SCH: INT: Context-Aware Micro-Interventions for Social Anxiety

SCH：INT：针对社交焦虑的情境感知微干预

• 批准号: 10601189
• 负责人: Laura Elizabeth Barnes
• 金额: $ 29.8万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-07 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10601189
• 关键词: Affect; Anxiety; Awareness; Biological Markers; Cellular Phone; Data; Economic Burden; Fright; Impairment; Individual; Instruction; Intervention; Life; Mental Health Services; Mental disorders; Methods; Participant; Persons; Phase; Physiological; Pilot Projects; Population; Positioning Attribute; Quality of life; Services; Social Anxiety Disorder; Social Environment; Social Hierarchy; Societies; System; Time; Work; adaptive intervention; anxiety states; anxious; anxious individuals; care seeking; cost effective; intervention delivery; mobile sensing; personalized intervention; reduce symptoms; response; sensor; smart watch; social; social anxiety; social interventions; stressor; treatment optimization; user centered design

Reactivity to perceived social threats is a normative response that has considerable adaptive value to establish one’s position in a social hierarchy, but also routinely goes awry when perceived threats are exaggerated. For example, social anxiety disorder (SAD) is one of the most prevalent mental disorders, affecting 12.1% of the U.S. population at some point in their lifetime, resulting in serious impairment and a poorer quality of life. Yet, individuals with SAD often wait more than a decade before seeking treatment, if they ever do seek care, given that social avoidance is a core feature of social anxiety. This makes seeking in-person services very difficult, so there is a crucial need for scalable, accessible treatments that are delivered outside of therapy and can be integrated into daily life. Just-in-Time Adaptive Interventions (JITAIs) delivered via smartphones represent a promising method to not only increase access to cost- effective and acceptable mental health care, but also to tailor in-the-moment interventions to best match the specific context of the individual and their personal stressors and determine when the individual is most likely to benefit from the intervention. This work leverages mobile sensing to detect indicators of temporal phases of social anxiety and personal context to optimize treatment. This project proposes the Context- Aware Micro-Interventions for Social Anxiety (CAMSA) system, targeted at understanding relevant contexts of social anxiety and delivering personalized interventions to reduce symptoms. This 3-phase project will overcome fundamental barriers to continuous and accessible treatment. First, the CAMSA system will be developed, consisting of sensor-rich smartphones and smartwatches that will collect data on relevant features (e.g., type of anxiety, social context, physiological state) that identify an individual's state anxiety context, along with user-centered design of personalized micro-interventions for social anxiety. Second, the CAMSA system will be deployed to socially anxious individuals to identify biomarkers of state anxiety at different temporal phases and optimize features to personalize the content and timing of the intervention delivery. Third, a proof-of-concept for CAMSA will be demonstrated through a pilot study, with anxious participants receiving JITAIs. RELEVANCE (See instructions): Social anxiety disorder (SAD) is one of the most prevalent mental disorders, affecting 12.1% of U.S. individuals at some point in their lifetime. SAD is characterized by fear and avoidance of socially evaluative situations, often leading to devastating consequences for the affected individual and placing considerable economic burden on society at large.

对感知到的社会威胁的反应是一种规范反应，对社会威胁具有相当大的适应性价值。 确立自己在社会等级中的地位，但当感知到的威胁受到威胁时，也经常会出错。 例如，社交焦虑症（SAD）是最常见的精神障碍之一， 12.1% 的美国人在其一生中的某个阶段受到影响，导致严重损伤和 然而，患有季节性情感障碍的人通常要等待十多年才能寻求治疗，如果 鉴于社交回避是社交焦虑的核心特征，他们确实会寻求护理。 面对面的服务非常困难，因此迫切需要可扩展、易于获得的治疗方法 在治疗之外进行，可以融入日常生活中。 通过智能手机提供的（JITAI）代表了一种有前途的方法，不仅可以增加获得成本的机会 有效且可接受的心理保健，而且还需要调整即时干预措施以达到最佳匹配 个人的具体情况及其个人压力源，并确定个人何时最 可能会从干预中受益。这项工作利用移动传感来检测时间指标。 该项目提出了社交焦虑和个人背景的阶段来优化治疗。 社交焦虑意识微干预 (CAMSA) 系统，旨在了解相关背景 该项目分为三个阶段，旨在减少社交焦虑并提供个性化干预措施。 首先，CAMSA 系统将克服持续和可及的治疗的根本障碍。 开发的，包括传感器丰富的智能手机和智能手表，将收集相关数据 识别个体焦虑状态的特征（例如焦虑类型、社会背景、生理状态） 其次，以用户为中心设计个性化的社交焦虑微观干预措施。 CAMSA 系统将部署到社交焦虑个体，以识别状态焦虑的生物标志物 不同的时间阶段并优化特征以个性化干预的内容和时间 第三，CAMSA 的概念验证将通过试点研究进行论证。 接受 JITAI 的参与者。 相关性（参见说明）： 社交焦虑障碍 (SAD) 是最普遍的精神障碍之一，影响着 12.1% 的美国人口。 个体在一生中的某个阶段的特征是害怕和回避社会评价。 情况，往往会给受影响的个人带来毁灭性的后果，并造成相当大的影响 给整个社会带来经济负担。