Scholing A, Emmelkamp P M
Department of Psychology, University of Groningen, The Netherlands.
Behav Res Ther. 1993 Feb;31(2):155-70. doi: 10.1016/0005-7967(93)90067-5.
Social phobic patients (n = 30) with fear of blushing, sweating or trembling as the predominant complaint were randomly assigned to three treatment conditions: (1) exposure in vivo followed by cognitive therapy, (2) cognitive therapy followed by exposure in vivo, or (3) a cognitive-behavioural treatment in which both strategies were integrated from the start. Each treatment condition consisted of 16 sessions, given in two treatment blocks of 4 weeks each, separated by a no-treatment phase of 4 weeks. Self-report assessments were held before and after the treatment blocks and at 3-months follow-up. No significant differences were found between effects of the first treatment block vs those of the 4-weeks waiting-list period. After the second block treatment was significantly more effective than waiting-list. The analyses showed significant time effects after both treatment blocks and at follow-up, indicating improvement for the group as a whole. After two treatment blocks and at follow-up no significant differences among the different treatment packages were found on target problems, avoidance of social situations, cognitions and somatic complaints. After discussion of the results recommendations for further research will be given.
以害怕脸红、出汗或颤抖为主要症状的社交恐惧症患者（n = 30）被随机分配到三种治疗条件下：（1）现场暴露后进行认知疗法；（2）认知疗法后进行现场暴露；或（3）一种从一开始就将两种策略整合的认知行为疗法。每种治疗条件包括16次治疗，分两个治疗阶段进行，每个阶段为期4周，中间间隔4周的无治疗期。在治疗阶段前后以及3个月随访时进行自我报告评估。在第一个治疗阶段的效果与4周等待期的效果之间未发现显著差异。在第二个治疗阶段后，治疗效果显著优于等待期。分析表明，在两个治疗阶段后以及随访时均有显著的时间效应，表明整个组都有改善。在两个治疗阶段后以及随访时，不同治疗方案在目标问题、社交情境回避、认知和躯体症状方面未发现显著差异。在讨论结果后，将给出进一步研究的建议。
