The impact of social skills training for social anxiety disorder: a randomized controlled trial.
The impact of social skills training for social anxiety disorder: a randomized controlled trial.
复制标题
DOI：
10.1016/j.janxdis.2014.09.016
复制
发表时间：
2014-12
影响因子：
10.3
通讯作者：
Sarver, Nina Wong
中科院分区：
文献类型：
--
作者：
Beidel, Deborah C.;Alfano, Candice A.;Kofler, Michael J.;Rao, Patricia A.;Scharfstein, Lindsay;Sarver, Nina Wong
关键词：
社交焦虑障碍（SAD）影响社会、职业和学术功能。尽管许多干预措施报告了社会困扰的变化，但社会行为的改善仍然没有得到充分解决。本研究考察了社交技能训练（SST）对SAD治疗的附加影响。使用106名在许多社会环境中认可SAD的成年人的样本，参与者被随机分配到单独的暴露疗法（想象和体内），SST和暴露疗法的组合被称为社会有效性疗法（SET），或等待名单控制。评估策略包括自我报告测量、盲法临床评分和盲法社会行为评估。与等候名单对照组相比，两种干预措施都显著减少了痛苦，在治疗后，67%接受SET治疗的患者和54%单独接受暴露治疗的患者不再符合SAD的诊断标准，差异无统计学意义。与单独暴露疗法相比，SET在社交技能和一般临床状态方面产生了更好的结果（p< 0.05）。除了统计学意义外，接受SET或暴露治疗的参与者在两项自我报告的社交焦虑和几项观察到的社交行为方面报告了临床显著的降低（均p < 0.05）。两种干预都产生了有效的治疗结果，尽管SET可能在社会困扰和社会行为的测量上提供额外的好处。
Social anxiety disorder (SAD) impacts social, occupational and academic functioning. Although many interventions report change in social distress, improvement in social behavior remains under-addressed. This investigation examined the additive impact of social skills training (SST) for the treatment of SAD. Using a sample of 106 adults who endorsed SAD across numerous social settings, participants were randomized to exposure therapy (imaginal and in vivo) alone, a combination of SST and exposure therapy known as Social Effectiveness Therapy (SET), or a wait list control. The assessment strategy included self-report measures, blinded clinical ratings and blinded assessment of social behavior. Both interventions significantly reduced distress in comparison to the wait list control and at post-treatment, 67% of patients treated with SET and 54% of patients treated with exposure therapy alone no longer met diagnostic criteria for SAD, a difference that was not statistically significant. When compared to exposure therapy alone, SET produced superior outcomes (p<.05) on measures of social skill and general clinical status. In addition to statistical significance, participants treated with SET or exposure reported clinically significant decreases on two measures of self-reported social anxiety and several measures of observed social behavior (all ps < .05). Both interventions produced efficacious treatment outcome, although SET may provide additional benefit on measures of social distress and social behavior.
登录
查看更多内容
影响因子：
5.9
作者：
Compton SN;Peris TS;Almirall D;Birmaher B;Sherrill J;Kendall PC;March JS;Gosch EA;Ginsburg GS;Rynn MA;Piacentini JC;McCracken JT;Keeton CP;Suveg CM;Aschenbrand SG;Sakolsky D;Iyengar S;Walkup JT;Albano AM
通讯作者：
Albano AM
影响因子：
3.1
作者：
CRASKE, MG;RACHMAN, SJ
通讯作者：
RACHMAN, SJ
影响因子：
2.8
作者：
HOPE, DA;HERBERT, JD;WHITE, C
通讯作者：
WHITE, C
影响因子：
5.9
作者：
Clark, David M.;Ehlers, Anke;Wild, Jennifer
通讯作者：
Wild, Jennifer
DOI：
10.1111/j.2044-8341.1959.tb00467.x
发表时间：
1959-01-01
期刊：
BRITISH JOURNAL OF MEDICAL PSYCHOLOGY
影响因子：
--
作者：
HAMILTON, M
通讯作者：
HAMILTON, M