社交恐惧症的认知疗法与暴露及应用放松疗法对比：一项随机对照试验
Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial.
作者信息
Clark David M, Ehlers Anke, Hackmann Ann, McManus Freda, Fennell Melanie, Grey Nick, Waddington Louise, Wild Jennifer
机构信息
Department of Psychology, Institute of Psychiatry, King's College London, London, United Kingdom.
出版信息
J Consult Clin Psychol. 2006 Jun;74(3):568-78. doi: 10.1037/0022-006X.74.3.568.
A new cognitive therapy (CT) program was compared with an established behavioral treatment. Sixty-two patients meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) criteria for social phobia were randomly assigned to CT, exposure plus applied relaxation (EXP = AR), or wait-list (WAIT). CT and EXP = AR were superior to WAIT on all measures. On measures of social phobia, CT led to greater improvement than did EXP = AR. Percentages of patients who no longer met diagnostic criteria for social phobia at posttreatment-wait were as follows: 84% in CT, 42% in EXP = AR, and 0% in WAIT. At the 1-year follow-up, differences in outcome persisted. In addition, patients in EXP = AR were more likely to have sought additional treatment. Therapist effects were small and nonsignificant. CT appears to be superior to EXP = AR in the treatment of social phobia.
将一种新的认知疗法（CT）项目与一种既定的行为疗法进行了比较。62名符合《精神障碍诊断与统计手册》（第4版；美国精神病学协会，1994年）社交恐惧症标准的患者被随机分配到CT组、暴露加应用放松疗法（EXP = AR）组或等待名单（WAIT）组。在所有测量指标上，CT组和EXP = AR组均优于WAIT组。在社交恐惧症的测量指标上，CT组比EXP = AR组带来了更大的改善。治疗后不再符合社交恐惧症诊断标准的患者百分比在等待组中为0%，在EXP = AR组中为42%，在CT组中为84%。在1年的随访中，结果差异依然存在。此外，EXP = AR组的患者更有可能寻求额外的治疗。治疗师的影响很小且不显著。在社交恐惧症的治疗中，CT似乎优于EXP = AR。
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