{"title":"逐次改变发声障碍:使用强化 CBT 的描述性病例研究。","authors":"Jane Gregory, Chloe Foster","doi":"10.1017/S1754470X23000107","DOIUrl":null,"url":null,"abstract":"<p><p>There is preliminary evidence that CBT may be helpful for improving symptoms of misophonia, but the key mechanisms of change are not yet known for this disorder of decreased tolerance to everyday sounds. This detailed case study aimed to describe the delivery of intensive, formulation-driven CBT for an individual with misophonia and report on session-by-session outcomes using a multidimensional measurement tool (S-Five). The patient was offered twelve hours of treatment over five sessions, using transdiagnostic and misophonia-specific interventions. Reliable and clinically significant change was found from baseline to one-month follow up. Visual inspection of outcome graphs indicated that change occurred on the \"outbursts\" and \"internalising appraisals\" S-Five subscales following assessment, and on the \"emotional threat\" subscale after first treatment session. The other two subscales started and remained below a clinically significant level. The biggest symptom change appeared to have occurred after second session, which included interventions engaging with trigger sounds. The results demonstrated the individualised nature of misophonia, supporting the use of individually tailored treatment for misophonia and highlighting the importance of using a multidimensional measurement tool.</p>","PeriodicalId":55631,"journal":{"name":"Chinese Journal of Aeronautics","volume":"28 1","pages":"s1754470x23000107"},"PeriodicalIF":5.3000,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7615391/pdf/","citationCount":"0","resultStr":"{\"title\":\"Session-by-session change in misophonia: a descriptive case study using intensive CBT.\",\"authors\":\"Jane Gregory, Chloe Foster\",\"doi\":\"10.1017/S1754470X23000107\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>There is preliminary evidence that CBT may be helpful for improving symptoms of misophonia, but the key mechanisms of change are not yet known for this disorder of decreased tolerance to everyday sounds. This detailed case study aimed to describe the delivery of intensive, formulation-driven CBT for an individual with misophonia and report on session-by-session outcomes using a multidimensional measurement tool (S-Five). The patient was offered twelve hours of treatment over five sessions, using transdiagnostic and misophonia-specific interventions. Reliable and clinically significant change was found from baseline to one-month follow up. Visual inspection of outcome graphs indicated that change occurred on the \\\"outbursts\\\" and \\\"internalising appraisals\\\" S-Five subscales following assessment, and on the \\\"emotional threat\\\" subscale after first treatment session. The other two subscales started and remained below a clinically significant level. The biggest symptom change appeared to have occurred after second session, which included interventions engaging with trigger sounds. The results demonstrated the individualised nature of misophonia, supporting the use of individually tailored treatment for misophonia and highlighting the importance of using a multidimensional measurement tool.</p>\",\"PeriodicalId\":55631,\"journal\":{\"name\":\"Chinese Journal of Aeronautics\",\"volume\":\"28 1\",\"pages\":\"s1754470x23000107\"},\"PeriodicalIF\":5.3000,\"publicationDate\":\"2023-07-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7615391/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chinese Journal of Aeronautics\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1017/S1754470X23000107\",\"RegionNum\":1,\"RegionCategory\":\"工程技术\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"ENGINEERING, AEROSPACE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chinese Journal of Aeronautics","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1017/S1754470X23000107","RegionNum":1,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"ENGINEERING, AEROSPACE","Score":null,"Total":0}
Session-by-session change in misophonia: a descriptive case study using intensive CBT.
There is preliminary evidence that CBT may be helpful for improving symptoms of misophonia, but the key mechanisms of change are not yet known for this disorder of decreased tolerance to everyday sounds. This detailed case study aimed to describe the delivery of intensive, formulation-driven CBT for an individual with misophonia and report on session-by-session outcomes using a multidimensional measurement tool (S-Five). The patient was offered twelve hours of treatment over five sessions, using transdiagnostic and misophonia-specific interventions. Reliable and clinically significant change was found from baseline to one-month follow up. Visual inspection of outcome graphs indicated that change occurred on the "outbursts" and "internalising appraisals" S-Five subscales following assessment, and on the "emotional threat" subscale after first treatment session. The other two subscales started and remained below a clinically significant level. The biggest symptom change appeared to have occurred after second session, which included interventions engaging with trigger sounds. The results demonstrated the individualised nature of misophonia, supporting the use of individually tailored treatment for misophonia and highlighting the importance of using a multidimensional measurement tool.
期刊介绍:
Chinese Journal of Aeronautics (CJA) is an open access, peer-reviewed international journal covering all aspects of aerospace engineering. The Journal reports the scientific and technological achievements and frontiers in aeronautic engineering and astronautic engineering, in both theory and practice, such as theoretical research articles, experiment ones, research notes, comprehensive reviews, technological briefs and other reports on the latest developments and everything related to the fields of aeronautics and astronautics, as well as those ground equipment concerned.