Contextual schema therapy for social anxiety and depression symptoms-A two sessions, online, group randomized trial.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-07-17 DOI:10.1080/10503307.2025.2523480

Simona Stefan, Paula Stroian, Liviu-Andrei Fodor, Matu Silviu, Diana Nechita, Daniel Mătiță, Mircea Mustățea, Alice Ioana, Ancuta Tamas, Eckhard Roediger

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Abstract

Objective: In the current randomized control trial, we tested the efficacy of a transdiagnostic, two-session Contextual Schema Therapy intervention, delivered in an online group format, for individuals with social anxiety and/or depressive symptoms and examined self-criticism and experiential avoidance as potential mediators.

Method: The sample included 134 participants scoring above the 30 Liebowitz Social Anxiety Scale cut-off point and/or above 14 on the Beck Depression Inventory-II, who were randomized to either the contextual schema therapy group intervention or an online psychoeducation control group.

Results: Significant reductions in social anxiety (p = 0.038, d = 0.35 at post-intervention) and depression (p = 0.015, d = 0.41 at post-intervention) and an increase in quality of life (p = 0.033, d = 0.36 at follow-up) were found in the contextual schema therapy group compared to the control group (in the absence of clustering effects), while no significant differences were found for self-criticism and experiential avoidance, the proposed mediators.

Conclusions: The results support the efficacy of this brief contextual schema intervention format, while its mechanisms of change remain to be investigated further.

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情境图式疗法对社交焦虑和抑郁症状的治疗——两个在线、组随机试验。

目的：在当前的随机对照试验中，我们测试了跨诊断、两阶段情境图式治疗干预的有效性，该干预以在线小组形式提供，用于患有社交焦虑和/或抑郁症状的个体，并检查了自我批评和经验回避作为潜在的中介。方法：样本包括134名在利博维茨社交焦虑量表（Liebowitz Social Anxiety Scale）分值30分以上和/或在贝克抑郁量表ⅱ（Beck Depression Inventory-II）分值14分以上的参与者，他们被随机分为情境图式治疗组干预组和在线心理教育对照组。结果：与对照组相比（在没有聚类效应的情况下），情境图式治疗组在社交焦虑（p = 0.038, d = 0.35）和抑郁（p = 0.015, d = 0.41）和生活质量（p = 0.033, d = 0.36）方面显著降低（在没有聚类效应的情况下），而在自我批评和经验回避这两种中介方面没有发现显著差异。结论：研究结果支持这种简短情境图式干预形式的有效性，但其改变机制有待进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.