Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial
Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial
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DOI：
10.1037/0022-006x.74.3.568
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发表时间：
2006-06-01
影响因子：
5.9
通讯作者：
Wild, Jennifer
中科院分区：
文献类型：
--
作者：
Clark, David M.;Ehlers, Anke;Wild, Jennifer
一个新的认知治疗（CT）计划进行了比较，与既定的行为治疗。62例符合精神障碍诊断和统计手册（第4版，美国精神病学协会，1994）社交恐怖症的标准被随机分配到CT，暴露加应用放松（EXP + AR），或等待名单（WAIT）。CT和EXP + AR在所有指标上均上级WAIT。在社交恐惧的测量中，CT比EXP + AR导致更大的改善。治疗后等待时不再符合社交恐怖症诊断标准的患者比例如下：CT组84%，EXP + AR组42%，WAIT组0%。在1年随访时，结局差异持续存在。此外，EXP + AR组患者更有可能寻求其他治疗。治疗师的影响很小，不显着。CT治疗社交恐怖症的疗效上级EXP + AR。
A new cognitive therapy (CT) program was compared with an established behavioral treatment. Sixty-two patients meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed., American Psychiatric Association, 1994) criteria for social phobia were randomly assigned to CT, exposure plus applied relaxation (EXP + AR), or wait-list (WAIT). CT and EXP + AR were superior to WAIT on all measures. On measures of social phobia, CT led to greater improvement than did EXP + AR. Percentages of patients who no longer met diagnostic criteria for social phobia at posttreatment-wait were as follows: 84% in CT, 42% in EXP + AR, and 0% in WAIT. At the 1-year follow-up, differences in outcome persisted. In addition, patients in EXP + AR were more likely to have sought additional treatment. Therapist effects were small and nonsignificant. CT appear,; to be superior to EXP + AR in the treatment of social phobia.