Change Mechanisms in Cognitive Behavioral Therapy for Social Anxiety Disorder

描述（由申请人提供）：拟议的职业发展计划将为候选人提供必要的背景经验，以追求独立的研究事业，研究焦虑障碍的认知行为疗法的变化机制。在她的指导团队的帮助下，候选人将获得更多的经验，包括转化研究方法、去中心化和基于正念的方法、干预研究、高级统计培训、文化敏感研究和负责任的研究行为。本研究计划的目的是通过实验和干预研究来探讨两种被提出的变化机制（去中心化和情绪加工）的作用。第一个提议的研究将调查在治疗中使用的特定技术是否会增加去中心化，或者观察思想和情感作为客观事件的能力，以及这些去中心化的增加是否与社交焦虑障碍的实验室研究中焦虑反应的变化有关。第二项研究将在第一项研究的基础上进行扩展，研究认知行为团体治疗中社交焦虑症的变化机制的作用和相互作用。在整个治疗过程中，提出的变化机制（去中心化和情绪处理）将被评估，以测试一个多维变化模型，该模型提出这些因素的组合会导致最具治疗性的变化。这些研究的结果将作为多维变化模型的初步测试，有助于确定未来研究焦虑障碍治疗变化机制和干预措施发展的方向。相关性（见说明）：这项工作有可能为当前的治疗实践提供信息，以最大限度地提高社交焦虑障碍患者的治疗效益。如果这些假设得到支持，那么促进去中心化和情绪处理的策略可能会改善临床结果。这可能最终通过最大化治疗成分的有效性来减少治疗这种疾病所需的治疗次数。

DESCRIPTION (provided by applicant): The proposed career development plan will provide the candidate with the necessary background experiences to pursue an independent research career studying the mechanisms of change in cognitive behavioral therapies for anxiety disorders. With the help of her mentoring team, the candidate will gain additional experience with translational research approaches, decentering and mindfulness-based approaches, interventions research, advanced statistical training, culturally sensitive research, and the responsible conduct of research. The objective of the research plan is to investigate the role of two proposed mechanisms of change (decentering and emotional processing) both experimentally and through interventions research. The first proposed study will investigate whether specific techniques used in therapy produce increases in decentering, or the ability to observe thoughts and feelings as objective events in the mind, and whether these increases in decentering are associated with changes in anxious responses within a laboratory based study of social anxiety disorder. The second study will expand on the first by examining the role and interaction of the proposed mechanisms of change within Cognitive Behavioral Group Therapy for social anxiety disorder. Throughout therapy, proposed mechanisms of change (decentering and emotional processing) will be assessed to test a multidimensional model of change that proposes that a combination of these factors leads to the most therapeutic change. Results from these studies will serve as a preliminary test of the multidimensional model of change, which will help determine the direction of future investigations into therapeutic change mechanisms and intervention development for the treatment of anxiety disorders. RELEVANCE (See instructions): This work has the potential to inform current treatment practice to maximize the therapeutic benefit for clients with social anxiety disorder. If the hypotheses are supported than strategies to promote decentering and emotional processing would likely lead to improved clinical outcomes. This may ultimately reduce the number of sessions needed to treat this disorder by maximizing the effectiveness of treatment components.