Hofmann Stefan G
Department of Psychology, Boston University.
Clin Psychol (New York). 2000 Mar;7(1):3-16. doi: 10.1093/clipsy/7.1.3.
Although the efficacy of numerous psychosocial interventions for social phobia has been clearly demonstrated, little is known about the mediators and moderators of treatment change. Three potential mediators are discussed that are derived from prominent psychological theories: negative cognitive appraisal (estimated social costs), perceived self-efficacy (perceived social skills), and perceived emotional control. Furthermore, the generalized subtype of social phobia and the additional diagnosis of avoidant personality disorder are considered as potential treatment moderators.
尽管针对社交恐惧症的众多心理社会干预措施的疗效已得到明确证实,但对于治疗变化的中介因素和调节因素却知之甚少。本文讨论了三种源自著名心理学理论的潜在中介因素:消极认知评估(估计的社会成本)、感知自我效能(感知的社交技能)和感知情绪控制。此外,社交恐惧症的泛化亚型以及回避型人格障碍的额外诊断被视为潜在的治疗调节因素。