Guided and unguided self-help for social anxiety disorder: randomised controlled trial
Guided and unguided self-help for social anxiety disorder: randomised controlled trial
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DOI：
10.1192/bjp.bp.108.060996
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发表时间：
2009-11-01
影响因子：
10.5
通讯作者：
Andersson, Gerhard
中科院分区：
文献类型：
--
作者：
Furmark, Tomas;Carlbring, Per;Andersson, Gerhard
BackgroundInternet-delivered self-help programmes with added guidance have shown efficacy in social anxiety disorder，unguided self-help has inadequate studied.AimsTo evaluate the efficacy of guided and unguided self-help social anxiety disorder.MethodParticipants followed a cognitive-behavioural self-help programme in either pure bibliotherapy or a internet-based treatment with therapist guidance and online group discussions.随后进行了一项试验，以评估治疗特异性。参与者（n=235）被随机分配到三个条件之一，在第一次试验中，或四个条件之一，在second.ResultsPure阅读疗法和基于互联网的治疗比等待名单上的社交焦虑，焦虑，抑郁和生活质量的措施。基于互联网的治疗具有最高的效果大小，但直接可比的效果与在线小组讨论增强阅读疗法。收益保持良好一年后。ConclusionsUnguided自助通过阅读疗法可以产生持久的改善个人社交焦虑症。
BackgroundInternet-delivered self-help programmes with added guidance have shown efficacy in social anxiety disorder, unguided self-help has been insufficiently studied.AimsTo evaluate the efficacy of guided and unguided self-help social anxiety disorder.MethodParticipants followed a cognitive-behavioural self-help programme in the form of either pure bibliotherapy or an internet-based treatment with therapist guidance and online group discussions. A subsequent trial was conducted to evaluate treatment specificity. Participants (n=235) were randomised to one of three conditions in the first trial, or one of four conditions in the second.ResultsPure bibliotherapy and the internet-based treatment were better than waiting list on measures of social anxiety, general anxiety, depression and quality of life. The internet-based therapy had the highest effect sizes, but directly comparable effects were noted for bibliotherapy augmented with online group discussions. Gains were well maintained a year later.ConclusionsUnguided self-help through bibliotherapy can produce enduring improvement for individuals with social anxiety disorder.