Rosser Stephanie, Erskine Alicia, Crino Rocco
Clinical Research Unit for Anxiety Disorders, University of New South Wales at St. Vincent's Hospital, Sydney, New South Wales, Australia.
Aust N Z J Psychiatry. 2004 Apr;38(4):233-9. doi: 10.1080/j.1440-1614.2004.01345.x.
This is a naturalistic treatment outcome study investigating the impact of pre-existing antidepressant use on the effectiveness of group cognitive behaviour therapy (CBT) for social phobia.
Of the 133 participants who completed the CBT program, 49 reported taking antidepressants (CBT + AD group), while 84 reported not taking antidepressants (CBT group). The treatment program involves 40 h of structured, group-based CBT over 7 weeks. The dependent measures included the Social Phobia Scale and Social Interaction Anxiety Scale, the Fear of Negative Evaluation Scale, the Depression, Anxiety and Stress Scale and the Short Form-12.
Both the CBT + AD group and the CBT group improved significantly across treatment on all dependent measures. There were no significant differences between the groups on any outcome measure and the rate of improvement from pre- to post-treatment for both groups did not differ.
Pre-existing antidepressants did not significantly enhance or detract from the positive treatment outcome of a structured, group-based CBT program for social phobia.
这是一项自然主义治疗结果研究，旨在调查预先使用抗抑郁药对社交恐惧症团体认知行为疗法（CBT）有效性的影响。
在完成CBT项目的133名参与者中，49人报告服用了抗抑郁药（CBT+AD组），而84人报告未服用抗抑郁药（CBT组）。治疗项目包括在7周内进行40小时的结构化、基于团体的CBT。相关测量指标包括社交恐惧症量表、社交互动焦虑量表、负面评价恐惧量表、抑郁、焦虑和压力量表以及简短健康调查问卷12项。
CBT+AD组和CBT组在所有相关测量指标上的治疗效果均有显著改善。两组在任何结果指标上均无显著差异，且两组治疗前至治疗后的改善率无差异。
预先使用抗抑郁药并未显著增强或削弱针对社交恐惧症的结构化、基于团体的CBT项目的积极治疗效果。
