BEHAVIORAL TREATMENT OF CHILDHOOD SOCIAL PHOBIA

社交恐惧症影响了大约1%的儿童人口。 患有社交恐惧症的儿童非常害怕公众 在公共场合说话、吃饭或写作，参加聚会，使用 公共洗手间，与权威人士交谈，非正式 互动。社交恐惧症的临床相关因素包括 抑郁，社交退缩，对失败的恐惧，对 认知能力和高特质焦虑。此外，儿童 有社交恐惧症的人有时会拒绝上学 相当大比例的人酗酒，行为举止 问题，以及与同龄人相处的困难。这个 11岁之前的社交恐惧症似乎预示着 成年后不能康复。因此，儿童社交恐惧症是一种 比之前认为的更复杂和更严重的混乱。 尽管到目前为止还没有发表过关于行为的研究 社交恐惧症儿童的治疗，社交研究 与世隔绝的儿童暗示社交技能训练可能是一种 有效干预。然而，传统的技能培训 节目不会产生对自然主义的概括 环境。此外，现有的成人社交恐惧症数据 表明关键治疗要素包括正规化 暴露疗法，一些通常不包括在社交中的东西 技能培训计划。因此，一个多模式的方法， 与这种疾病的多维性质相适应的是 这是正当的。这项拟议的研究正在根据 心理社会治疗发展倡议。这项研究将 检查一种新的治疗儿童社交障碍的疗效 恐惧症。儿童社会效能疗法(SET-C)，a 综合治疗计划将被比作关注- 安慰剂对照组为9-12岁儿童。药效 将根据它的能力对这种方法进行评估 减少社交焦虑和恐惧，提高社交技能和 人际功能，增加社会参与度 活动，提高自信心和自我概念。这项研究 将是SET-C和A的第一次对照比较研究 可信的安慰剂对照组。治疗的耐久性将是 在6个月的随访期内确定，评估为1、3 间隔6个月。

Social phobia affects approximately 1% of the child population. Children with social phobia have significant fears of public speaking, eating or writing in public, going to parties, using public restrooms, speaking to authority figures, and informal interactions. The clinical correlates of social phobia include depression, social withdrawal, fear of failure, poor perception of cognitive competence and high trait anxiety. Furthermore, children with social phobia sometimes refuse to attend school and a substantial percentage suffer alcohol abuse, display conduct problems, and experience difficulty getting along with peers. The onset of social fears prior to the age of 11 appears to predict non-recovery in adulthood. Thus, childhood social phobia is a much more complicated and serious disorder than heretofore believed. Although to date there are no published studies of behavioral treatments for children with social phobia, studies with socially isolated children suggest that social skills training may be an effective intervention. However, traditional skills training programs do not produce generalization to the naturalistic environment. In addition, extant data with adult social phobics indicate that the critical therapeutic element includes formalized exposure therapy, something not customarily included in social skills training programs. Therefore, a multi-modal approach, appropriate to the multi-dimensional nature of the disorder is warranted. The proposed study is being submitted under the psychosocial treatment development initiative. The study will examine the efficacy of a new treatment for children with social phobia. Social Effectiveness Therapy for Children (SET-C), a comprehensive treatment program will be compared to an attention- placebo control group in children 9-12 years of age. The efficacy of this approach will be evaluated in terms of its ability to reduce social anxiety and fear, improve social skill and interpersonal functioning, increase participation in social activities and improve self-confidence and self-concept. The study will be the first controlled comparison study of SET-C and a credible placebo control group. Durability of treatment will be determined over a 6 month followup period with assessments at 1, 3 and 6 month intervals.