Karolinska Institute, Department of Clinical Neuroscience/Centre for Psychiatry Research, Stockholm, Sweden.
J Anxiety Disord. 2011 Dec;25(8):994-1000. doi: 10.1016/j.janxdis.2011.06.007. Epub 2011 Jun 23.
Little is known about the long-term outcome of treatments for social phobia. At 5 years post-treatment we contacted the 67 patients who had been treated with intensive group cognitive therapy (IGCT) or individual cognitive therapy (ICT) in a randomized controlled trial (Mörtberg, Clark, Sundin, & Åberg Wistedt, 2007) that originally compared IGCT, ICT, and treatment as usual (n=100 for the full trial). Seventy-two percent (48 patients) who received IGCT or ICT agreed to participate in the follow-up assessment. All re-completed the original self-report measures of symptoms and disability and a quality of life measure. A subset was also interviewed. Seventy-five percent (36 patients) had sought no further treatment for social phobia. Comparisons between post-treatment and 5-year follow-up indicated that patients who had received either treatment showed further improvement in social phobia symptoms and disability during the follow-up period. These improvements were present in patients who had no additional treatment, as well as in the total sample. In conclusion, it appears that the effects of IGCT and ICT are maintained and improved upon at 5 years post-treatment.
关于社交恐惧症治疗的长期结果知之甚少。在治疗后 5 年，我们联系了在一项随机对照试验（Mörtberg、Clark、Sundin 和 Åberg Wistedt，2007）中接受强化小组认知疗法（IGCT）或个体认知疗法（ICT）治疗的 67 名患者，该试验最初比较了 IGCT、ICT 和常规治疗（完整试验中有 100 名患者）。接受 IGCT 或 ICT 的患者中有 72%（48 名患者）同意参加随访评估。所有患者都重新完成了最初的症状和残疾自我报告量表以及生活质量量表。部分患者还接受了访谈。75%（36 名患者）没有寻求进一步治疗社交恐惧症。治疗后和 5 年随访的比较表明，接受任何一种治疗的患者在随访期间社交恐惧症症状和残疾都有进一步改善。这些改善不仅存在于没有接受额外治疗的患者中，也存在于总样本中。总之，IGCT 和 ICT 的效果似乎在治疗后 5 年得到维持和改善。
