School of Social Work, University of Maryland, Baltimore, MD 21201, USA.
Soc Work Health Care. 2010;49(5):494-507. doi: 10.1080/00981381003684898.
Paruresis is a social anxiety disorder characterized by a fear of being unable to urinate in the presence of others. This condition has not been covered in the social work literature, yet is a perfect example of a person-in-environment problem. This article explores the use of graduated exposure therapy during weekend-long workshops for the treatment of paruresis. One hundred one participants participated in workshops and were administered pretreatment, posttreatment, and 1-year follow-up treatment scales. Repeated measures analysis of variance indicated significant improvement in shy bladder symptoms. Significant improvement in global severity of shy bladder was observed posttreatment and at the 1-year follow-up point. Findings suggest that graduated exposure therapy improves self-reported global severity of shy bladder symptoms and that these gains were maintained at 1-year follow up.
尿羞症是一种社交焦虑障碍，其特征是害怕在他人面前无法排尿。社会工作文献中并未涉及这种情况，但它是人与环境问题的一个完美示例。本文探讨了在为期周末的研讨会上使用逐步暴露疗法治疗尿羞症。101 名参与者参加了研讨会，并在治疗前、治疗后和 1 年随访时进行了治疗量表评估。重复测量方差分析表明害羞膀胱症状有显著改善。治疗后和 1 年随访时，害羞膀胱的总体严重程度也有显著改善。研究结果表明，逐步暴露疗法可改善自我报告的害羞膀胱症状的总体严重程度，并且这些改善在 1 年随访时得以维持。
