Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial
Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial
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DOI：
10.1016/j.janxdis.2008.06.004
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发表时间：
2009-03-01
影响因子：
10.3
通讯作者：
Brandsma, Lynn L.
中科院分区：
文献类型：
--
作者：
Herbert, James D.;Gaudiano, Brandon A.;Brandsma, Lynn L.
社交焦虑障碍（SAD）的早期识别和治疗对于预防症状的慢性过程、持续性功能障碍和进行性精神病共病的发展至关重要。一个小的但不断增长的文献支持认知行为疗法（CBT）对青少年焦虑障碍，包括SAD的有效性。本随机对照试验评价了团体与个体CBT对青少年广泛性SAD患者的疗效，以及与不含特定CBT成分的教育/支持性心理治疗的关系。所有三种治疗均与症状和功能障碍的显著减轻以及社交技能的改善相关。两种治疗方法在症状测量上没有差异，但CBT条件下在行为测量上表现出更大的收益。本文详细讨论了这些发现的意义。(C)2008爱思唯尔有限公司保留所有权利。
Early identification and treatment of social anxiety disorder (SAD) is critical to prevent development of a chronic course of symptoms, persistent functional impairment, and progressive psychiatric comorbidity. A small but growing literature supports the effectiveness of cognitive behavior therapy (CBT) for anxiety disorders, including SAD, in adolescence. The present randomized controlled trial evaluated the efficacy of group vs. individual CBT for adolescents with generalized SAD in relation to an educational/supportive psychotherapy that did not contain specific CBT elements. All three treatments were associated with significant reductions in symptoms and functional impairment, and in improved social skills. No differences between treatments emerged on measures of symptoms, but the CBT conditions demonstrated greater gains on behavioral measures. The implications of the findings are discussed. (C) 2008 Elsevier Ltd. All rights reserved.