Interpretation Modification Program for Social Phobia

社交恐惧症解释修正计划

基本信息

批准号：
7622559
负责人：
NADER AMIR
金额：
$ 20.18万
依托单位：
SAN DIEGO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-07 至 2011-05-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Social phobia is characterized by severe social anxiety leading to functional impairment (Schneider et al., 1992). Despite its high prevalence (13%, Kessler et al., 1994) over 30% of individuals with social anxiety who need treatment do not receive treatment (Olfson, et al., 2000) and 40% of individuals who present for treatment do not respond (39%, Heimberg, et al., 1998; 42%, Liebowitz et al., 2005). Thus, there is a clear need to develop highly effective and efficient treatments for GSP. Reducing negative interpretation of social events is an efficacious treatment for SP because:1) benign interpretations is associated with improvement in social anxiety after treatment (e.g., Franklin, Huppert, Langner, Leiberg, & Foa, 2005), 2) negative interpretations are implicated in the pathogenesis of SP (e.g., Rapee & Heimberg, 1997), 3) SPs have more negative interpretations of social events than non-anxious controls and individuals with other anxiety disorders (e.g., Amir et al, 1998), and 4) this bias ameliorates after successful treatment (e.g., Stopa & Clark, 2000). Therefore, changing negative interpretations is an efficacious treatment for SP, and current cognitive- behavioral therapies use cognitive restructuring (CR) to target negative interpretations and replace them with more benign interpretations (Heimberg, et al., 1998). The goal of the current application is to test a new computerized treatment for SP that is designed to change negative interpretations. We chose a computerized intervention to increase efficiency and ease of delivery. We chose to test this intervention in GSP because interpretation bias is especially relevant to this clinical population. The long-term goal of this project is to improve service delivery using a widely available and economical intervention for GSP. More specifically, we will test three hypotheses in this application: 1) Individuals with GSP completing the Interpretation Modification Program (IMP) will show a reduction in their negative interpretation, 2) Participants in the IMP will show a decrease in their social anxiety symptoms, 3) Change in social anxiety symptoms will be mediated by the change in interpretation scores, suggesting that interpretation change reduced social anxiety symptoms. Pilot data (n=34) suggest that this intervention is efficacious. Thus, we aim to develop further and validate this highly efficient treatment for changing interpretations as a cost-effective treatment for patients with social phobia. Social phobia has high prevalence (13%, Kessler et al., 1994) and leads to functional impairment (Schneider et al., 1992). However, over 30% of individuals with social phobia do not receive treatment (Olfson, et al., 2000) and 40% of individuals who present for treatment do not respond (39%, Heimberg, et al., 1998; 42%, Liebowitz et al., 2005). The goal of this project is develop and test a new computerized treatment for social phobia.

描述（由申请人提供）：社会恐惧症的特征是严重的社交焦虑导致功能障碍（Schneider等，1992）。尽管患病率很高（13％，Kessler等，1994）超过30％的社交焦虑患者需要治疗（Olfson等人，2000年，2000年），而出席治疗的人中有40％没有反应（39％，Heimberg等，1998； 1998; 42％，Liebowitz等人，2005年）。因此，显然需要为GSP开发高效有效的治疗方法。减少对社交事件的负面解释是对SP的有效治疗方法，因为：1）良性解释与治疗后的社交焦虑改善有关（例如，富兰克林，Huppert，Langner，Langner，Leiberg，＆Foa，＆Foa，2005），2）负面解释与SP的病原体有关（例如，NONDER EVENTINCT and NORDISS SPS），SPS SPS，3）患有其他焦虑症的个体（例如，Amir等，1998），4）成功治疗后这种偏见可以改善（例如，Pota＆Clark，2000年）。因此，改变负面解释是对SP的有效治疗方法，当前的认知行为疗法使用认知重组（CR）来靶向负面解释，并用更多的良性解释代替它们（Heimberg等，等，1998）。当前应用的目的是测试用于改变负面解释的SP的新计算机化处理。我们选择了计算机干预以提高效率和易于交付。我们选择在GSP中测试这种干预措施，因为解释偏差与该临床人群特别相关。该项目的长期目标是使用广泛可用的GSP进行经济干预来改善服务交付。更具体地说，我们将在此应用中检验三个假设：1）具有GSP完成解释修改计划（IMP）的个人将显示其负面解释的减少，2）IMP的参与者将显示其社交焦虑症状的减少，3）社交焦虑症状的变化将由解释评分的变化介导，表明解释会减少社交焦虑的变化。试点数据（n = 34）表明这种干预是有效的。因此，我们旨在进一步发展，并验证这种高效的治疗方法，以改变解释为社交恐惧症患者的经济有效治疗。社会恐惧症患病率很高（13％，Kessler等，1994），并导致功能障碍（Schneider等，1992）。然而，超过30％的社会恐惧症患者未接受治疗（Olfson等，2000），而出席治疗的人中有40％的人没有反应（39％，Heimberg等，1998; 42％，Liebowitz等，2005）。该项目的目的是开发和测试新的社交恐惧症计算机治疗方法。