Abstract：
Individuals with social anxiety disorder (SAD) experience overall emotion regulation difficulties, but less is known about the long-term role of such difficulties in cognitive behavior therapy (CBT) for SAD. Forty-six patients with SAD receiving internet-delivered CBT, and matched healthy controls (HCs; n = 39), self-reported the Difficulties in Emotion Regulation Scale (DERS), Liebowitz Social Anxiety Scale (LSAS-SR), and participated in anticipatory speech anxiety behavioral experiments. Patients were measured at seven time points before, during and after CBT over a total period of 28 months, and HCs at two timepoints. Disaggregated growth curve models with a total of 263 observations were used, as well as intra-class correlation coefficients and regression models. Patients\' LSAS-SR and DERS ratings were reliable (ICC = .83 and .75 respectively), and patients, relative to controls, showed larger difficulties in emotion regulation at pre-treatment (p < .001). During CBT, within-individual improvements in emotion regulation significantly predicted later LSAS-SR reductions (p = .041, pseudo-R2 = 43%). Changes in emotion regulation may thus be important to monitor on an individual level and may be used to improve outcomes in future developments of internet-delivered CBT.
摘要：
患有社交焦虑障碍（SAD）的个体经历整体情绪调节困难，但对此类困难在SAD的认知行为治疗（CBT）中的长期作用知之甚少。46名SAD患者接受互联网提供的CBT，和匹配的健康对照(HC；n=39)，自我报告情绪调节困难量表(DERS)，利博维茨社交焦虑量表(LSAS-SR)，并参与了预期的言语焦虑行为实验。在之前的七个时间点测量患者，在总共28个月的CBT期间和之后，和HCs在两个时间点。使用了总共263个观察值的分类生长曲线模型，以及类内相关系数和回归模型。患者的LSAS-SR和DERS评分是可靠的（ICC分别为.83和.75），和病人，相对于控件，在治疗前表现出较大的情绪调节困难(p<.001)。在CBT期间,个体内情绪调节的改善显着预测了LSAS-SR的降低（p=.041，伪R2=43％）。因此，情绪调节的变化对于个人层面的监控可能很重要，并且可以用于改善互联网提供的CBT未来发展的结果。
