Change Mechanisms in Cognitive Behavioral Therapy for Social Anxiety Disorder

认知行为疗法是一种有效的治疗社交焦虑症的方法，但知之甚少 心理治疗如何带来改变为了更好地了解治疗如何导致有意义的变化， 客户，这将最终导致改善现有的治疗，这是至关重要的研究， 研究变革的多个方面，重点关注这些不同的变革推动者如何相互作用， 有临床意义的变化因此，本研究项目的总体目标是测试 社交焦虑症认知行为治疗中的多维变化模型。 具体而言，本研究旨在研究两种拟议的变化机制的作用和相互作用 （偏心和情绪处理）纵向贯穿认知行为组的课程 社交焦虑障碍的治疗（CBGT）。该研究旨在研究偏心或 观察思想和感情作为头脑中客观事件的能力，随着时间的推移而增加。 CBGT以及这种偏心的增加是否与焦虑症状的减少有关， 提高生活质量。本研究还进一步探讨了情绪偏离与心理健康的相互作用 以及是否是这些机制的组合导致了最低水平的焦虑 在治疗结束时达到最高水平的生活质量。这项研究的结果将作为初步的 一个多维的变化模型的测试，提出这是这些因素的组合，导致 到治疗上的改变这一对多维度变革模型的初步测试将有助于确定 未来研究治疗变化机制和干预发展的方向 焦虑症的治疗

Cognitive behavioral therapy is an efficacious treatment of social anxiety disorder, however less is known about how therapy leads to change. To better understand how treatment leads to meaningful changes for clients, which will ultimately lead to improvements in existing treatments, it is essential that research examines multiple aspects of change with a focus on how these various change agents interact to produce clinically significant change. Therefore, the overall goal of this research projects is to test aspects of a multidimensional model of change within cognitive behavioral therapy for social anxiety disorder. Specifically, this research aims to examine the role and interaction of two proposed mechanisms of change (decentering and emotional processing) longitudinally across the course of Cognitive Behavioral Group Therapy (CBGT) for social anxiety disorder. The study aims to examine the extent to which decentering, or the ability to observe thoughts and feelings as objective events in the mind, increases over the course of CBGT and whether this increase In decentering is related in decreases in symptoms of anxiety and increases in quality of life. Futher, this study will examine the interaction between decentering and emotional processing and whether it is a combination of these mechanisms that leads to the lowest levels of anxiety and highest levels of quality of life at the end of therapy. The results of this study will serve as a preliminary test of a multidimensional model of change that proposes that it is a combination of these factors that leads to therapeutic change. This preliminary test of the multidimensional model of change will help determine the direction df future investigations into therapeutic change mechanisms and intervention development for the treatment of anxiety disorders.