Exposure traced in daily life: improvements in ecologically assessed social and physical activity following exposure-based psychotherapy for anxiety disorders

IF 4.8 2区 医学 Q1 PSYCHIATRY
Ingmar Heinig , Martin Weiß , Alfons O. Hamm , Grit Hein , Maike Hollandt , Jürgen Hoyer , Philipp Kanske , Jan Richter , Hans-Ulrich Wittchen , Andre Pittig
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引用次数: 0

Abstract

Background

Although exposure-based cognitive-behavioral therapy for anxiety disorders has frequently been proven effective, only few studies examined whether it improves everyday behavioral outcomes such as social and physical activity.

Methods

126 participants (85 patients with panic disorder, agoraphobia, social anxiety disorder, or specific phobias, and 41 controls without mental disorders) completed smartphone-based ambulatory ratings (activities, social interactions, mood, physical symptoms) and motion sensor-based indices of physical activity (steps, time spent moving, metabolic activity) at baseline, during, and after exposure-based treatment.

Results

Prior to treatment, patients showed reduced mood and physical activity relative to healthy controls. Over the course of therapy, mood ratings, interactions with strangers and indices of physical activity improved, while reported physical symptoms decreased. Overall results did not differ between patients with primary panic disorder/agoraphobia and social anxiety disorder. Higher depression scores at baseline were associated with larger changes in reported symptoms and mood ratings, but smaller changes in physical activity

Conclusions

Exposure-based treatment initiates increased physical activity, more frequent interaction with strangers, and improvements in everyday mood. The current approach provides objective and fine-graded process and outcome measures that may help to further improve treatments and possibly reduce relapse.

日常生活暴露追踪:焦虑障碍暴露心理治疗后生态评估社会和身体活动的改善
尽管基于暴露的焦虑症认知行为疗法经常被证明是有效的,但只有少数研究调查了它是否能改善日常行为结果,如社交和身体活动。方法126名参与者(85名患有惊恐障碍、广场恐怖症、社交焦虑障碍或特定恐惧症的患者,41名没有精神障碍的对照组)在基线、暴露治疗期间和之后完成了基于智能手机的门诊评分(活动、社交互动、情绪、身体症状)和基于运动传感器的身体活动指数(步数、运动时间、代谢活动)。结果治疗前,患者的情绪和体力活动均低于健康对照组。在治疗过程中,情绪评分、与陌生人的互动和身体活动指数都有所改善,而报告的身体症状有所减轻。总体结果在原发性惊恐障碍/广场恐怖症和社交焦虑障碍患者之间没有差异。基线时较高的抑郁评分与报告的症状和情绪评分的较大变化相关,但与身体活动的较小变化相关。结论:基于压力的治疗可以增加身体活动,更频繁地与陌生人互动,并改善日常情绪。目前的方法提供了客观和精细分级的过程和结果测量,可能有助于进一步改善治疗并可能减少复发。
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来源期刊
CiteScore
16.60
自引率
2.90%
发文量
95
期刊介绍: The Journal of Anxiety Disorders is an interdisciplinary journal that publishes research papers on all aspects of anxiety disorders for individuals of all age groups, including children, adolescents, adults, and the elderly. Manuscripts that focus on disorders previously classified as anxiety disorders such as obsessive-compulsive disorder and posttraumatic stress disorder, as well as the new category of illness anxiety disorder, are also within the scope of the journal. The research areas of focus include traditional, behavioral, cognitive, and biological assessment; diagnosis and classification; psychosocial and psychopharmacological treatment; genetics; epidemiology; and prevention. The journal welcomes theoretical and review articles that significantly contribute to current knowledge in the field. It is abstracted and indexed in various databases such as Elsevier, BIOBASE, PubMed/Medline, PsycINFO, BIOSIS Citation Index, BRS Data, Current Contents - Social & Behavioral Sciences, Pascal Francis, Scopus, and Google Scholar.
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