Abeditehrani Hanieh, Dijk Corine, Sahragard Toghchi Mahdi, Arntz Arnoud
Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
Department of Psychology, Payame Noor University, Tehran, Iran.
Clin Psychol Eur. 2020 Mar 31;2(1):e2693. doi: 10.32872/cpe.v2i1.2693. eCollection 2020 Mar.
Cognitive behavioral therapy (CBT) is generally considered to be the most effective psychological treatment for social anxiety disorder (SAD). Nevertheless, many patients with SAD are still symptomatic after treatment. The present pilot study aimed to examine integrating CBT, with a focus on cognitive and behavioral techniques, and psychodrama, which focuses more on experiential techniques into a combined treatment (CBPT) for social anxious patients in a group format. This new intervention for SAD is described session-by-session.
Five adult female patients diagnosed with social anxiety disorder participated in a twelve-session CBPT in a group format. Pretest and posttest scores of social anxiety, avoidance, spontaneity, cost and probability estimates of negative social events, depression, and quality of life were compared, as were weekly assessments of fear of negative evaluation.
Results demonstrated a significant reduction of the fear of negative evaluation and social anxiety symptoms. It is noteworthy that also the scores of the probability and cost estimates decreased. However, there were no significant differences between pre and post measures in any of other measures.
The current study suggests that group CBPT might be an effective treatment for SAD. However, our sample size was small and this was an uncontrolled study. Therefore, it is necessary to test this intervention in a randomized controlled trial with follow-up assessments.
认知行为疗法（CBT）通常被认为是社交焦虑障碍（SAD）最有效的心理治疗方法。然而，许多SAD患者在治疗后仍有症状。本试点研究旨在检验将侧重于认知和行为技术的CBT与更侧重于体验技术的心理剧整合为一种针对社交焦虑患者的团体形式的联合治疗（CBPT）。逐节描述了这种针对SAD的新干预措施。
五名被诊断为社交焦虑障碍的成年女性患者参加了为期十二节的团体形式的CBPT。比较了社交焦虑、回避、自发性、负面社交事件的成本和概率估计、抑郁以及生活质量的前测和后测分数，以及对负面评价恐惧的每周评估。
结果显示对负面评价的恐惧和社交焦虑症状显著减轻。值得注意的是，概率和成本估计分数也有所下降。然而，在任何其他测量中，前后测量之间均无显著差异。
当前研究表明团体CBPT可能是一种治疗SAD的有效方法。然而，我们的样本量较小且这是一项非对照研究。因此，有必要在一项进行随访评估的随机对照试验中检验这种干预措施。
