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Testing a procedural variant of written imaginal exposure for generalized anxiety disorder

机译:测试书面想象暴露的程序变型对广泛性焦虑症的影响

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This experiment examined the degree to which it is more beneficial for individuals with generalized anxiety disorder (GAD) to engage in repeated exposure to mental imagery of the same feared scenario versus varying the exposure content. On three consecutive days, individuals with GAD (N= 57) spent 20. min writing about: (1) the same worst case scenario (consistent exposure; CE), (2) variations of their worst case scenario (varied exposure; VE), or (3) a neutral topic (neutral control; NC). Participants in the CE condition displayed significant decreases in worry, acute cognitive avoidance, and intolerance of uncertainty from baseline to 1-week follow-up; participants in the VE and NC conditions did not. Initial activation of self-reported anxiety (observed in the CE and VE conditions) and between-session reduction in anxiety (observed in the CE condition only) were associated with improvement in worry. Including more references to negative emotion and writing in the present tense were also associated with greater improvement in worry in the CE condition. These findings suggest that writing repeatedly about the same worst case scenario may benefit people with GAD. The study also provides information on potential mechanisms of change.
机译:该实验研究了对于患有广泛性焦虑症(GAD)的个人,在相同的恐惧情景下反复暴露于精神影像而不是改变暴露量,更有利的程度。在连续三天中,GAD(N = 57)的人花费了20分钟,写下以下内容:(1)相同的最坏情况(持续暴露; CE),(2)最坏情况的变化(变化暴露; VE) ,或(3)中立主题(中立控制; NC)。从基线到1周的随访,CE病患的焦虑,急性认知回避和不确定性的不容忍度显着降低; VE和NC条件的参与者没有。自我报告的焦虑的初步激活(在CE和VE条件下观察到)和休会期间焦虑减轻(仅在CE情况下观察到)与忧虑改善相关。在当前时态中包括更多关于消极情绪和写作的提法,也可以使CE病患的忧虑得到更大的改善。这些发现表明,反复写同样的最坏情况可能会使GAD患者受益。该研究还提供了有关潜在变化机制的信息。

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