BACKGROUND AND AIMS:Several studies have shown that cognitive therapy is an effective treatment for social anxiety disorder (SAD). However, it remains unclear which of the complex interventions are associated with an anxiety reduction during the course of treatment. The aim of this study was to examine the impact of the intervention referred to as the "self-focused attention and safety behaviours experiment" on treatment outcome. METHOD:This study was part of a randomized controlled trial including 16 sessions of either individual cognitive therapy (CT) or interpersonal therapy (IPT) for SAD. Of particular importance, a concomitant time-series analysis was used to investigate the impact of the self-focused attention and safety behaviours experiment on subsequent social anxiety (1, 2, 3, and 4 weeks after the intervention) in 32 patients with SAD, who are receiving cognitive treatment. RESULTS:The results revealed a significant reduction of social anxiety after the self-focused attention and safety behaviours experiment during the subsequent month of treatment. CONCLUSION:The findings of the current study confirm current cognitive theories of SAD and demonstrate the importance of interventions that target self-focused attention and safety behaviour in cognitive therapy for SAD.

译文

背景与目的:多项研究表明,认知疗法是治疗社交焦虑症(SAD)的有效方法。但是,尚不清楚哪种复杂的干预措施与治疗过程中的焦虑减轻有关。这项研究的目的是研究被称为“自我关注和安全行为实验”的干预措施对治疗效果的影响。
方法:本研究是一项随机对照试验的一部分,该试验包括16疗程的SAD个体认知疗法(CT)或人际疗法(IPT)。尤为重要的是,同时进行了时间序列分析,以调查32名SAD患者的自我关注和安全行为实验对随​​后的社交焦虑(干预后1、2、3和4周)的影响,谁正在接受认知治疗。
结果:研究结果显示,在接下来的一个月的治疗中,进行了自我关注和安全行为的自我集中试验后,社交焦虑明显降低。
结论:本研究的结果证实了当前的SAD认知理论,并证明了针对自我关注和安全行为的干预在SAD认知治疗中的重要性。

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