Predictors of response to cognitive-behavioral group therapy for social phobia
Predictors of response to cognitive-behavioral group therapy for social phobia
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DOI：
10.1016/s0887-6185(97)00008-x
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发表时间：
1997-05-01
影响因子：
10.3
通讯作者：
Glass, CR
中科院分区：
文献类型：
--
作者：
Chambless, DL;Tran, GQ;Glass, CR
在对62名患者（41名泛化型，21名非泛化型）的样本进行测试后以及6个月的随访中，对社交恐惧症的认知行为团体疗法的效果进行了评估。所评估的预测因素包括抑郁、预期人格障碍特征、临床医生评定的损伤广度和严重程度，以及社交互动过程中消极思维的频率。结果测量包括自我报告问卷以及二元互动和公开演讲的行为测试。尽管没有一个预测因素在所有测量领域都与结果相关，但较高的抑郁程度、更多的回避型人格特征以及较低的治疗预期，在一个或多个结果标准上都与较差的治疗反应相关。认知改变始终与自我报告症状测量的改变相关，但与预期相反，测试后的较低消极思维率并不能预测随访时治疗效果的更好维持。(C) 1997爱思唯尔科学有限公司
Response to cognitive-behavioral group therapy for social phobia was assessed at posttest and 6-month follow-up in a sample of 62 clients (41 generalized subtype, 21 nongeneralized). Predictors assessed were depression, expectancy personality disorder traits, clinician-rated breadth and severity of impairment, and frequency of negative thoughts during social interactions. Outcome measures included self-report questionnaires and behavioral tests of dyadic interaction and a public speech. Although no predictor was related to outcome across all domains of measurement, higher depression, more avoidant personality traits, and lower treatment expectancy were each related to poorer treatment response on one or more outcome criteria. Cognitive change was consistently associated with change on self-report symptom measures, but, contrary to expectation, lower rates of negative thinking at posttest did not predict better maintenance of treatment gains at follow-up. (C) 1997 Elsevier Science Ltd.