Feng Yuan, Xiao Rang, Qiu Chang-jian, Wu Wei-li, Wang Wei, Nie Xiao-jing, Zhu Chun-yan, Zhang Wei
Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2008 Nov;39(6):1018-22.
To evaluate the influence and therapeutic effect of self-improving based group psychotherapy which bases on pathopsychology mechanism of social anxiety disorder (SAD) in denfense mechanisms for the client with SAD.
70 psychotherapy clients and inpatients with SAD were involved in this group psychotherapy voluntarily. Every group had six to eight clients with SAD and two psychotherapists. Psychotherapy was conducted once a week with 2 to 2. 5 hours for a period of 8 weeks. The evaluation of the therapeutic effect contains the subjective perception of the clients with SAD, Liebowitz Social Anxiety Scale (LSAS), and Defense Style Questionnaire (DSQ).
65 clients with SAD completed the therapy. The clients reported self and social functions were improved after 8 weeks therapy. The total score of LSAS after the therapy was significantly lower than that of before the therapy (Z = -5.673, P=0.000). A significant decrease in immature defense machanism and in neurotic defense machanism were observed (Z = -4.866, -2.973; P=0.000, 0.003 respectively). And a trend of increasing the use of mature defense machanism was also observed (Z = -2.780, P=0.005).
Self-improving based group psychotherapy can encourage the clients with SAD accept themselves and cure the social anxiety symptoms. And there was a increasing use of mature defense machanism. These imply the clinic application value of the studied group psychotherapy.
基于社交焦虑障碍（SAD）的病理心理机制，评估自我提升式团体心理治疗对SAD患者防御机制的影响及治疗效果。
70名SAD心理治疗患者及住院患者自愿参与该团体心理治疗。每组有六至八名SAD患者及两名心理治疗师。心理治疗每周进行一次，每次2至2.5小时，为期8周。治疗效果评估包括SAD患者的主观感受、利博维茨社交焦虑量表（LSAS）及防御方式问卷（DSQ）。
65名SAD患者完成治疗。患者报告称，8周治疗后自我及社交功能得到改善。治疗后LSAS总分显著低于治疗前（Z = -5.673，P = 0.000）。观察到不成熟防御机制及神经症防御机制显著减少（Z = -4.866，-2.973；P分别为0.000，0.003）。同时也观察到成熟防御机制使用增加的趋势（Z = -2.780，P = 0.005）。
自我提升式团体心理治疗可促使SAD患者接纳自己并治愈社交焦虑症状，且成熟防御机制的使用增加。这些表明了该团体心理治疗的临床应用价值。
