Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany.
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Germany.
J Anxiety Disord. 2016 Oct;43:99-105. doi: 10.1016/j.janxdis.2016.09.005. Epub 2016 Sep 14.
Symptoms of depersonalization during feared social situations are commonly experienced by individuals with social anxiety disorder (SAD). Despite its clinical relevance, it is not addressed in standard treatment manuals and it remains unclear if depersonalization is reduced by well-established treatments. This study investigated whether cognitive therapy (CT) for SAD effectively reduces depersonalization and whether pre-treatment severity of depersonalization predicts or mediates treatment outcome. In a randomized controlled trial, patients underwent the standardized Trier Social Stress Test before and after CT (n=20) or a waitlist period (n=20) and were compared to healthy controls (n=21). Self-reported depersonalization was measured immediately after each stress test. Depersonalization significantly decreased following CT, especially in treatment responders (η=0.32). Pre-treatment depersonalization did neither predict nor mediate post-treatment severity of social anxiety. Further prospective studies are needed for a better scientific understanding of this effect. It should be scrutinized whether SAD-patients suffering from depersonalization would benefit from a more specific therapy.
在人们所害怕的社交情境中，人格解体的症状在社交焦虑障碍（SAD）患者中很常见。尽管它具有临床相关性，但在标准治疗手册中并未涉及，也不清楚人格解体是否会因已确立的治疗方法而减轻。本研究调查了 SAD 的认知疗法（CT）是否能有效减轻人格解体，以及治疗前人格解体的严重程度是否能预测或介导治疗效果。在一项随机对照试验中，患者在 CT（n=20）或等待期（n=20）前后接受了标准化的特里尔社会应激测试，并与健康对照组（n=21）进行了比较。在每次应激测试后立即测量自我报告的人格解体。CT 后人格解体显著减轻，尤其是在治疗反应者中（η=0.32）。治疗前的人格解体既不能预测也不能介导治疗后社交焦虑的严重程度。需要进一步的前瞻性研究来更好地理解这种影响。应该仔细检查是否患有人格解体的 SAD 患者是否会从更具体的治疗中受益。
