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Abstract(s)
Alguns estudos realizados sobre experiências comportamentais utilizadas na Terapia Cognitivo-Comportamental no tratamento da Perturbação de Ansiedade Social, apesar dos resultados eficazes, referem que há necessidade de mais estudos acerca do efeito terapêutico da técnica no momento em que ocorre a mudança da modificação de crenças específicas de ansiedade social e redução de comportamentos de segurança. Por este motivo, o presente estudo é sobre o efeito de uma experiência comportamental concebida para modificar a crença incondicional de “vão todos olhar para mim”, com recurso a uma metodologia de estudo experimental de caso único. Método: Foram recrutados 4 participantes de uma amostra de 80 pessoas que se encontravam acima do percentil 80 nas EAESDIS e EPAAS, e que apresentassem a crença “vão todos olhar para mim”. Foi utilizado um desing experimental de caso único com linha de base múltipla (ABFU). A fase baseline teve uma duração de 5 sessões, foi seguida de 1 sessão de intervenção, e de 5 sessões pós-manipulação. Uma sessão de fase follow-up realizou-se 1 mês após a última sessão de pós-manipulação. Resultados: Os resultados mostraram que os níveis dos comportamentos de segurança, ansiedade e grau de crença diminuíram após a sessão de intervenção. Houve diferenças significativas entre os 4 participantes, tendo todos os casos evidenciado o efeito imediato de forma diferente. A intervenção teve um efeito elevado na redução da ansiedade (AB-NAP=0.82; TAU-U=0.57) e da crença “vão todos olhar para mim” (AB-NAP=0.88; TAU-U=0.69). Conclusões: De acordo com o nosso estudo, as experiências comportamentais demonstraram, por si sós, eficácia na redução imediata, a curto e a médio prazo dos comportamentos de segurança, crença e níveis de ansiedade na Perturbação de Ansiedade Social, pelo que podem constituir-se como intervenções de primeira linha no tratamento desta perturbação.
Some studies about the behavior experiments used in Cognitive-Behavioral Therapy (CBT) in the treatment of Social Anxiety Disorder (SAD), altough favorable results, indicate that there is a need for more studies at the time the change occurs on the therapeutic effect of behavioral experiences for the modification of specific beliefs and reduction of safety behaviors. For this reason, the present study is about the effect of a behavioral experiment designed to modify the unconditional belief of "everyone will look at me", using a single-case experimental study methodology. Method: 4 participants were recruited from a sample of 80 people who were above the 80th percentile in the EADEIS and EPAAS, and who presented the belief "everyone will look at me". A single-case experimental design with multiple baseline (ABFU) was used. The baseline phase had a duration of 5 sessions was followed by 1 intervention session, and 5 post-manipulation sessions. A follow-up phase session was held 1 month after the last post-manipulation session. Results: The results showed that the levels of safety behaviors, anxiety and degree of belief decreased after the intervention session. There were significant differences between the 4 participants, with all cases showing the immediate effect differently. The intervention had a high effect on reducing anxiety (AB-NAP=0.82; TAU- U=0.57) and the belief "everyone will look at me" (AB-NAP=0.88; TAU-U=0.69). Conclusions: According to our study, behavioral experiences demonstrated, by themselves, efficacy in the immediate, short and medium term reduction of safety behaviors, belief and anxiety levels in Social Anxiety Disorder, so they can be first-line interventions in the treatment of this disorder.
Some studies about the behavior experiments used in Cognitive-Behavioral Therapy (CBT) in the treatment of Social Anxiety Disorder (SAD), altough favorable results, indicate that there is a need for more studies at the time the change occurs on the therapeutic effect of behavioral experiences for the modification of specific beliefs and reduction of safety behaviors. For this reason, the present study is about the effect of a behavioral experiment designed to modify the unconditional belief of "everyone will look at me", using a single-case experimental study methodology. Method: 4 participants were recruited from a sample of 80 people who were above the 80th percentile in the EADEIS and EPAAS, and who presented the belief "everyone will look at me". A single-case experimental design with multiple baseline (ABFU) was used. The baseline phase had a duration of 5 sessions was followed by 1 intervention session, and 5 post-manipulation sessions. A follow-up phase session was held 1 month after the last post-manipulation session. Results: The results showed that the levels of safety behaviors, anxiety and degree of belief decreased after the intervention session. There were significant differences between the 4 participants, with all cases showing the immediate effect differently. The intervention had a high effect on reducing anxiety (AB-NAP=0.82; TAU- U=0.57) and the belief "everyone will look at me" (AB-NAP=0.88; TAU-U=0.69). Conclusions: According to our study, behavioral experiences demonstrated, by themselves, efficacy in the immediate, short and medium term reduction of safety behaviors, belief and anxiety levels in Social Anxiety Disorder, so they can be first-line interventions in the treatment of this disorder.
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Keywords
Perturbação de ansiedade social Comportamentos de segurança Crenças Ansiedade Terapia cognitivo-comportamental Experiência comportamental