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Information Processing Training for Social Phobia in Primary Care

初级保健中社交恐惧症的信息处理培训

基本信息

批准号：
7743802
负责人：
Courtney Beard Elias
金额：
$ 4.99万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-12-01 至 2010-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7743802
关键词：
Address Adverse effects Affect Aftercare Anxiety Anxiety Disorders Applications Grants Attention Caring Clinic Clinical Cognitive Cognitive Therapy Computers Data Diagnosis Economic Burden Effectiveness Environment Face Funding Future Goals Health Care Costs High Prevalence Impairment Individual Intervention Interview Investments Medical Mental Health Mental disorders Modification Participant Patient Self-Report Patients Pharmaceutical Preparations Physicians Placebos Population Prevalence Primary Health Care Procedures Protocols documentation Psychopathology Public Health Qualitative Research Questionnaires Randomized Randomized Clinical Trials Randomized Controlled Trials Recruitment Activity Research Sampling Social Phobia Societies Specialist Speech Stimulus Symptoms Testing Time Training Translating base behavior measurement care seeking computerized cost effectiveness experience improved information processing innovation interest meetings primary care setting psychologic restraint social theories

项目摘要

DESCRIPTION (provided by applicant): Social Phobia (SP) ranks second in prevalence among all psychiatric disorders and is associated with significant impairment. Anxiety disorder patients are more likely to seek treatment from general medical physicians than mental health specialists. However, less than one third of primary care patients with anxiety disorders receive appropriate care. Of those who do receive treatment, many patients do not respond. Computerized information processing training is a promising intervention for anxiety disorders that is firmly based in cognitive theory and empirical findings. Computerized information processing training procedures directly target attention and interpretation biases associated with SP. These procedures may improve the cost-effectiveness and accessibility of psychological treatments for anxiety disorders. The long-term goal of this line of research is to translate findings from basic psychopathology research into innovative treatments that are acceptable and easily disseminated in real world settings. The second long-term objective is to develop empirically based treatments for primary care populations with anxiety disorders. The specific aims of the study are to determine the acceptability, feasibility, and preliminary efficacy of information processing training in a primary care setting by comparing an innovative intervention, Attention and Interpretation Modification (AIM), to a placebo condition. Acceptability will be determined primarily from qualitative interviews. Feasibility will be determined by completer status and other qualitative data. Preliminary efficacy will be estimated with effect sizes. Specifically, it is hypothesized that participants completing AIM will experience a reduction in social anxiety symptoms, as assessed by interview, self-report, and behavioral measures, compared to placebo. Relevance to Public Health Recent prevalence estimates of Social Phobia are high, ranking second among all psychiatric disorders. Social Phobia results in significant impairment to~ the individual and in economic burden to society. Because most individuals with anxiety disorders seek treatment in primary care, research evaluating innovative treatments for Social Phobia in primary care will potentially reduce health care costs and utilization.

描述(申请人提供)：社交恐惧症(SP)在所有精神疾病中的患病率位居第二，并与严重的损害有关。焦虑症患者更有可能向普通内科医生寻求治疗，而不是心理健康专家。然而，只有不到三分之一的焦虑症初级保健患者得到了适当的护理。在那些确实接受治疗的人中，许多患者没有反应。计算机化的信息处理训练是一种有希望的焦虑症干预措施，它牢固地基于认知理论和经验发现。计算机化的信息处理培训程序直接针对与SP有关的注意力和口译偏差。这些程序可能会提高焦虑症心理治疗的成本效益和可及性。这一系列研究的长期目标是将基础精神病理学研究的结果转化为可接受并容易在现实世界中传播的创新治疗方法。第二个长期目标是为患有焦虑症的初级保健人群开发基于经验的治疗方法。这项研究的具体目的是通过比较创新干预、注意和解释修正(AIM)和安慰剂条件来确定初级保健环境中信息处理培训的可接受性、可行性和初步效果。可接受性将主要通过定性面试来确定。可行性将取决于完成者状态和其他定性数据。初步疗效将根据效果大小进行评估。具体地说，与安慰剂相比，通过访谈、自我报告和行为测量评估，完成AIM的参与者将体验到社交焦虑症状的减少。与公共卫生的相关性最近社交恐惧症的患病率估计很高，在所有精神障碍中排名第二。社交恐惧症会对个人造成严重损害，给社会带来经济负担。由于大多数焦虑症患者在初级保健中寻求治疗，因此评估初级保健中社交恐惧症的创新治疗方法的研究可能会降低卫生保健成本和利用率。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Attentional Bias Modification for Social Anxiety Disorder: What do Patients Think and Why does it Matter?

社交焦虑症的注意偏差修正：患者的想法是什么以及为什么它很重要？

DOI：
10.1017/s1352465818000231
发表时间：
2019
期刊：
Behavioural and cognitive psychotherapy
影响因子：
1.8
作者：
Kuckertz,JennieM;Schofield,CaseyA;Clerkin,EliseM;Primack,Jennifer;Boettcher,Hannah;Weisberg,RisaB;Amir,Nader;Beard,Courtney
通讯作者：
Beard,Courtney

Cognitive bias modification for anxiety: current evidence and future directions.