Taube-Schiff Marlene, Suvak Michael K, Antony Martin M, Bieling Peter J, McCabe Randi E
Psychosocial Oncology and Palliative Care Department, Princess Margaret Hospital, Toronto, ON, Canada.
Behav Res Ther. 2007 Apr;45(4):687-98. doi: 10.1016/j.brat.2006.06.004. Epub 2006 Aug 22.
Cognitive-behavior therapy (CBT) for Social Phobia is effective in both group and individual formats. However, the impact of group processes on treatment efficacy remains relatively unexplored. In this study we examined group cohesion ratings made by individuals at the midpoint and endpoint of CBT groups for social phobia. Symptom measures were also completed at the beginning and end of treatment. We found that cohesion ratings significantly increased over the course of the group and were associated with improvement over time in social anxiety symptoms, as well as improvement on measures of general anxiety, depression, and functional impairment. In conclusion, findings are consistent with the idea that changes in group cohesion are related to social anxiety symptom reduction and, therefore, speak to the importance of nonspecific therapeutic factors in treatment outcome.
社交恐惧症的认知行为疗法（CBT）在团体和个体治疗形式中均有效。然而，团体过程对治疗效果的影响仍相对未被探究。在本研究中，我们考察了社交恐惧症CBT团体治疗中点和终点时个体做出的团体凝聚力评分。在治疗开始和结束时也完成了症状测量。我们发现，在团体治疗过程中凝聚力评分显著增加，并且与社交焦虑症状随时间的改善相关，同时在一般焦虑、抑郁和功能损害测量方面也有所改善。总之，研究结果与团体凝聚力变化与社交焦虑症状减轻相关的观点一致，因此说明了非特异性治疗因素在治疗结果中的重要性。
