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首页> 外文期刊>Depression and anxiety >CHANGES IN SELF-EFFICACY AND OUTCOME EXPECTANCY AS PREDICTORS OF ANXIETY OUTCOMES FROM THE CALM STUDY
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CHANGES IN SELF-EFFICACY AND OUTCOME EXPECTANCY AS PREDICTORS OF ANXIETY OUTCOMES FROM THE CALM STUDY

机译：自我评价和结果期望的变化，作为通过CALM研究预测焦虑结果的指标

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Background:Although self-efficacy (SE) and outcome expectancy (OE) have been well researched as predictors of outcome, few studies have investigated changes in these variables across treatments. We evaluated changes in OE and SE throughout treatment as predictors of outcomes in a large sample with panic disorder, generalized anxiety disorder, social anxiety disorder, or posttraumatic stress disorder. We hypothesized that increases in SE and OE would predict reductions in anxiety and depression as well as improvement in functioning. Methods:Participants (mean age = 43.3 years, SD = 13.2, 71.1% female, 55.5% white) were recruited from primary care centers throughout the United States and were randomized to receive either Coordinated Anxiety Learning and Management (CALM) treatment - composed of cognitive behavioral therapy, psychotropic medication, or both - or usual care. SE and OE ratings were collected at each session for participants in the CALM treatment (n = 482) and were entered into a structural equation model as predictors of changes in Brief Symptom Inventory, Anxiety Sensitivity Index, Patient Health Questionnaire (PHQ), and Sheehan Disability Scale outcomes at 6, 12, and 18 months after baseline. Results:The best-fitting models predict symptom levels from OE and SE and not vice versa. The slopes and intercept of OE significantly predicted change in each outcome variable except PHQ-8. The slope and intercept of SE significantly predicted change in each outcome variable. Conclusion:Over and above absolute level, increases in SE and OE were significant predictors of decreases in symptoms and increases in functioning. Implications for treatment are discussed, as well as future directions of research. Depression and Anxiety 31:678-689, 2014.
机译：背景：尽管对自我效能感（SE）和预期结果（OE）进行了很好的研究以预测结果，但很少有研究调查这些因素在治疗中的变化。我们评估了整个治疗过程中OE和SE的变化，将其作为恐慌症，广泛性焦虑症，社交焦虑症或创伤后应激障碍的大样本结果的预测指标。我们假设SE和OE的增加将预测焦虑和抑郁的减少以及功能的改善。方法：从美国各地的初级保健中心招募参与者（平均年龄= 43.3岁，SD = 13.2，女性71.1％，白人55.5％），并随机接受协调性焦虑学习和管理（CALM）治疗-认知行为疗法，精神药物或两者-或常规护理。在每个疗程中为CALM治疗的参与者（n = 482）收集SE和OE评分，并将其输入到结构方程模型中，作为简要症状清单，焦虑敏感性指数，患者健康问卷（PHQ）和Sheehan的变化的预测指标基线后6、12和18个月的残疾量表结局。结果：最适合的模型可根据OE和SE预测症状水平，反之则不然。 OE的斜率和截距可显着预测除PHQ-8以外的每个结果变量的变化。 SE的斜率和截距可显着预测每个结果变量的变化。结论：超出绝对水平，SE和OE升高是症状减轻和功能增强的重要预测指标。讨论了对治疗的意义以及未来的研究方向。抑郁和焦虑31：678-689，2014。

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