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    Title: 社交焦慮者的解釋性偏誤改善療效探討
    The intervention effect of interpretative bias modification in social anxious individuals
    Authors: 賴怡臻
    Lai, Yi Jen
    Contributors: 許文耀
    Hsu, Wen Yau
    賴怡臻
    Lai, Yi Jen
    Keywords: 社交焦慮
    解釋性偏誤
    解釋性認知偏誤修正
    解釋性訓練
    句詞關聯作業
    Social anxiety
    Interpretative bias
    Interpretative bias modification
    Interpretational training
    Sentence word association paradigm
    Date: 2018
    Issue Date: 2018-02-02 11:19:52 (UTC+8)
    Abstract: 本研究的主要目的有二:其一,驗證經過修改後的「句詞關聯作業」此一實驗派典,是否可以成為一套能有效區辨高、低社交焦慮者解釋性認知偏誤的測量工具。其二,驗證以「句詞關聯作業」作為解釋性認知偏誤修正工具時,是否能夠有效且持續地改善高社交焦慮者不適應的解釋性偏誤情形與社交焦慮症狀。為達到上述兩個研究目的,分為研究一與研究二進行。研究一選取86名高社交焦慮與59名低社交焦慮之非臨床大學校內學生,施予社交焦慮與情緒相關量表、句詞關聯作業以及解釋性偏誤相關問卷。研究一的結果顯示,相較於低社交焦慮者,高社交焦慮者同時具有較高程度的威脅解釋偏誤,以及較低程度的非威脅解釋偏誤。當執行組內比較時,則進一步發現並非高社交焦慮者具備某種解釋性的偏誤,反而是低社交焦慮者的解釋傾向展現出某些特殊性。此外,藉由相關分析,發現解釋性偏誤的在線與離線歷程、威脅與非威脅解釋偏誤之間具有緊密關聯,而句詞關聯作業與其他相關的測量工具彼此具備聚斂性。研究二邀請研究一之80名高社交焦慮者繼續參與實驗,隨機分派為改善訓練組與中性訓練組。受試者根據所屬組別接受相對應的訓練程序,為期四週共八次。訓練結束後再度施予社交焦慮與情緒相關量表、句詞關聯作業以及解釋性偏誤相關問卷,並於一個月後進行追蹤評估。研究二的結果顯示,改善訓練程序的確可有效地降低高社交焦慮者的威脅解釋偏誤,並且提升其非威脅解釋偏誤。細究此療效之所以發生的機制,主要在於促使高社交焦慮者形成與低社交焦慮者相似的解釋偏誤特性。然而,在降低社交焦慮症狀上,本研究並未看見明顯效果,內文將對此非預期結果進行討論。總體而言,針對社交焦慮者的解釋性偏誤情形,「句詞關聯作業」的確具備成為輔助性評估與介入工具之潛力。
    The purpose of the present study was twofold. First, it aimed to examine if the modified paradigm, sentence word association paradigm (SWAP), can differentiate interpretation between high and low social anxious individuals. Second, it tried to investigate the effects of interpretational training, using the training version of SWAP as cognitive bias modification program, in modifying interpretative bias and in reducing social anxiety symptoms in high social anxious individuals. In study 1, a total of 86 high social anxious and 59 low social anxious participants completed seven questionnaires and SWAP. The results showed that high social anxious individuals had greater threat interpretative bias and smaller benign interpretative bias compared to low social anxious individuals. Further, it was important to note that when comparing within group, actually not high but low social anxious individuals showed some special interpretation patterns. In addition, the statistics revealed significant correlations between on-line and off-line data, threat and benign interpretative bias. The current study also had found the consistency between SWAP and questionnaires measurements. In study 2, eighty high social anxious participants from study 1 were assigned randomly into modification training and neutral control group. All participants completed eight interpretaional training sessions delivered over four weeks (twice a week). Participants were also required to complete postassessments and follow-up assessments. The results indicated that the modification training program successfully increased the benign interpretative bias and decreased the threat interpretative bias, compared to the neutral control condition. When exploring the training mechanism, the current study discovered that modification training program helped high social anxious individuals gain the same interpretation patterns as low social anxious individuals had. However, the modification training program didn’t reduce social anxiety symptoms in high social anxious individuals. This unexpected finding were discussed. In conclusion, SWAP may have clinical utility when applied as assessment and intervention.
    Reference: 李敬陽、葛魯嘉(2007)。社交焦慮障礙流行病學特徵與治療方法的研究現狀。中國組織工程研究與臨床康復,11,10644–10647。
    徐子文(2015)。正向解釋訓練對社交焦慮傾向者之解釋偏誤、自尊、焦慮狀態之影響─以大學生為例。輔仁大學臨床心理學系研究所碩士論文,新北,臺灣。
    梁記雯(2013)。高社會焦慮者的注意力訓練療效與眼動歷程之探討。國立政治大學心理學研究所博士論文,臺北,臺灣。
    陳心怡(譯)(2000)。貝克憂鬱量表第二版指導手冊(中文版)。臺北市:中國行為學社。
    楊宜音、張志學等(譯)(1997)。性格與社會心理測量總覽。臺北市:遠流。
    劉瑞楨(1998)。憂鬱者與社會焦慮者的自我關注特性─偏好性、持續性與彈性的探討。國立臺灣大學心理學研究所碩士論文,臺北,臺灣。
    盧孟良、車先蕙、張尚文、沈武典(2002)。中文版貝克憂鬱量表第二版之信度和效度。臺灣精神醫學,16,301–310。
    鍾思嘉、龍長風(1984)。修訂情境與特質焦慮量表之研究。測驗年刊,31,27–36。
    American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed). Washington, DC: American Psychiatric Association.
    Amir, N., Beard, C., & Bower, E. (2005). Interpretation bias and social anxiety. Cognitive Therapy and Research, 29, 433–443.
    Amir, N., & Bomyea, J. (2010). Cognitive biases in social anxiety disorder. In D. Hoffmann & B. di Bartolo (Eds.), Social Anxiety: Clinical, Developmental and Social Perspectives (pp. 373–393). New York: Elsevier.
    Amir, N., Bomyea, J., & Beard, C. (2010). The effect of single-session interpretation modification on attention bias in socially anxious individuals. Journal of Anxiety Disorders, 24, 178–182.
    Amir, N., & Foa, E. B. (2001). Cognitive biases in social phobia. In: S. G. Hofmann & P. M. DiBartolo (Eds.), From social anxiety to social phobia: multiple perspectives (pp. 254–267). Needham Heights, MA: Allyn & Bacon.
    Amir, N., Foa, E. B., & Coles, M. E. (1998a). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36, 945–957.
    Amir, N., Foa, E. B., & Coles, M. E. (1998b). Automatic activation and strategic avoidance of threat-relevant information in social phobia. Journal of Abnormal Psychology, 107, 285–290.
    Amir, N., Prouvost, C., & Kuckertz, J. M. (2012). Lack of a benign interpretation bias in social anxiety disorder. Cognitive Behaviour Therapy, 41, 119–129.
    Amir, N., & Taylor, C. T. (2012). Interpretation training in individuals with generalized social anxiety disorder: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 80, 497–511.
    Baker, S. L., Heinrichs, N., Kim, H. J., & Hofmann, S. G. (2002). The Liebowitz social anxiety scale as a self–report instrument: a preliminary psychometric analysis. Behaviour Research and Therapy, 40, 701–715.
    Beard, C., & Amir, N. (2008). A multi–session interpretation modification program: changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 46, 1135–1141.
    Beard, C., & Amir, N. (2009). Interpretation in social anxiety: when meaning precedes ambiguity. Cognitive Therapy and Research, 33, 406–415.
    Beard, C., & Amir, N. (2010). Negative interpretation bias mediates the effect of social anxiety on state anxiety. Cognitive Therapy and Research, 34, 292–296.
    Beard, C., Weisberg, R. B., & Amir, N. (2011). Combined cognitive bias modification treatment for social anxiety disorder: a pilot trial. Depression and Anxiety, 28, 981–988.
    Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.
    Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck Depression Inventory–II. San Antonio, TX: Psychological Corporation.
    Bowler, J. O., Mackintosh, B., Dunn, B. D., Mathews, A., Dagleish, T., & Hoppitt, L. (2012). A comparison of cognitive bias modification for interpretation and computerized cognitive behavior therapy: effects on anxiety, depression, attentional control, and interpretive bias. Journal of Consulting and Clinical Psychology, 80, 1021–1033.
    Brendle, J. R., & Wenzel, A. (2004). Differentiating between memory and interpretation biases in socially anxious and nonanxious individuals. Behaviour Research and Therapy, 42, 155–171.
    Brosan, L., Hoppitt, L., Shelfer, L., Sillence, A., & Mackintosh, B. (2011). Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service: results from a pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 42, 258–264.
    Calvo, M. G., Eysenck, M. W., & Castillo, M. D. (1997). Interpretation bias in test anxiety: the time course of predictive inferences. Cognition and Emotion, 11, 43–63.
    Calvo, M. G., Eysenck, M. W., & Estevez, A. (1994). Ego-threat interpretative bias in test anxiety: on-line inferences. Cognition and Emotion, 8, 127–146.
    Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.
    Constans, J. I., Penn, D. L., Ihen G. H., & Hope, D. A. (1999). Interpretive biases for ambiguous stimuli in social anxiety. Behaviour Research and Therapy, 37, 643–651.
    Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: a comparison of the psychometric properties of self–report and clinician–administered formats. Psychological Medicine, 31, 1025–1035.
    Fu, X., Du, Y., Au, S., & Lau, J. Y. F. (2013). Reducing negative interpretations in adolescents with anxiety disorders: a preliminary study investigating the effects of a single session of cognitive bias modification training. Developmental Cognitive Neuroscience, 4, 29–37.
    Fu, X., Du, Y., Au, S., & Lau, J. Y. F. (2015). Single-session cognitive bias modification of interpretations training in high-anxious adolescents. Journal of Cognitive Psychotherapy, 29, 253–272.
    Gluck, R. L., Lynn, D. A., Dritschel, B., & Brown, G. R. (2014). Sex differences in interpretation bias in adolescents. British Journal of Developmental Psychology, 32, 116–122.
    Grey, S., & Mathews, A. (2000). Effects of training on interpretation of emotional ambiguity. The Quarterly Journal of Experimental Psychology, 53, 1143–1162.
    Hackmann, A., Surawy, C., & Clark, D. M. (1988). Seeing yourself through others’ eyes: a study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3–12.
    Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., Schneier, F. R., & Liebowitz, M. R. (1999). Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine, 29, 199–212.
    Heinrichs, N., & Hofmann, S. G. (2001). Information processing in social phobia: a critical review. Clinical Psychology Review, 21, 751–770.
    Hertel, P. T., Brozovich, F., Joormann, J., & Gotlib, I. G. (2008). Biases in interpretation and memory in generalized social phobia. Journal of Abnormal Psychology, 117, 278–288.
    Hindash, A. H. C., & Amir, N. (2012). Negative interpretation bias in individuals with depressive symptoms. Cognitive Therapy and Research, 36, 502–511.
    Hirsch, C. R., & Clark, D. M. (2004). Information-processing bias in social phobia. Clinical Psychology Review, 24, 799–825.
    Hirsch, C. R., Clark, D. M., Mathews, A., & Williams, R. (2003). Self-images play a causal role in social phobia. Behaviour Research and Therapy, 41, 909–921.
    Hirsch, C. R., Hayes, S., & Mathews, A. (2009). Looking on the bright side: accessing benign meanings reduces worry. Journal of Abnormal Psychology, 118, 44–54.
    Hirsch, C. R., & Mathews, A. (1997). Interpretative inferences when reading about emotional events. Behaviour Research and Therapy, 35, 1123–1132.
    Hirsch, C. R., & Mathews, A. (2000). Impaired positive inferential bias in social phobia. Journal of Abnormal Psychology, 109, 705–712.
    Hirsch, C. R., Mathews, A., Clark, D. M., Williams, R., & Morrison, J. (2003). Negative self-imagery blocks inferences. Behaviour Research and Therapy, 41, 1383–1396.
    Holmes, E. A., Mathews, A., Dalgleish, T., & Mackintosh, B. (2006). Positive interpretation training: effects of mental imagery versus verbal training on positive mood. Behavior Therapy, 37, 237–247.
    Holt, C. S., Heimberg, R. G., Hope, D. A., & Liebowutz, M. R. (1992). Situational domains of social phobia. Journal of Anxiety Disorders, 6, 63–77.
    Hoppitt, L., Mathews, A., Yiend, J., & Mackintosh, B. (2010). Cognitive mechanisms underlying the emotional effects of bias modification. Applied Cognitive Psychology, 24, 312–325.
    Huppert, J. D., Foa, E. B., Furr, J. M., Filip, J. C, & Mathews, A. (2003). Interpretation bias in social anxiety: a dimensional perspective. Cognitive Therapy and Research, 27, 569–577.
    Huppert, J. D., Pasupuleti, R. V., Foa, E. B., & Mathews, A. (2007). Interpretation biases in social anxiety: response generation, response selection, and self–appraisals. Behaviour Research and Therapy, 45, 1505–1515.
    Jalal, B., & Amir, N. (2014). Semantic priming and interpretation bias in social anxiety disorder. Cognitive Therapy and Research, 38, 23–32.
    Jones, E. B., & Sharpe, L. (2017). Cognitive bias modification: a review of meta-analyses. Journal of Affective Disorders, 223, 175–183.
    Jusyte, A., & Schonenberg, M. (2014). Threat process in generalized social phobia: an investigation of interpretation biases in ambiguous facial affect. Psychiatry Research, 217, 100–106.
    Kanai, Y., Sasagawa, S., Chen, J., Shimada, H., & Sakano, Y. (2010). Interpretation bias for ambiguous social behavior among individuals with high and low levels of social anxiety. Cognitive Therapy and Research, 34, 229–240.
    Kashdan, T. B., Weeks, J. W., & Savostyanova, A. A. (2011). Whether, how, and when social anxiety shapes positive experiences and events: a self-regulatory framework and treatment implications. Clinical Psychology Review, 31, 786–799.
    Liang, C. W., Hsu, W. Y., Hung, F. C., Wang, W. T., & Lin, C. H. (2011). Absence of a positive bias in social anxiety: the application of a directed forgetting paradigm. Journal of Behavior Therapy and Experimental Psychiatry, 42, 204–210.
    Liebowitz, M. R. (1987). Social phobia. Modern Problems in Phamacopsychiatry, 22, 141–173.
    Lothmann, C., Holmes, E. A., Chan, S. W. Y., & Lau, J. Y. F. (2011). Cognitive bias modification training in adolescents: effects on interpretation biases and mood. Journal of Child Psychology and Psychiatry, 52, 24–32.
    MacDonald, M., Koerner, N., & Antony, M. M. (2013). Modification of interpretive bias: impact on anxiety sensitivity, information processing and response to induced bodily sensations. Cognitive Therapy and Research, 37, 860–871.
    MacLeod, C., & Cohen, I. L. (1993). Anxiety and the interpretation of ambiguity: a text comprehension study. Journal of Abnormal Psychology, 102, 238–247.
    Marks, I. M., & Mathews, A. M. (1979). Brief standard self–rating for phobic patients. Behaviour Research and Therapy, 17, 262–267.
    Mathews, A., & Mackintosh, B. (1998). A cognitive model of selective processing in anxiety. Cognitive Therapy and Research, 22, 539–560.
    Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109, 602–615.
    Mathews, A., & MacLeod, C. (2002). Induced processing biases have causal effects on anxiety. Cognition and Emotion, 16, 331–354.
    Mathews, A, Ridgeway, V., Cook, E., & Yiend, J. (2007). Inducing a benign interpretational bias reduces trait anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 38, 225–236.
    Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470.
    Menne-Lothmann, C., Viechtbauer, W., Hohn, P., Kasanova, Z., Haller, S. P., & Drukker, M., … & Lau, J. Y. F. (2014). How to boost positive interpretations? A meta-analysis of the effectiveness of cognitive bias modification for interpretation. PLOS ONE, 9, e100925.
    Mennin, D. S., Fresco, D. M., & Heimberg, R. G. (2002). Screening for social anxiety disorder in the clinical setting: using the Liebowitz Social Anxiety Scale. Anxiety Disorders, 16, 661–673.
    Miers, A. C., Blote, A. W., Bogels, S. M., & Westenberg, P. M. (2008). Interpretation bias and social anxiety in adolescents. Journal of Anxiety Disorders, 22, 1462–1471.
    Mogg, B. P., Bradley, J. D., Bono, M., & Painter, M. (1997). Time course of attentional bias for threat information in non-clinical anxiety. Behavior Research and Therapy, 35, 297–303.
    Mohlman, J., Carmin, C. N., & Price, R. B. (2003). Jumping to interpretations: social anxiety disorder and the identification of emotional facial expressions. Behaviour Research and Therapy, 45, 591–599.
    Moser, J. S., Huppert, J. D., Foa, E. B., & Simons, R. F. (2012). Interpretation of ambiguous social scenarios in social phobia and depression: evidence from event-related brain potentials. Biological Psychology, 89, 387–397.
    Murphy, R., Hirsch, C. R., Mathews, A., Smith, K., & Clark, D. M. (2007). Facilitating a benign interpretation bias in a high socially anxious population. Behaviour Research and Therapy, 45, 1517–1529.
    Rapee, R. M., & Heimberg, R. G. (1997). A cognitive–behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741–756.
    Rapee, R. M., & Spence, S. H. (2004). The etiology of social phobia: empirical evidence and an initial model. Clinical Psychology Review, 24, 737–767.
    Richards, A., & French, C. C. (1992). An anxiety–related bias in semantic activation when processing threat/neutral homographs. The Quarterly Journal of Experimental Psychology, 45, 503–525.
    Safren, S. A., Heimberg, R. G., Horner, K. J., Juster, H. R., Schneier, F. R., & Liebowitz, M. R. (1999). Factor structure of social fears: The Liebowitz Social Anxiety Scale. Journal of Anxiety Disorders, 13, 253–270.
    Salemink, E., van den Hout, M., & Kindt, M. (2009). Effects of positive interpretive bias modification in highly anxious individuals. Journal of Anxiety Disorders, 23, 676–683.
    Schofield, C. A., Coles, M. E., & Gibb, B. E. (2007). Social anxiety and interpretation biases for facial displays of emotion: emotion detection and ratings of social cost. Behaviour Research and Therapy, 45, 2950–2963.
    Spielberger, C. D., Gorsuch, R. L., & Lushene, R. D. (1970). STAI: Manual for the State–Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press
    Standage, H., Ashwin, C., & Fox, E. (2009). Comparing visual and auditory presentation for the modification of interpretation bias. Journal of Behavior Therapy and Experimental Psychiatry, 40, 558–570.
    Standage, H., Harris, J., & Fox, E. (2014). The influence of social comparison on cognitive bias modification and emotional vulnerability. Emotion, 14, 170–179.
    Stopa, L., & Clark, D. M. (2000). Social phobia and interpretation of social events. Behaviour Research and Therapy, 38, 273–283.
    Tran, T. B., Siemer, M., & Joormann, J. (2011). Implicit interpretation biases affect emotional vulnerability: a training study. Cognition and Emotion, 25, 546–558.
    Vassilopoulos, S. P. (2006). Interpretation and judgmental biases in socially anxious and nonanxious individuals. Behavioural and Cognitive Psychotherapy, 34, 243–254.
    Voncken, M. J., Bogels, S. M., & de Vries, K. (2003). Interpretation and judgmental biases in social phobia. Behaviour Research and Therapy, 41, 1481–1488.
    Watson, D., & Friend, R. (1969). Measurement of social–evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448–457.
    Wenzel, A., Finstrom, N., Jordan, J., & Brendle, J. R. (2005). Memory and interpretation of visual representations of threat in socially anxious and nonanxious individuals. Behaviour Research and Therapy, 43, 1029–1044.
    Wilson, E. J., MacLeod, C., Mathews, A., & Rutherford, E. M. (2006). The causal role of interpretive bias in anxiety reactivity. Journal of Abnormal Psychology, 115, 103–111.
    Wilson, J. K., & Rapee, R. M. (2005). Interpretative biases in social phobia: content specificity and the effects of depression. Cognitive Therapy and Research, 29, 315–331.
    Yiend, J., Mackintosh, B., & Mathews, A. (2005). Enduring consequences of experimentally induced biases in interpretation. Behaviour Research and Therapy, 43, 779–797.
    Yoon, K. L., & Zinbarg, R. E. (2007). Threat is in the eye of the beholder: social anxiety and the interpretation of ambiguous facial expressions. Behaviour Research and Therapy, 45, 839–847.
    Description: 碩士
    國立政治大學
    心理學系
    103752004
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