Cognitive Behavior Group Therapy for Children and Adolescents With Social Anxiety Disorder

IF 0.8 4区 心理学 Q4 PSYCHOLOGY, DEVELOPMENTAL
Julia Asbrand, Martina Krämer, Nina Heinrichs, Kai Nitschke, and Brunna Tuschen-Caffier
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Abstract

Abstract: Background: Social anxiety disorder (SAD) in children is highly prevalent but current treatments are not effective for all patients. Aim: A group treatment based on empirically driven etiological models including psychoeducation, cognitive restructuring, exposure, and social skills training was examined. Method: The study examined treatment success using a SAD-specific cognitive behavior group therapy in a randomized controlled trial ( N = 74, 8 – 12 years, blind randomized allocation to treatment [CBT; n = 42] and waitlist [WLC; n = 32]). Results: Compared to WLC, parents of children in the CBT group reported a decrease in symptoms (CBT: d = 1.02, WLC: d = 0.06), while children did not differ in two measures of social anxiety. An estimate of total treatment effects showed a steady decrease in social anxiety symptoms (child report pre- to posttreatment: d = 0.50 – 0.52, posttreatment to follow-up: d = 0.37 – 0.39; parent report pre- to posttreatment: d = 0.92, posttreatment to follow-up: d = 0.69). Conclusion: While group treatment is most likely an effective approach, parents reported stronger social anxiety symptom reduction than children. The selection of measures for the assessment of SAD and treatment success and further modifications of exposure-based approaches are to be considered in future research.
针对儿童和青少年社交焦虑症患者的认知行为团体疗法
摘要:背景:儿童社交焦虑症(SAD)发病率很高,但目前的治疗方法并非对所有患者都有效。目的:研究了一种基于经验驱动的病因模型的集体治疗方法,包括心理教育、认知重组、暴露和社交技能训练。方法:该研究在随机对照试验中检验了针对 SAD 的认知行为团体疗法的治疗效果(74 人,8 - 12 岁,盲法随机分配治疗[CBT;42 人]和候补名单[WLC;32 人])。结果:与 WLC 相比,CBT 组儿童的父母报告症状有所减轻(CBT:d = 1.02,WLC:d = 0.06),而儿童在社交焦虑的两项测量中没有差异。对总治疗效果的估计显示,社交焦虑症状稳步下降(儿童报告治疗前至治疗后:d = 0.50 - 0.52,治疗后至随访:d = 0.37 - 0.39;家长报告治疗前至治疗后:d = 0.92,治疗后至随访:d = 0.69)。结论虽然集体治疗很可能是一种有效的方法,但家长报告的社交焦虑症状减轻程度要强于儿童。在今后的研究中,我们将考虑如何选择评估社交焦虑症和治疗成功与否的方法,以及如何进一步修改以暴露为基础的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Kindheit Und Entwicklung
Kindheit Und Entwicklung PSYCHOLOGY, DEVELOPMENTAL-
自引率
16.70%
发文量
29
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