背景:斑秃(AA)是一种以脱发为特征的免疫疾病。AA患者报告社交焦虑水平较高。一种有可能减少AA患者社交焦虑的干预措施是基于正念的认知疗法(MBCT)。
目的:我们的主要目的是调查MBCT是否能降低AA患者的社交焦虑。该研究还调查了MBCT是否可以减少抑郁症,一般焦虑,并提高AA患者的生活质量和特质正念。
方法:5名AA患者参加了8个疗程的MBCT干预。采用多基线单组病例系列设计。每天从基线开始测量社交焦虑的照片测量,通过干预,跟进。标准化的特质正念问卷,社交焦虑,抑郁症,焦虑,生活质量在基线时完成,干预后,在4周的随访中。
结果:所有参与者都完成了MBCT课程,但由于大量缺失数据,一名参与者被排除在具体特征分析之外.其余四名参与者显示,从基线到随访,社交焦虑的具体指标有所减少。这些影响在基线和随访之间更大,在基线和干预后之间。两名参与者在从基线到随访的健康标准方面表现出显着改善-他们还在两次会议之间经常在家中练习正念。
结论:MBCT可有效降低AA患者的社交焦虑和改善健康。尽管这可能取决于参与者定期练习正念练习的程度。
BACKGROUND: Alopecia areata (AA) is an immunological disorder characterised by hair loss. Individuals with AA report high levels of social anxiety. One intervention that holds potential for reducing social anxiety in individuals with AA is mindfulness-based cognitive therapy (MBCT).
OBJECTIVE: Our key aim was to investigate whether MBCT reduces social anxiety in individuals with AA. The study also investigated whether MBCT reduces depression, general anxiety, and increases quality of life and increases trait mindfulness in individuals with AA.
METHODS: Five participants with AA took part in an 8-session in-person MBCT intervention. A multiple-baseline single-group case series design was adopted. Idiographic measures of social anxiety were measured each day from baseline, through intervention, to follow-up. Standardised questionnaires of trait mindfulness, social anxiety, depression, anxiety, and quality of life were completed at baseline, post-intervention, and at 4-week follow-up.
RESULTS: All participants completed the MBCT course, but one participant was excluded from the idiographic analysis due to a high amount of missing data. The remaining four participants demonstrated reductions in idiographic measures of social anxiety from baseline to follow-up. These effects were larger between baseline and follow-up, than between baseline and post-intervention. Two participants demonstrated significant improvement in standardised measures of wellbeing from baseline to follow-up - they also practised mindfulness most regularly at home between sessions.
CONCLUSIONS: MBCT may be effective in reducing social anxiety and improving wellbeing in individuals with AA, although this might be dependent on the extent to which participants regularly practise mindfulness exercises.