Cognitive Behavioral Group Therapy vs Phenelzine Therapy for Social Phobia
Cognitive Behavioral Group Therapy vs Phenelzine Therapy for Social Phobia
复制标题
认知行为团体疗法与苯乙肼疗法治疗社交恐惧症
DOI：
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
D. Klein
中科院分区：
文献类型：
--
作者：
R. Heimberg;M. Liebowitz;D. Hope;F. Schneier;C. Holt;L. Welkowitz;H. Juster;Raphael B. Campeas;M. Bruch;M. Cloitre;B. Fallon;D. Klein
背景资料：本文介绍了一项比较认知行为团体疗法（CBGT）和单胺氧化酶抑制剂硫酸苯乙肼治疗社交恐惧症的2点研究的急性治疗阶段的结果。研究方法：来自2个研究中心的133例患者接受了12周的CBGT、苯乙肼治疗、安慰剂给药或教育支持性团体治疗（与CBGT具有同等可信度的注意力安慰剂治疗）。“忠诚效应”，即治疗在相似理论取向的环境中似乎最有效，而在理论上不同的环境中似乎不那么有效的趋势，也通过比较两个中心对治疗条件的反应进行了检查：1个已知用于焦虑症的药物治疗，另一个用于认知行为治疗。结果如下：12周后，苯乙肼治疗和CBGT导致上级反应率和更大的变化，尺寸测量比任何一个对照条件。然而，苯乙肼治疗6周后的反应更明显，苯乙肼治疗12周后在某些指标上也上级CBGT。研究中心之间几乎没有差异，表明这些治疗在具有不同理论耐受性的设施中可能有效。结论：12周后，苯乙肼治疗和CBGT均与显著的阳性反应相关。虽然苯乙肼治疗上级CBGT在某些措施，都比对照条件更有效。认知行为治疗的扩展及多种治疗方式的结合可提高治疗效果。精神病学硕士。1998;55：1133-1141
Background: This article presents results of the acute treatment phase of a 2-site study comparing cognitive behavioral group therapy (CBGT) and treatment with the monoamine oxidase inhibitor phenelzine sulfate for social phobia. Methods: One hundred thirty-three patients from 2 sites received 12 weeks of CBGT, phenelzine therapy, pill placebo administration, or educational-supportive group therapy (an attention-placebo treatment of equal credibility to CBGT). The “allegiance effect,” ie, the tendency for treatments to seem most efficacious in settings of similar theoretical orientation and less efficacious in theoretically divergent settings, was also examined by comparing responses to the treatment conditions at both sites: 1 known for pharmacological treatment of anxiety disorders and the other for cognitive behavioral treatment. Results: After 12 weeks, phenelzine therapy and CBGT led to superior response rates and greater change on dimensional measures than did either control condition. However, response to phenelzine therapy was more evident after 6 weeks, and phenelzine therapy was also superior to CBGT after 12 weeks on some measures. There were few differences between sites, suggesting that these treatments can be efficacious at facilities with differing theoretical allegiances. Conclusions: After 12 weeks, both phenelzine therapy and CBGT were associated with marked positive response. Although phenelzine therapy was superior to CBGT on some measures, both were more efficacious than the control conditions. More extended cognitive behavioral treatment and the combination of modalities may enhance treatment effect. Arch Gen Psychiatry. 1998;55:1133-1141
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影响因子：
5.9
作者：
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通讯作者：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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DOI：
--
发表时间：
1995
期刊：
The Journal of clinical psychiatry
影响因子：
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作者：
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