The path from initial inquiry to initiation of treatment for social anxiety disorder in an anxiety disorders specialty clinic
The path from initial inquiry to initiation of treatment for social anxiety disorder in an anxiety disorders specialty clinic
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DOI：
10.1016/s0887-6185(02)00259-1
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发表时间：
2004-01-01
影响因子：
10.3
通讯作者：
Heimberg, RG
中科院分区：
文献类型：
--
作者：
Coles, ME;Turk, CL;Heimberg, RG
社交焦虑障碍的有效治疗越来越多，约四分之三的治疗完成者显示出显著改善[Arch. Gen. Psychiatry 55（1998）1133.]。然而，很少有社交焦虑症患者获得这些服务。本研究报告的路径开始治疗社交焦虑症的个人接触焦虑症专科诊所。在395个最初的电话询问中，只有60人（15%）开始治疗。确定了与高治疗前损耗相关的三个“关键点”：安排初次面谈，参加预定的初次面谈，并在接受社交焦虑障碍的主要诊断后启动治疗计划。几个人口统计变量（例如，教育水平、种族）与初次面谈的出席率有关。然而，没有发现那些谁没有开始治疗的人口统计学变量，症状严重程度，或生活质量之间的差异。鉴于大多数完成社交恐惧症治疗的人都有显着的益处，目前的研究结果表明，未来的努力应该致力于增加获得这些服务的患者数量。(C)2002年爱思唯尔科技有限公司All rights reserved.
Efficacious treatments for social anxiety disorder have become increasingly available, with approximately three-quarters of treatment completers showing significant improvement [Arch. Gen. Psychiatry 55 (1998) 1133.]. However, very few individuals with social anxiety disorder access these services. The present study reports on the path to initiation of treatment for social anxiety disorder among individuals contacting an anxiety disorder specialty clinic. Of 395 initial telephone inquiries, only 60 individuals (15%) started treatment. Three "critical points" associated with high pretreatment attrition were identified: scheduling an initial interview, attending a scheduled initial interview, and initiating a treatment program after receiving a principal diagnosis of social anxiety disorder. Several demographic variables (e.g., level of education, race) were related to attendance at the initial interview. However, no differences were found between those who did and did not initiate treatment on demographic variables, symptom severity, or quality of life. Given that most individuals who complete treatment for social phobia experience significant benefit, results of the current study suggest that future efforts should be devoted to increasing number of patients who access these services. (C) 2002 Elsevier Science Inc. All rights reserved.