TREATMENT OF SOCIAL PHOBIA--MEDIATORS AND MODERATORS

社交恐惧症的治疗——中介者和调节者

• 批准号: 6363683
• 负责人: Stefan G. Hofmann
• 金额: $ 14.39万
• 依托单位: BOSTON UNIVERSITY (CHARLES RIVER CAMPUS)
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-05-01 至 2003-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6363683
• 关键词: anxiety disorders; behavior test; clinical research; cognitive behavior therapy; emotional adjustment; fear; health care cost /financing; human subject; human therapy evaluation; outcomes research; performance; personality disorders; phobias; psychophysiology; psychosocial rehabilitation; questionnaires; social behavior; speech

DESCRIPTION (Applicant's abstract): Social phobia is a very prevalent and debilitating disorder with public speaking anxiety being the most common tear among socially phobic individuals. Although there are a number of effective psychosocial treatments for social phobia (e.g., cognitive-behavioral treatments and exposure therapy) very little is known about the underlying mechanism of therapeutic change (i.e., the mediators of change), and the variables that are predictive. of treatment outcome (i.e., the moderators of change). Furthermore; it is unclear why treating individuals for their public speaking anxiety can generalize to other untreated social fears. The primary goal of the present study is to identify the mediators and moderators of change in the treatment of social phobia, and, in so doing suggest a common mechanism of action for all brief psychosocial interventions. Perceived self-efficacy of social behavior, negative cognitive appraisal (estimated social costs), and perceived emotional control will be considered as potential mediators; avoidant personality disorder and the generalized subtype of social phobia will be considered as potential predictors for poor treatment outcome. Individuals meetings criteria for social phobia with significant fear of public speaking will be randomly assigned to either a comprehensive cognitive-behavioral treatment for social phobia (n=43), a performance-based exposure treatment for public speaking anxiety without cognitive intervention (n=43), or a waitlist control group (n=43). Clinician ratings, behavioral tests, cognitive assessments, subjective ratings, and physiological measures will be employed to determine the degree of therapeutic gains in various social phobia domains. The main hypothesis is that perceived emotional control will mediate treatment outcome and generality of effectiveness independent of the specific treatment condition.

描述(申请人摘要)：社交恐惧症是一种非常普遍和 衰弱障碍，最常见的是公开演讲焦虑 在有社交恐惧症的人中间撕裂。尽管有一些 针对社交恐惧症的有效心理社会治疗(例如， 认知行为疗法和暴露疗法)知之甚少 关于治疗变化的潜在机制(即， 变化)，以及具有预测性的变量。治疗结果(即， 变革的主持人)。此外，目前还不清楚为什么治疗 个人的公共演讲焦虑可以推广到其他人 未经治疗的社交恐惧。 本研究的主要目标是确定调解人和 改变社交恐惧症治疗的主持人，并通过这样做 为所有短暂的心理社会提出一个共同的行动机制 干预措施。社会行为自我效能感，负性 认知评估(估计的社会成本)和感知的情感 控制力将被视为潜在的调解人；回避型人格 障碍和社交恐惧症的泛化亚型将被视为 治疗结果不佳的潜在预测因素。 严重害怕社交恐惧症的个人满足标准 公众演讲将被随机分配到一个综合 认知行为疗法治疗社交恐惧症(n=43) 无认知性公共演讲焦虑的暴露治疗 干预组(n=43)，或等候名单对照组(n=43)。临床医生评分， 行为测试、认知评估、主观评级，以及 将使用生理测量来确定 在各种社交恐惧症领域的治疗成果。主要的假设是 感知到的情绪控制将调节治疗结果和 与具体治疗条件无关的有效性的一般性。