University of Warsaw, Faculty of Psychology, Warsaw, Poland.
Psychother Res. 2011 Jul;21(4):462-71. doi: 10.1080/10503307.2011.581707.
The aim of this study was to test the effects of brief strategic therapy in people with social phobia distinguished by the presence or absence of DSM anxious personality disorder. A group of 120 outpatients with social phobia, 60 of them with comorbid DSM anxious personality disorder, were randomly assigned to 10 weeks of brief strategic therapy or minimal supportive therapy. Outcome analyses were conducted on the intent-to-treat sample at posttreatment and 3-month follow-up using self-report interpersonal sensitivity and phobic anxiety measures, and at 6-month follow-up using social phobia diagnostic status. Brief strategic therapy was superior to minimal supportive therapy in patients with social phobia only. It was not significantly better in patients with comorbid personality disorder. It was concluded that 10 weeks of brief strategic therapy shows promise as a cost-effective method for management of social phobia. It has limited value as a method for management of social phobia with personality disorder.
本研究旨在测试短程策略治疗对社交恐惧症患者的效果，这些患者根据是否存在 DSM 焦虑型人格障碍进行区分。一组 120 名社交恐惧症门诊患者，其中 60 名伴有 DSM 焦虑型人格障碍，被随机分配接受 10 周的短程策略治疗或最低支持性治疗。在治疗后和 3 个月随访时，使用自我报告的人际敏感和恐惧症焦虑量表，在 6 个月随访时使用社交恐惧症的诊断状态，对意向治疗样本进行了结果分析。短程策略治疗在仅患有社交恐惧症的患者中优于最低支持性治疗。在伴有人格障碍的患者中，其效果并不显著。结论是，10 周的短程策略治疗有望成为一种具有成本效益的社交恐惧症治疗方法。对于伴有人格障碍的社交恐惧症的治疗方法，其价值有限。
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