Clinic for Psychosomatic Medicine and Psychotherapy, University of Giessen, Ludwigstrasse 76, 35392 Giessen, Germany.
J Anxiety Disord. 2013 Oct;27(7):692-702. doi: 10.1016/j.janxdis.2013.08.002. Epub 2013 Aug 27.
While we know that social anxiety disorder (SAD) is today's most common anxiety disorder knowledge on its prospective long-term course is sparse. We conducted a systematic literature search using databases Medline and PsycINFO for naturalistic and psychotherapy outcome studies with follow-up durations of at least 24 months. Four naturalistic cohorts and nine psychotherapy trials were included in the review. The naturalistic course in clinical was less favorable than in non-clinical samples (27% vs. 40% recovery rate after 5 years). Psychotherapy trials, all applying (cognitive) behavioral methods, yielded stable outcomes with overall large pre- to follow-up effect sizes on self-report scales. Observer rated remission rates varied considerably (36% to 100%) depending on study design and follow-up length. The results of psychotherapy trials and that of naturalistic studies can hardly be compared due to differences in methodology. More standardized remission and recovery criteria are needed to enhance the understanding of the longitudinal course.
虽然我们知道社交焦虑障碍（SAD）是当今最常见的焦虑障碍，但对其前瞻性长期病程的了解甚少。我们使用 Medline 和 PsycINFO 数据库进行了系统的文献检索，以查找随访时间至少为 24 个月的自然观察和心理治疗结果研究。本综述纳入了四个自然观察队列和九个心理治疗试验。临床自然病程不如非临床样本有利（5 年后的恢复率分别为 27%和 40%）。所有应用（认知）行为方法的心理治疗试验均产生了稳定的结果，总体上自我报告量表的前后测效应值较大。根据研究设计和随访时间的不同，观察者评定的缓解率差异很大（36%至 100%）。由于方法学的差异，心理治疗试验和自然观察研究的结果几乎无法进行比较。需要更标准化的缓解和恢复标准来增强对纵向病程的理解。
