11 Interfakultäre Einrichtungen
Permanent URI for this collectionhttps://elib.uni-stuttgart.de/handle/11682/12
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Item Open Access The effectiveness of cognitive behavioural therapy for social anxiety disorder in routine clinical practice(2022) Morina, Nexhmedin; Seidemann, Julienne; Andor, Tanja; Sondern, Lisa; Bürkner, Paul‐Christian; Drenckhan, Isabelle; Buhlmann, UlrikeNumerous randomized controlled trials have shown cognitive behaviour therapy (CBT) to be effective in treating social anxiety disorder (SAD). Yet, less is known about the effectiveness of CBT for SAD conducted by psychotherapists in training in routine clinical practice. In this study, 231 patients with SAD were treated with CBT under routine conditions and were examined at pre‐ and post‐treatment as well as at 6 and 12 months follow‐up. We applied self‐reports to assess symptoms of SAD (defined as primary outcome), depression and psychological distress (defined as secondary outcome). We conducted both completer and intent‐to‐treat analyses and also assessed the reliability of change with the reliable change index. Results revealed significant reductions in symptoms of SAD between pre‐ and post‐assessments, with effect sizes ranging from d = 0.9 to 1.2. Depending on the SAD specific questionnaire applied, 47.8% to 73.5% of the sample showed a reliable positive change, whereas 1.9% to 3.8% showed a reliable negative change. Depressive symptoms and psychological distress also decreased significantly from pre‐ to post‐assessment, with large effect sizes. Significant treatment gains regarding both primary and secondary outcomes were further observed at 6 and 12 months follow‐up. The current findings based on a large sample of patients suggest that psychotherapists in CBT training working under routine conditions can effectively treat symptoms of SAD, depression and psychological distress.Item Open Access Willingness to pay for digital wellbeing features on social network sites : a study with Arab and European samples(2024) Alshakhsi, Sameha; Babiker, Areej; Sindermann, Cornelia; Al-Thani, Dena; Montag, Christian; Ali, RaianIn recent years, concerns over the potential negative impacts of social network sites (SNS) on users’ digital wellbeing are on the rise. These concerns have sparked a growing demand for SNS to introduce changes to their business model and offer features that prioritize users’ wellbeing, even if it means introducing fees to users. Still, it is questionable whether such a new model is welcomed by users and commercially valid. In this paper, we investigate (i) people’s willingness to pay (WTP) for digital wellbeing services designed to foster more autonomy, control, and personal growth in users and (ii) the influence of sociodemographic variables, personality, and social networks use disorder (SNUD) on WTP. Data were collected through an online survey with participants from two distinct cultural contexts, the European and Arabic. The samples comprised 262 participants from Europe (Males: 57.63%) and 251 from Arab countries (Males: 60.56%). The participants ranged in age from 18 to 66 years (MEurope = 29.16, SD = 8.42; MArab = 31.24, SD = 8.23). The results revealed that a notable proportion of participants were willing to pay for digital wellbeing services (Europe: 24%; Arab: 30%). Females in the European sample demonstrated a higher WTP for “Mental Health Issues Minimization” compared to males. In the Arab sample, males showed a higher WTP for “Safeguarding Data Privacy” than females. Multiple regression analyses revealed that SNUD and the need for cognition emerged as significant and positive predictors of WTP in both the European and Arab samples. Differences in the relations of personality traits and sociodemographic variables on WTP in each sample were noted. These insights contribute to our understanding of the factors shaping individuals’ preferences and valuation related to digital wellbeing services on SNS and highlight the importance of considering sociodemographic variables and personal factors as well as cultural contexts when planning and introducing them.Item Open Access Coordinating with a robot partner affects neural processing related to action monitoring(2021) Czeszumski, Artur; Gert, Anna L.; Keshava, Ashima; Ghadirzadeh, Ali; Kalthoff, Tilman; Ehinger, Benedikt V.; Tiessen, Max; Björkman, Mårten; Kragic, Danica; König, PeterRobots start to play a role in our social landscape, and they are progressively becoming responsive, both physically and socially. It begs the question of how humans react to and interact with robots in a coordinated manner and what the neural underpinnings of such behavior are. This exploratory study aims to understand the differences in human-human and human-robot interactions at a behavioral level and from a neurophysiological perspective. For this purpose, we adapted a collaborative dynamical paradigm from the literature. We asked 12 participants to hold two corners of a tablet while collaboratively guiding a ball around a circular track either with another participant or a robot. In irregular intervals, the ball was perturbed outward creating an artificial error in the behavior, which required corrective measures to return to the circular track again. Concurrently, we recorded electroencephalography (EEG). In the behavioral data, we found an increased velocity and positional error of the ball from the track in the human-human condition vs. human-robot condition. For the EEG data, we computed event-related potentials. We found a significant difference between human and robot partners driven by significant clusters at fronto-central electrodes. The amplitudes were stronger with a robot partner, suggesting a different neural processing. All in all, our exploratory study suggests that coordinating with robots affects action monitoring related processing. In the investigated paradigm, human participants treat errors during human-robot interaction differently from those made during interactions with other humans. These results can improve communication between humans and robot with the use of neural activity in real-time.Item Open Access Interpretation bias across body dysmorphic, social anxiety and generalized anxiety disorder : a multilevel, diffusion model account(2021) Dietel, Fanny Alexandra; Möllmann, Anne; Bürkner, Paul-Christian; Wilhelm, Sabine; Buhlmann, UlrikeInterpretation biases are suggested to be transdiagnostic phenomena, but have rarely been compared across different disorders and current concerns. We investigated explicit, decision-based, and more implicit, reaction time-based interpretation bias in individuals with body dysmorphic disorder (BDD; N = 29), social anxiety disorder (SAD; N = 36), generalized anxiety disorder (GAD; N = 22), and non-clinical controls (NC; N = 32), using an adapted Word Sentence Association Paradigm (WSAP). Results indicated that interpretation bias occurred transdiagnostically, while content-specific bias patterns varied meaningfully across groups. BDD and SAD shared explicit and, more inconsistently, implicit interpretation biases for appearance-related and social situations. The GAD group exhibited an explicit and implicit negative interpretation bias for general situations, and an additional implicit lack of positive bias. Mechanistic Wiener diffusion model analyses revealed that interpretation bias patterns were mainly driven by speeded information uptake, potentially mirroring disorder-specific associative memory organization. These findings have important implications for understanding interpretation biases as both etiological and treatment factors.Item Open Access Daily emotion regulation in major depression and borderline personality disorder(2023) Zetsche, Ulrike; Bürkner, Paul-Christian; Bohländer, Julian; Renneberg, Babette; Roepke, Stefan; Schulze, LarsEmotional disturbances are an inherent aspect of most mental disorders and possibly driven by impaired emotion regulation. In the present study, we examined how exactly affected individuals differ from healthy individuals in regulating their emotions and whether individuals suffering from different mental disorders face similar or distinct difficulty in emotion regulation. We overcome earlier methodological constraints by using a 7-day experience sampling assessing the employment and effectiveness of six regulation strategies real time in 55 individuals with current major depressive disorder, 52 individuals with borderline personality disorder (BPD), and 55 healthy individuals. All participants were female. Both clinical groups employed rumination and suppression more often and acceptance less often than healthy individuals. Depressed individuals ruminated even more often than individuals with BPD. Expressive suppression and rumination showed negative effects on subsequent emotions in all groups. Remarkably, both clinical groups were able to benefit from adaptive regulation strategies if they did select them.