Masia Warner Carrie, Fisher Paige H, Shrout Patrick E, Rathor Snigdha, Klein Rachel G
New York University School of Medicine, Child Study Center, USA.
J Child Psychol Psychiatry. 2007 Jul;48(7):676-86. doi: 10.1111/j.1469-7610.2007.01737.x.
Anxiety disorders are often undetected and untreated in adolescents. This study evaluates the relative efficacy of a school-based, cognitive-behavioral intervention compared to an educational-supportive treatment for adolescents with social anxiety disorder.
Thirty-six students (30 females), ages 14 to 16, were randomized to a 12-week specific intervention, Skills for Social and Academic Success (SASS), or a credible attention control matched for structure and contact, conducted in school.
Independent evaluations and adolescent self-reports indicated significant reduction in social anxiety for SASS compared to the control group. Parent reports of their children's social anxiety did not discriminate between treatments. In the specific intervention, 59%, compared to 0% in the control, no longer met criteria for social anxiety disorder following treatment. Superiority of the SASS intervention was maintained 6 months after treatment cessation.
The study provides evidence that intervention for social anxiety disorder that emphasizes exposure and social skills is efficacious. Results indicate that clinical improvement is sustained for at least 6 months, and that, overall, adolescents with social anxiety disorder do not respond to non-specific treatment. This investigation has public health implications by demonstrating that effective interventions can be transported to nonclinical settings.
焦虑症在青少年中常常未被发现和治疗。本研究评估了针对社交焦虑症青少年的基于学校的认知行为干预与教育支持性治疗的相对疗效。
36名年龄在14至16岁的学生（30名女性）被随机分配到为期12周的特定干预项目“社交与学业成功技能”（SASS），或在学校进行的结构和接触时间相匹配的可信注意力控制组。
独立评估和青少年自我报告显示，与对照组相比，SASS组的社交焦虑显著降低。家长对其子女社交焦虑的报告在两种治疗方法之间没有差异。在特定干预组中，59%的青少年在治疗后不再符合社交焦虑症的标准，而对照组这一比例为0%。治疗停止6个月后，SASS干预的优势依然存在。
该研究提供了证据，表明强调暴露和社交技能的社交焦虑症干预是有效的。结果表明临床改善至少持续6个月，总体而言，社交焦虑症青少年对非特异性治疗无反应。本调查通过证明有效干预可应用于非临床环境，具有公共卫生意义。
