Nader-Mohammadi Moghadam Mehryar, Atef-Vahid Mohammad-Kazem, Asgharnejad-Farid Ali-Asghar, Shabani Amir, Lavasni Fahimeh
Tehran Institute of Psychiatry, Tehran University of Medical Sciences Tehran, IR Iran.
Iran J Psychiatry Behav Sci. 2015 Jun;9(2):e228. doi: 10.17795/ijpbs228. Epub 2015 Jun 8.
A few studies on short-term psychodynamic approach have been conducted on social phobia.
In this study, the effectiveness of short-term psychodynamic psychotherapy on the treatment of social phobia has been compared to the effectiveness of sertraline and waiting list.
In this randomized-controlled trial study, 13 male students were treated with short-term dynamic psychotherapy (McCullough method) lasting 25 sessions, 11 students received sertraline for 12 weeks, and 14 students, as the waiting list, received no intervention for 8 weeks. Participants completed the Social Phobia Inventory (SPIN) as primary efficacy variable 4 times, and were rated with Clinical Global Impression scale (CGI) and Global Assessment of Functioning (GAF) as secondary efficacy variables. The data were analyzed with analysis of variance (ANOVA), analysis of covariance (ANCOVA), general linear model repeated measures analysis of variance and Fisher exact test.
ANCOVA showed significant differences between groups based on SPIN scores (F = 23.51, Sig. = 0.001) and Bonferroni test, as post hoc compression, showed means of both short-term dynamic therapy and sertraline therapy groups were significantly different from waiting list mean (STDP-WL: [Formula: see text] = 15.76, Sig. = 0.001), (MED-WL: [Formula: see text] = 15.91, Sig. = 0.001). Mean of SPIN scores was not significantly different between short-term dynamic psychotherapy and pharmacotherapy groups. In both treatment groups, means of SPIN scores significantly decreased in posttest, but not in waiting. These results repeated with GAF and CGI scores.
The results indicated that short-term dynamic psychotherapy sertraline are effective in decreasing social phobia symptoms and were superior to control group.
已针对社交恐惧症开展了一些关于短期心理动力学方法的研究。
在本研究中，将短期心理动力学心理治疗对社交恐惧症的治疗效果与舍曲林及等待名单的效果进行了比较。
在这项随机对照试验研究中，13名男学生接受了为期25节的短期动态心理治疗（麦卡洛方法），11名学生接受了12周的舍曲林治疗，14名学生作为等待名单，8周内未接受任何干预。参与者4次完成社交恐惧症量表（SPIN）作为主要疗效变量，并使用临床总体印象量表（CGI）和功能总体评估（GAF）作为次要疗效变量进行评分。数据采用方差分析（ANOVA）、协方差分析（ANCOVA）、一般线性模型重复测量方差分析和费舍尔精确检验进行分析。
ANCOVA显示基于SPIN评分的组间存在显著差异（F = 23.51，显著性 = 0.001），作为事后检验的邦费罗尼检验显示，短期动态治疗组和舍曲林治疗组的均值均与等待名单均值存在显著差异（STDP - WL：[公式：见原文] = 15.76，显著性 = 0.001），（MED - WL：[公式：见原文] = 15.91，显著性 = 0.001）。短期动态心理治疗组和药物治疗组之间的SPIN评分均值无显著差异。在两个治疗组中，SPIN评分均值在测试后均显著下降，但在等待组中未下降。这些结果在GAF和CGI评分中也得到了重复。
结果表明，短期动态心理治疗和舍曲林在减轻社交恐惧症症状方面有效，且优于对照组。
