.23）。偏心的变化预测改善大多数，但不是所有的措施的结果和那些谁不再符合标准的社交焦虑症在治疗后有显着更大的变化，偏心在整个治疗和显着更高的偏心分数在治疗后相比，那些谁保留了社交焦虑症的诊断在治疗后。最后，偏心预测结果的变化超过了对所有结果测量的重新评估。这些结果在很大程度上支持偏心CBGT的作用，社交焦虑，然而，结果的不一致性的影响进行了讨论的结果测量的基础上。
To further improve treatments, we need to better understand potential common treatment mechanisms, such as decentering, or the ability to observe thoughts and feelings as objective events in the mind rather than personally identifying with them. Therefore, this study examined whether 12-sessions of Cognitive Behavioral Group Therapy for 81 clients (57.6% female, 50.8% White) diagnosed with social anxiety disorder led to increases in decentering and whether increased decentering was associated with improved outcome. Furthermore, this study examined whether decentering was associated with outcome over and above a competing mechanism - cognitive reappraisal. Overall, results indicated that CBGT in this study led to similar outcomes compared to previous studies and decentering increased over CBGT (d’s from 0.81 to 2.23). Change in decentering predicted improvement on most, but not all measures of outcome and those who no longer met criteria for social anxiety disorder at post-treatment had significantly greater change in decentering across therapy and significantly higher decentering scores at post-treatment compared to those who retained a social anxiety disorder diagnosis at post-treatment. Finally, changes in decentering predicted outcome over and above change reappraisal on all outcome measures. These results largely support the role of decentering in CBGT for social anxiety; however, the implications of the inconsistencies in results based on which outcome measure was used are discussed.
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