Nino de Ponti , Minoo Matbouriahi , Pamela Franco , Mathias Harrer , Clara Miguel , Davide Papola , Ayşesu Sicimoğlu , Pim Cuijpers , Eirini Karyotaki
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引用次数: 0
摘要
背景：鉴于研究心理疗法对社交焦虑症（SAD）影响的研究日益增多，需要对这一领域进行最新的综合荟萃分析：我们从焦虑症心理疗法随机试验（RCT）数据库中选取了一些研究（PubMed、PsycINFO、Embase 和 Cochrane (CENTRAL)的最后一次更新检索时间：2024 年 1 月 1 日）。我们纳入了对患有 SAD 的成人进行心理疗法与对照条件比较的 RCT，并进行了随机效应荟萃分析，以研究心理疗法与对照条件相比在治疗后的疗效：结果：共纳入66项RCT，5560名参与者，98项心理治疗与对照组之间的比较。心理疗法能有效减轻 SAD 症状，且效果显著（g = 0.88; 95 % CI: 0.76 to 1.0; I2 = 74 %; 95 % CI: 69 to 79, NNT = 3.8）。在敏感性分析中，疗效仍保持稳定。不过，有证据表明纳入的试验存在严重的偏倚风险。多变量元回归表明，治疗方式、招募策略类型、目标群体和疗程次数存在显著差异：结论：心理治疗是一种有效的 SAD 治疗方法，在所有治疗类型和形式中都具有中等至较大的效果。未来的研究需要确定其长期效果。
The efficacy of psychotherapy for social anxiety disorder, a systematic review and meta-analysis
Background
Given the growth in research examining the effects of psychotherapy on social anxiety disorder (SAD), an up-to-date comprehensive meta-analysis in this field is needed.
Methods
We selected studies from a database of randomized trials (RCTs) on psychotherapies for anxiety disorders (last updated search of PubMed, PsycINFO, Embase, and Cochrane (CENTRAL): 1 January 2024) We included RCTs comparing psychotherapy to a control condition for adults with SAD and conducted random effects meta-analyses to examine the efficacy of psychotherapy compared to control conditions at post-treatment.
Results
Sixty-six RCTs were included with 5560 participants and 98 comparisons between psychotherapy and control groups. Psychotherapy was effective in reducing SAD symptoms, with a large effect size (g = 0.88; 95 % CI: 0.76 to 1.0; I2 = 74 %; 95 % CI: 69 to 79, NNT = 3.8). Effects remained robust across sensitivity analyses. However, there was evidence for significant risk of bias in the included trials. The multivariable meta-regression indicated significant differences in treatment delivery formats, type of recruitment strategy, target group, and number of sessions.
Conclusion
Psychotherapy is an effective treatment for SAD, with moderate to large effect sizes across all treatment types and formats. Future research is needed to determine the long-term effects.
期刊介绍：
The Journal of Anxiety Disorders is an interdisciplinary journal that publishes research papers on all aspects of anxiety disorders for individuals of all age groups, including children, adolescents, adults, and the elderly. Manuscripts that focus on disorders previously classified as anxiety disorders such as obsessive-compulsive disorder and posttraumatic stress disorder, as well as the new category of illness anxiety disorder, are also within the scope of the journal. The research areas of focus include traditional, behavioral, cognitive, and biological assessment; diagnosis and classification; psychosocial and psychopharmacological treatment; genetics; epidemiology; and prevention. The journal welcomes theoretical and review articles that significantly contribute to current knowledge in the field. It is abstracted and indexed in various databases such as Elsevier, BIOBASE, PubMed/Medline, PsycINFO, BIOSIS Citation Index, BRS Data, Current Contents - Social & Behavioral Sciences, Pascal Francis, Scopus, and Google Scholar.
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