Effectiveness of Group Cognitive Therapy for Social Anxiety Disorder in Routine Care

IF 1.5 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behaviour Change Pub Date : 2020-11-24 DOI:10.1017/bec.2020.19

H. Colhoun, L. Kannis-Dymand, Marion Rudge, Dianne Le Compte, Sarah J. O'Flaherty, C. Gilbert, Monique Jones, S. Harrow, Ron Chambers, Colette Woolcock, Julie MacLeod, G. Lovell, C. Bell

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引用次数: 0

Abstract

Social anxiety disorder (SAD) is a prevalent chronic condition with a large demand for treatment. This community outpatient study examined the effectiveness of a group intervention version of the established one-to-one cognitive therapy derived from the Clark and Wells model for SAD. Questionnaires were completed pre-treatment and post-treatment for SAD symptoms (Social Phobia Scale, Social Interaction Anxiety Scale), depressive symptoms (BDI-II), self-focused attention, safety behaviours (Social Phobia Weekly Summary Scale and Subtle Avoidance Frequency Examination), and impaired functioning (Work and Social Adjustment Scale). From an initial sample of 159 participants, 101 completed at least seven of the nine weekly group sessions (Mage = 34.1 years, SDage = 10.8 years, 53% female). Significant improvements were demonstrated on all measures. Large effect sizes were found for social anxiety symptoms and safety behaviour use. Self-focused attention, depressive symptoms, and impaired functioning had moderate effect sizes. Effect sizes for anxiety (d = 1.00 and 1.32) and mood measures (d = 0.71) were as high, or in some cases, higher than previous group treatment studies. Results suggest group cognitive therapy for SAD based on the Clark and Wells model is effective in a clinical setting for individuals with moderate/severe and treatment-resistant social anxiety.

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团体认知疗法在日常护理中治疗社交焦虑障碍的效果

社交焦虑症（SAD）是一种普遍存在的慢性疾病，需要大量的治疗。这项社区门诊研究检验了根据Clark和Wells SAD模型建立的一对一认知疗法的团体干预版本的有效性。完成SAD症状（社交恐惧量表、社交焦虑量表）、抑郁症状（BDI-II）、自我专注注意力、安全行为（社交恐惧周总结量表和微妙回避频率检查）和功能障碍（工作和社会适应量表）的治疗前和治疗后问卷。从159名参与者的初始样本中，101人至少完成了九次每周小组会议中的七次（Mage=34.1岁，SDage=10.8岁，53%为女性）。所有措施都得到了显著改进。社交焦虑症状和安全行为使用的影响大小较大。自我关注、抑郁症状和功能受损具有中等程度的影响。焦虑（d=1.00和1.32）和情绪测量（d=0.71）的影响大小与之前的小组治疗研究一样高，或者在某些情况下更高。结果表明，基于Clark和Wells模型的SAD群体认知治疗在临床环境中对中度/重度和耐治疗社交焦虑的个体是有效的。

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

Behaviour Change PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.