中国临床心理学杂志

积极关注对社交焦虑者焦虑及认知偏差的影响

作者：余红玉¹ 钱铭怡² 姚泥沙²

单位：1. 中央民族大学教育学院北京100081
2. 北京大学心理学系北京100871

分类号：R395.5

出版年,卷(期):页码：2015,23(6):1124-1128

摘要：

目的:考察积极关注对社交焦虑者的焦虑、解释偏差及注意偏向的影响。方法:借鉴认知行为治疗中记录思维日记的方法(Dysfunctional Thought Record, DTR),改良后通过一系列问题引导社交焦虑者(非临床样本)进行一个月的正性思考,引导其关注正性信息。内容包括对某一正性事件积极的想法、积极的情绪、舒适的躯体感受以及积极的行为结果。结果:一个月的积极关注训练后,社交焦虑者自我报告的焦虑水平明显改善(P <0.001);解释偏差任务中选择正负性解释的反应时均明显缩短(P <0.01);注意偏向无明显变化。结论:提示对生活琐事的积极关注可以有效改善社交焦虑者焦虑症状及解释偏差。

Objective: To explore the effects of positive training on social anxiety, interpretation and attention bias. Methods: A modified dysfunctional thought record(DTR), which was used in cognitive behavior therapy, was used for posi-tive training in a nonclinical sample of students for a month. A series of questions were asked to induce participants to think positively, including thoughts, emotions, somatosensory and behavior consequences. Results: After a month's training, the participants showed a significant decrease on self-reported anxiety(P <0.001); They also showed a significant improve on the response times both for positive and negative interpretation in the task of interpretation bias(P <0.01), but not for attention bi-as on positive information. Conclusion: The positive training might be useful in improving social anxiety and interpretation bias in socially anxious individuals on their daily life.

基金项目：

国家自然科学基金“社交焦虑者的评价恐惧及认知机制研究”(31170991)

作者简介：

参考文献：

1 Spokas ME, Rodebaugh TL, Heimberg RG. Cognitive biases in social phobia. Psychiatry, 2007, 6(5): 204-210
2 Chen NTM, Clarke PJF, MacLeod C, et al. Biased attentional processing of positive stimuli in social anxiety disorder: An eye movement study. Cognitive Behaviour Therapy, 2012, 41 (2): 96-107
3 Taylor CT, Bomyea J, Amir N. Attentional bias away from positive social information mediates the link between social anxiety and anxiety vulnerability to a social stressor. Journal of Anxiety Disorders, 2010, 24(4): 403-408
4 李丹枫,余真真,段添翼,等. 解释偏向矫正对大学生演讲焦虑的影响. 中国临床心理学杂志,2014,22(1):43-47
5 姚泥沙,李松蔚,钱铭怡, 等. 高社交焦虑个体对正性面孔的解释偏差. 中国心理卫生杂志,2012,26(9):680-685
6 Muris P, Field AP. Distorted cognition and pathological anxiety in children and adolescents. Cognition and Emotion,2008, 22(3): 395-421
7 李涛,冯菲. 社交焦虑解释偏差: 研究范式、特征及矫正. 心理科学进展,2013,21(12):2196-2203
8 周雅,刘翔平,苏洋,等. 消极偏差还是积极缺乏:抑郁的积极心理学解释. 心理科学进展,2010,18(4):590-597
9 Beard C, Amir N. A multisession interpretation modification program: changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 2008, 46(10): 1135-1141
10 Mobini S, Mackintosh B, Illingworth J, et al. Effects of standard and explicit cognitive bias modification and computeradministered cognitive-behaviour therapy on cognitive biases and social anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 2014, 45(2): 272-279
11 Vassilopoulos SP, Banerjee R, Prantzalou C. Experimental modification of interpretation bias in socially anxious children: changes ininterpretation, anticipated interpersonal anxiety, and social anxiety symptoms. Behaviour Research and Therapy, 2009, 47(12): 1085 -1089
12 Fu X, Du Y, Au S, et al. Reducing negative interpretations in adolescents with anxiety disorders: A preliminary study investigating the effects of a singlesession of cognitive bias modification training. Developmental Cognitive Neuroscience,2013, 4(4): 29-37
13 Kashdan TB, Weeks JW, Savostyanova AA. Whether, how, and when social anxiety shapes positive experiences and events: a self-regulatory framework and treatment implications. Clinical Psychology Review, 2011, 31(5): 786-799
14 Kashdan TB, Adams L, Savostyanova A, et al. Effects of social anxiety and depressive symptoms on the frequency and quality of sexual activity: A daily process approach. Behaviour Research and Therapy, 2011, 49(5): 352-360
15 Beck AT著. 翟书涛,等译. 认知疗法:基础与应用. 北京: 中国轻工业出版社,2001. 1
16 Beck AT. Depression: causes and treatment. Philadelphia: University of Pennsylvania Press, 1967
17 周小红,杨化. 受校纪处分的高校学生后续教育机制探讨 —从在心理辅导中运用S-R-C行为模式理论的角度. 黑龙江高教研究,2010,9:132-134
18 Alden LE, Trew JL. If it makes you happy: engaging in kind acts increases positive affect in socially anxious individuals. Emotion, 2013, 13(1): 64-75
19 Hirsch CR, Clark DM, Mathews A. Imagery and interpretations in social phobia: support for the combined cognitive biases hypothesis. Behavior Therapy, 2006, 37(3): 223-236
20 Peckham AD, McHugh RK, Otto MW. A meta-analysis of the magnitude of biased attention in depression. Depression and Anxiety, 2010, 27(12): 1135-1142
21 Liebowitz MR. Social phobia. Modern Problems in Pharmacopsychiarty,1987, 22: 141-173
22 何燕玲,张明园. Liebowitz社交焦虑量表的信度和效度研究. 诊断学理论与实践,2004,3(2):89-93
23 汪向东,王希林,马弘. 状态-特质焦虑问卷(State-Trait Anxiety Inventory,STAI-Form Y). 增刊. 中国心理卫生杂志,1999. 238 -241
24 汪向东,王希林,马弘. Beck 抑郁问卷(Beck Depression Inventory,BDI). 增刊. 中国心理卫生杂志,1999. 191-194
25 Kratz AL, Davis MC, Zautra AJ. Attachment predicts daily catastrophizing and social coping in women with pain. Health Psychology, 2012, 31(3): 278-285
26 Moser JS, Huppert JD, Foa EB, et al. Interpretation of ambiguous social scenarios in social phobia and depression: Evidence from event-related brain potentials. Biological Psychology, 2012, 89(2): 387-397
27 Garner M, Mogg K, Bradley BP. Orienting and maintenance of gaze to facial expressions in social anxiety. Journal of Abnormal Psychology, 2006, 115: 760-770
28 Yu H, Li S, Qian M, et al. Time-course of attentional bias for positive social words in individuals with high and low social anxiety. Behavioural and Cognitive Psychotherapy,2014, 42(4): 479-490
29 Starr LR, Davila JS. Temporal patterns of anxious and depressed mood in generalized anxiety disorder: A daily diary study. Behaviour Research and Therapy, 2012, 50(2): 131-141
30 Salemink E, Kindt M, Rienties H, et al. Internet-based Cognitive Bias Modification of Interpretations in patients with anxiety disorders: A randomised controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 2014, 45(1):186-195
31 Heinrichs N, Hofmann SG. Information processing in social phobia: a critical review. Clinical Psychology Review, 2001,21(5): 751-770

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