Interpretation Training in Individuals with Generalized Social Anxiety Disorder: A Randomized Controlled Trial

Autor/inn/en	Amir, Nader; Taylor, Charles T.
Titel	Interpretation Training in Individuals with Generalized Social Anxiety Disorder: A Randomized Controlled Trial
Quelle	In: Journal of Consulting and Clinical Psychology, 80 (2012) 3, S.497-511 (15 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0026928
Schlagwörter	Anxiety Disorders; Depression (Psychology); Control Groups; Comparative Analysis; Task Analysis; Association Measures; Ambiguity (Context); Reinforcement; Symptoms (Individual Disorders); Therapy; Outcomes of Treatment + Suchen Sie Ihr Suchwort? Aufgabenanalyse; Positive Verstärkung; Psychiatrische Symptomatik; Therapie
Abstract	Objective: To examine the efficacy of a multisession computerized interpretation modification program (IMP) in the treatment of generalized social anxiety disorder (GSAD). Method: The sample comprised 49 individuals meeting diagnostic criteria for GSAD who were enrolled in a randomized, double-blind placebo-controlled trial comparing IMP (n = 23) with an interpretation control condition (ICC; n = 26). The interpretation training procedures comprised a word-sentence association task in which participants decided whether a word implying a threatening or benign meaning was related to an ambiguous social scenario. In the IMP group, participants were reinforced for interpreting ambiguous social information in a nonthreatening and more benign manner. In the ICC group, participants were reinforced with equal frequency for interpreting ambiguous social information in either a threatening or benign manner. Results: Intent-to-treat and completer analyses revealed that IMP significantly decreased threat interpretations and increased benign interpretations from pre- to post-assessment relative to the ICC group. Moreover, IMP participants displayed significantly larger reductions in clinician-rated social anxiety symptoms and functional impairment as well as self-reported trait anxiety and depression relative to ICC participants. Groups did not differ on change in self-rated social anxiety symptoms. Participants no longer meeting "DSM-IV" criteria for GSAD at post-assessment were 65% in IMP and 13% in ICC. Conclusions: These results suggest that computerized interpretation training procedures may be beneficial for treating social anxiety disorder. (Contains 5 tables, 1 figure, and 6 footnotes.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10