Research Institute, Modum Bad, 3371 Vikersund, Norway.
J Behav Ther Exp Psychiatry. 2010 Sep;41(3):212-9. doi: 10.1016/j.jbtep.2010.01.005. Epub 2010 Jan 28.
The predictors of residential cognitive (RCT) and residential interpersonal Treatment (RIPT) for social phobia were explored. (1) Sotsky et al. (1991) found differential effects of CT and IPT for depression, suggesting that the level of cognitive or social dysfunction predicted differential outcome. We examined whether an analogous effect could be demonstrated in 10 weeks of residential treatment of 80 social phobia subjects. (2) We also included expectations, age of onset, severity of illness, concurrent anxiety, mood, avoidant personality disorder, and body dysmorphic disorder as predictors in this exploratory study.
Main outcome was the social phobia subscale of Social Phobia and Anxiety Inventory (SPAI SP). DSM-IV axis I and II interviews were completed.
(1) Sotsky et al. (1991) findings were not reproduced. However, RIPT subjects with poor general functioning were less improved following treatment. Subjects with concurrent agoraphobia responded better with RCT than subjects without agoraphobia. (2) Age of onset and expectations were the most powerful predictors of post treatment outcome.
Some patient characteristics appear to impact outcome with RIPT and RCT differentially. The findings are discussed.
本研究旨在探讨社交恐惧症住院认知治疗（RCT）和住院人际治疗（RIPT）的预测因素。（1）Sotsky 等人（1991）发现认知治疗和人际治疗对抑郁症的效果存在差异，这表明认知或社会功能障碍的程度可以预测不同的治疗结果。我们在 80 名社交恐惧症患者接受为期 10 周的住院治疗中检验了这一假设。（2）在本探索性研究中，我们还将期望、发病年龄、疾病严重程度、同时存在的焦虑、情绪、回避型人格障碍和体像障碍作为预测因素纳入研究。
主要结局指标为社交恐惧症和焦虑症问卷（SPAI-SP）的社交恐惧症子量表。完成 DSM-IV 轴 I 和 II 访谈。
（1）并未重现 Sotsky 等人（1991）的研究结果。然而，一般功能较差的 RIPT 受试者在治疗后改善较少。与无广场恐惧症的受试者相比，合并广场恐惧症的 RCT 受试者治疗后反应更好。（2）发病年龄和期望是治疗后结局的最有力预测因素。
一些患者特征似乎会对 RIPT 和 RCT 的治疗效果产生不同的影响。对结果进行了讨论。
