A randomized trial of interpersonal therapy versus supportive therapy for social anxiety disorder.
A randomized trial of interpersonal therapy versus supportive therapy for social anxiety disorder.
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人际关系疗法与支持疗法治疗社交焦虑症的随机试验。
DOI：
10.1002/da.20364
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发表时间：
2008
影响因子：
7.4
通讯作者：
Fyer,AbbyJ
中科院分区：
文献类型：
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作者：
Lipsitz,JoshuaD;Gur,Merav;Vermes,Donna;Petkova,Eva;Cheng,Jianfeng;Miller,Nina;Laino,Joseph;Liebowitz,MichaelR;Fyer,AbbyJ
70名寻求社交焦虑症(SAD)治疗的患者被随机分配到每周14次的个人人际治疗(IPT)或支持治疗(ST)中。我们假设，IPT是一种对抑郁症和其他精神障碍具有既定疗效的心理疗法，将比ST带来更大的改善。两组患者从治疗前到治疗后均有显著改善。然而，IPT的改善并不优于ST的改善。利博维茨社交焦虑量表平均分在IPT组从67.7降至46.9，在ST组从64.5降至49.8。IPT和ST的应答者比例也没有差异。只有在测量对负面评价的关注程度(简明的对负面评价的恐惧)的量表上，IPT才优于其他量表。IPT初始对照试验的局限性包括非连续招募策略和两种疗法的管理重叠。建议未来对SAD的IPT研究包括更仔细地定义对照治疗条件，不同的治疗师实施每种治疗，更大的样本，以及更严格的长期随访评估策略。抑郁与焦虑：0：1-12,2007。2007年出版，Wiley-Liss，Inc.
Seventy patients seeking treatment for social anxiety disorder (SAD) were randomly assigned to 14 weekly individual sessions of interpersonal therapy (IPT) or supportive therapy (ST). We hypothesized that IPT, a psychotherapy with established efficacy for depression and other psychiatric disorders, would lead to greater improvement than ST. Patients in both groups experienced significant improvement from pretreatment to posttreatment. However, improvement with IPT was not superior to improvement with ST. Mean scores on the Liebowitz Social Anxiety Scale decreased from 67.7 to 46.9 in the IPT group and 64.5 to 49.8 in the ST group. There were also no differences in proportion of responders between IPT and ST. Only for a scale measuring concern about negative evaluation (Brief Fear of Negative Evaluation Scale) was IPT superior. Limitations of this initial controlled trial of IPT include a nonsequential recruitment strategy and overlap in the administration of the two therapies. It is recommended that future studies of IPT for SAD include a more carefully defined control therapy condition, different therapists administering each therapy, a larger sample, and a more rigorous strategy for long‐term follow‐up assessments. Depression and Anxiety 0:1–12, 2007. Published 2007 Wiley‐Liss, Inc.