社交焦虑障碍的治疗。

The treatment of social anxiety disorder.

作者信息

Rodebaugh Thomas L, Holaway Robert M, Heimberg Richard G

机构信息

Adult Anxiety Clinic of Temple University, 419 Weiss Hall, 1701 N. 13th Street, Philadelphia, PA 19122, USA.

出版信息

Clin Psychol Rev. 2004 Nov;24(7):883-908. doi: 10.1016/j.cpr.2004.07.007.

DOI:10.1016/j.cpr.2004.07.007

PMID:15501560

Abstract

We review the available treatments for social anxiety disorder, focusing primarily on psychotherapeutic interventions for adults, but also giving briefer summaries of pharmacological treatments and treatments for children and adolescents. The most well-researched psychosocial treatments for social anxiety disorder are cognitive-behavioral therapies (CBTs), and meta-analyses indicate that all forms of CBT appear likely to provide some benefit for adults. In addition, there are several pharmacological treatments with demonstrated efficacy, and cognitive-behavioral interventions have some demonstrated efficacy for children and adolescents. We outline a number of concerns regarding this literature, including the questions of what influences treatment response and what role combinations of CBT and medication might have. Clearly, although a number of treatments appear well-established in regard to their effects on social anxiety disorder, a number of opportunities for future research remain, including the search for predictors of who will benefit from which treatment.

摘要

我们回顾了社交焦虑障碍的现有治疗方法，主要关注针对成年人的心理治疗干预措施，同时也简要概述了药物治疗以及针对儿童和青少年的治疗方法。针对社交焦虑障碍研究最为充分的心理社会治疗方法是认知行为疗法（CBT），荟萃分析表明，所有形式的CBT似乎都可能对成年人有一定益处。此外，有几种药物治疗已证明有疗效，认知行为干预对儿童和青少年也有一定疗效。我们概述了有关该文献的一些问题，包括影响治疗反应的因素以及CBT与药物联合使用可能起的作用等问题。显然，尽管许多治疗方法对社交焦虑障碍的疗效似乎已得到充分证实，但未来仍有许多研究机会，包括寻找哪些人会从哪种治疗中获益的预测因素。