McEvoy Peter M
Clinical Research Unit for Anxiety and Depression, St. Vincent's Hospital, 299 Forbes Street, Darlinghurst, Sydney, NSW 2010, Australia.
Behav Res Ther. 2007 Dec;45(12):3030-40. doi: 10.1016/j.brat.2007.08.002. Epub 2007 Aug 8.
This study used a benchmarking strategy to investigate the transportability of cognitive behavioural group therapy (CBGT) for social phobia to a community mental health clinic. The influence of common exclusion criteria on effect sizes was also examined. Patients (N=153) attended seven 4-h sessions of CBGT, which resulted in significant reductions in symptoms of social anxiety and depression. Effect sizes compared favourably to previous efficacy and effectiveness studies of both group and individual treatment. More than half of the treatment completers achieved reliable change. One-third achieved clinically significant change (CSC) on the Social Phobia Scale and the Beck Depression Inventory, but fewer achieved CSC on the Social Interaction and Anxiety Scale. Restricting the sample on the basis of depression symptoms, age above or below 50 years, comorbidity, alcohol problems, or student status did not significantly moderate effect sizes for social anxiety. It is concluded that CBGT is effective within community mental health clinics.
本研究采用基准测试策略，调查社交恐惧症认知行为团体疗法（CBGT）在社区心理健康诊所的可移植性。同时还考察了常见排除标准对效应量的影响。患者（N = 153）参加了七次为时4小时的CBGT治疗，结果社交焦虑和抑郁症状显著减轻。与之前关于团体治疗和个体治疗的疗效及有效性研究相比，效应量表现良好。超过一半的治疗完成者实现了可靠的改变。三分之一的患者在社交恐惧症量表和贝克抑郁量表上实现了临床显著改变（CSC），但在社交互动与焦虑量表上实现CSC的患者较少。基于抑郁症状、年龄在50岁以上或以下、共病、酒精问题或学生身份对样本进行限制，并未显著调节社交焦虑的效应量。研究得出结论，CBGT在社区心理健康诊所中是有效的。
