Effects of Training Body-Related Interpretations on Panic-Related Cognitions and Symptoms.

Autor: Würtz F; Mental Health Treatment and Research Center, Faculty of Psychology, Ruhr-University Bochum, Massenbergstraße 9-13, D-44787 Bochum, Germany., Steinman S; Psychology Department, West Virginia University, Morgantown, USA., Blackwell SE; Mental Health Treatment and Research Center, Faculty of Psychology, Ruhr-University Bochum, Massenbergstraße 9-13, D-44787 Bochum, Germany., Wilhelm FH; Division of Clinical Psychology and Psychopathology, Department of Psychology, Paris- Lodron University Salzburg, Hellbrunner Straße 34, 5020 Salzburg, Austria., Reinecke A; Department of Psychiatry, University of Oxford, Oxford , UK.; Oxford Health NHS Foundation Trust, Oxford , UK., Adolph D; Mental Health Treatment and Research Center, Faculty of Psychology, Ruhr-University Bochum, Massenbergstraße 9-13, D-44787 Bochum, Germany., Margraf J; Mental Health Treatment and Research Center, Faculty of Psychology, Ruhr-University Bochum, Massenbergstraße 9-13, D-44787 Bochum, Germany., Woud ML; Mental Health Treatment and Research Center, Faculty of Psychology, Ruhr-University Bochum, Massenbergstraße 9-13, D-44787 Bochum, Germany.
Jazyk: angličtina
Zdroj: Cognitive therapy and research [Cognit Ther Res] 2023; Vol. 47 (3), pp. 494-509. Date of Electronic Publication: 2023 Feb 09.
DOI: 10.1007/s10608-023-10358-9
Abstrakt: Background: Interpretation biases (IBs) are central in panic disorder, and there is rich evidence showing that these are correlated with and predictive of panic-relevant symptomatology. However, experimental studies are needed to examine the potential causal effects of IBs, as predicted by cognitive models.
Methods: Panic-related IBs were manipulated via a sentence-completion Cognitive Bias Modification-Interpretation (CBM-I) training. The sample included N  = 112 healthy participants reporting moderate levels of fear of bodily sensations. Participants were randomly allocated to a positive, negative, or control CBM-I condition. To test the trainings' effect on panic-relevant cognitive processing, IBs were assessed via proximal and distal measures. Symptom provocation tasks were applied to test transfer to panic-relevant symptomatology.
Results: Results on the proximal measure showed that positive CBM-I led to more positive IBs compared to negative, and control training. Further, positive CBM-I led to more positive IBs on the distal measure as compared to negative CBM-I. However, there were no differential training effects on panic-related symptomatology triggered via the provocation tasks.
Conclusion: The findings indicate a limited generalization of the effects of CBM-I on IBs and panic-related symptoms. Potential means to improve generalization, such as applying more nuanced measures and combining CBM-I with psychoeducation are discussed.
Competing Interests: Conflict of interestFelix Würtz,  Shari Steinman, Simon E. Blackwell, Frank H. Wilhelm, Dirk Adolph, Andrea Reinecke, Jürgen Margraf and Marcella L. Woud declare that they have no conflict of interest.
(© The Author(s) 2023.)
Databáze: MEDLINE
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