DIAGNOSTIC SUBTYPE, AVOIDANT PERSONALITY-DISORDER, AND EFFICACY OF COGNITIVE-BEHAVIORAL GROUP-THERAPY FOR SOCIAL PHOBIA
DIAGNOSTIC SUBTYPE, AVOIDANT PERSONALITY-DISORDER, AND EFFICACY OF COGNITIVE-BEHAVIORAL GROUP-THERAPY FOR SOCIAL PHOBIA
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DOI：
10.1007/bf02230408
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发表时间：
1995-08-01
影响因子：
2.8
通讯作者：
WHITE, C
中科院分区：
文献类型：
--
作者：
HOPE, DA;HERBERT, JD;WHITE, C
随着对社交恐惧症异质性认识的不断提高，出现了各种亚型分类方案，并对社交恐惧症和回避型人格障碍（APD）之间的界限产生了争议。本研究通过比较认知行为团体治疗对广义社交恐惧症（所有主要情境领域的恐惧）和非广义社交恐惧症（多个领域的恐惧，但至少有一个未受影响的领域）的疗效，探讨了一个亚型系统的效用。总体而言，大多数受试者在治疗中有所改善，广义和非广义的社交恐惧症取得了类似的收益。然而，由于一般性社交恐惧症在治疗前受损更严重，因此在某些措施上，他们在治疗后继续受损。第二个假设，即APD的社交恐惧症比没有APD的社交恐惧症对治疗的反应更差，这一假设没有得到支持。这项研究增加了越来越多的证据表明，社交恐惧症和APD，如DSM-III-R所定义的，可能在概念上没有区别。讨论了临床和概念意义以及未来研究的方向。
Increasing recognition of the heterogeneity of social phobia has led to the development of various subtyping classification schemes and controversy over the boundary between social phobia and avoidant personality disorder (APD). This study investigated the utility of one subtyping system by comparing efficacy of cognitive-behavioral group therapy for generalized social phobia (fears in all major situational domains) and nongeneralized social phobia (fears in multiple domains but at least one unaffected domain). Overall, most subjects improved in treatment, with generalized and nongeneralized social phobics making similar gains. However, because generalized social phobics were more impaired prior to treatment, they continued to be more impaired after treatment on some measures. A second hypothesis that social phobics with APD would respond more poorly to treatment than social phobics without APD was not supported. This study adds to the growing evidence that social phobia and APD, as defined by DSM-III-R, may not be conceptually distinct. Clinical and conceptual implications and directions for future research are discussed.