Donohue B C, Van Hasselt V B, Hersen M
Nova Southeastern University.
Behav Modif. 1994 Jul;18(3):262-88. doi: 10.1177/01454455940183002.
This article provides an empirically derived description of social phobia, including onset, prevalence, comorbidity, and issues of differential diagnosis. Assessment and behavioral treatment strategies for social phobia are reviewed. It was not until the past few years that structured clinical interviews and self-report inventories have been developed with adequate reliability and validity to specifically assess social phobia. Thus much of the treatment outcome research is confounded with heterogeneous samples that make generalization of results difficult to interpret. Heterogeneity of samples, lack of controlled comparisons with adequate statistical power to detect treatment differences, and inconsistent findings do not permit the drawing of any definitive conclusions concerning the efficacy of behavioral treatment procedures at this time. More treatment comparison studies for social phobia need to be performed using structured clinical interviews and standardized assessment devices specific for use with social phobia. Pre hoc power analyses should be performed to determine the number of subjects deemed adequate to detect differences when performing comparison studies. Assessment and treatment of social phobia with children is conspicuously nonexistent. Assessment and treatment procedures for social phobia need to be developed and standardized with children.
本文提供了一个基于实证得出的社交恐惧症描述，包括发病情况、患病率、共病情况以及鉴别诊断问题。对社交恐惧症的评估和行为治疗策略进行了综述。直到过去几年，才开发出具有足够信度和效度的结构化临床访谈和自我报告量表来专门评估社交恐惧症。因此，许多治疗结果研究因样本异质性而受到混淆，这使得结果的推广难以解释。样本的异质性、缺乏具有足够统计效力以检测治疗差异的对照比较以及不一致的研究结果，使得目前无法就行为治疗程序的疗效得出任何明确结论。需要使用结构化临床访谈和专门用于社交恐惧症的标准化评估工具，开展更多针对社交恐惧症的治疗比较研究。在进行比较研究时，应进行预先的效力分析，以确定足以检测差异的受试者数量。明显缺乏针对儿童社交恐惧症的评估和治疗。需要针对儿童开发并规范社交恐惧症的评估和治疗程序。
