Donohue B, Acierno R, van Hasselt V B, Hersen M
Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, FL 33314, USA.
J Behav Ther Exp Psychiatry. 1995 Mar;26(1):65-75. doi: 10.1016/0005-7916(94)00069-x.
A multiple baseline design was used to assess the effects of social skills training (SST) in a 65-year-old woman suffering from major depression and severe macular degeneration. Responses to role-played scenarios requiring assertiveness, in vivo request for assistance and social involvement, self-reported assertiveness, depression, and happiness were repeatedly recorded during baseline, treatment, and follow-up phases. Results showed progressive improvement in targeted social skills with SST in both clinic and home settings. Concurrent with enhanced levels of social skill were dramatic decreases of depression to a nonclinical level. Improved skill levels and diminished Geriatric Depression Scale scores were maintained during the 7-month follow-up period, except at the 6 month assessment after which booster treatment was applied to reinstate maximum improvement.
采用多重基线设计，评估社交技能训练（SST）对一名患有重度抑郁症和严重黄斑变性的65岁女性的影响。在基线、治疗和随访阶段，反复记录她在角色扮演情景中表现出的坚定自信、实际请求帮助和社交参与情况，以及自我报告的坚定自信、抑郁和幸福感。结果显示，在诊所和家庭环境中，社交技能训练使目标社交技能逐步得到改善。随着社交技能水平的提高，抑郁症状显著减轻至非临床水平。在7个月的随访期内，技能水平的提高和老年抑郁量表得分的降低一直保持，不过在6个月评估时除外，之后进行了强化治疗以恢复最大程度的改善。
