Mediators and Moderators of Outcome in the Behavioral Treatment of Childhood Social Phobia
Mediators and Moderators of Outcome in the Behavioral Treatment of Childhood Social Phobia
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DOI：
10.1097/chi.0b013e3181af8216
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发表时间：
2009-09-01
影响因子：
13.3
通讯作者：
Crosby, Lori E.
中科院分区：
文献类型：
--
作者：
Alfano, Candice A.;Pina, Armando A.;Crosby, Lori E.
目的：本研究调查了初步诊断为社交恐惧症的儿童和青少年（7-17 岁）治疗反应的中介因素和调节因素。方法：参与者为 88 名青少年，参与儿童社会效能治疗的两项随机对照治疗试验之一。潜在的中介因素包括观察者评价的社交技能的变化和儿童在接受 12 周的儿童社会效能治疗后报告的孤独感。年龄和抑郁症状被视为潜在的调节因素。结果：角色扮演任务期间的孤独评分和社交有效性预测了治疗后社交焦虑和整体功能的变化。社交焦虑的变化是由儿童报告的孤独感介导的。结果不受年龄或抑郁症状的影响。结论：研究结果支持孤独感作为儿童社交恐惧症治疗过程中重要的改变机制的作用。 J. Am.阿卡德。儿童青少年。精神病学，2009；48(9)：945-953。
Objective: The current study examined mediators and moderators of treatment response among children and adolescents (ages 7-17 years) with a primary diagnosis of social phobia. Method: Participants were 88 youths participating in one of two randomized controlled treatment trials of Social Effectiveness Therapy for Children. Potential mediators included changes in observer-rated social skill and child-reported loneliness after 12 weeks of Social Effectiveness Therapy for Children. Age and depressive symptoms were examined as potential moderators. Results: Loneliness scores and social effectiveness during a role-play task predicted changes in social anxiety and overall functioning at posttreatment. Changes in social anxiety were mediated by child-reported loneliness. Outcomes were not moderated by age or depressive symptoms. Conclusions: Findings support the role of loneliness as an important mechanism of change during treatment for childhood social phobia. J. Am. Acad. Child Adolesc. Psychiatry, 2009;48(9):945-953.