Work-related CBT versus vocational services as usual for unemployed persons with social anxiety disorder: A randomized controlled pilot trial.
Work-related CBT versus vocational services as usual for unemployed persons with social anxiety disorder: A randomized controlled pilot trial.
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DOI：
10.1016/j.brat.2014.10.005
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发表时间：
2014-12
影响因子：
4.1
通讯作者：
O'Donnell, Lisa A.
中科院分区：
文献类型：
--
作者：
Himle, Joseph A.;Bybee, Deborah;Steinberger, Edward;Laviolette, Wayne T.;Weaver, Addie;Vlnka, Sarah;Golenberg, Zipora;Levine, Debra Siegel;Heimberg, Richard G.;O'Donnell, Lisa A.
我们设计并试行了一种基于群体的、与工作相关的认知行为疗法(WCBT)，用于治疗患有社交焦虑症(SAD)的失业人员。WCBT是由职业服务专业人员在职业服务环境中提供的，旨在减少社会焦虑，使个人能够寻找、获得和保留就业。我们将WCBT与通常的职业服务控制条件(VSAU)进行了比较。参与者是失业、无家可归、主要是非裔美国人、寻求职业服务的患有SAD的成年人(N=58)，随机接受八次WCBT加VSAU或单独接受VSAU，并在治疗后三个月进行跟踪。多水平模型显示，与VSAU相比，WCBT组在社交焦虑、一般焦虑、抑郁和功能障碍方面的减少幅度更大。求职活动和自我效能感的系数表明WCBT有更大的增长。在随访期内，每周工作时间在两组之间没有差异，但样本量小，以及与测量工作时间相关的挑战可能是导致这一结果的原因之一。总体而言，这项研究的结果表明，由职业服务专业人员进行专门的与工作相关的CBT可以有效地治疗患有SAD的失业人员。未来对WCBT的测试需要更大的样本、更长的随访期和足够的能力来评估就业结果。
We designed and pilot-tested a group-based, work-related cognitive-behavioral therapy (WCBT) for unemployed individuals with social anxiety disorder (SAD). WCBT, delivered in a vocational service setting by vocational service professionals, aims to reduce social anxiety and enable individuals to seek, obtain, and retain employment. We compared WCBT to a vocational services as usual control condition (VSAU). Participants were unemployed, homeless, largely African American, vocational service-seeking adults with SAD (N=58), randomized to receive either eight sessions of WCBT plus VSAU or VSAU alone and followed three months post-treatment. Multilevel modeling revealed significantly greater reductions in social anxiety, general anxiety, depression, and functional impairment for WCBT compared to VSAU. Coefficients for job search activity and self-efficacy indicated greater increases for WCBT. Hours worked per week in the follow-up period did not differ between the groups, but small sample size and challenges associated with measuring work hours may have contributed to this finding. Overall, the results of this study suggest that unemployed persons with SAD can be effectively treated with specialized work-related CBT administered by vocational service professionals. Future testing of WCBT with a larger sample, a longer follow-up period, and adequate power to assess employment outcomes is warranted.
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影响因子：
7
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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DOI：
10.1007/s10488-008-0197-4
发表时间：
2009-01
影响因子：
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作者：
Proctor, Enola K.;Landsverk, John;Aarons, Gregory;Chambers, David;Glisson, Charles;Mittman, Brian
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Mittman, Brian