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A randomized clinical trial of group and individual Cognitive-Behavioral Therapy approaches for Social Anxiety Disorder.
International Journal of Clinical and Health Psychology ( IF 5.900 ) Pub Date : 2019-12-24 , DOI: 10.1016/j.ijchp.2019.11.004
Carmem Beatriz Neufeld 1 , Priscila C Palma 1 , Kátia A S Caetano 1, 2 , Priscila G Brust-Renck 3 , Joshua Curtiss 2 , Stefan G Hofmann 2
Affiliation  

To compare the effectiveness of two Cognitive-Behavioral Therapy (CBT) interventions—an individual and a group intervention—in Social Anxiety Disorder therapy. We compared the two treatment groups against a waitlist condition in a randomized clinical trial with 86 young adults. The individual CBT intervention was Trial-Based Cognitive Therapy (TBCT) developed by De-Oliveira, a novel technique in which the therapist engages the patient in a simulated judicial trial with the goal of identifying and changing core dysfunctional beliefs. The group intervention consisted of exposition therapy based on the Hofmann and Otto protocol (Group CBT) to restructure negative and dysfunctional cognitions regarding social situations. Both interventions reduced psychiatric symptoms from pre- to post-test and primary social anxiety and depression symptoms relative to waitlist controls. The interventions were recently introduced in Brazil, and this is the first randomized control trial to compare TBCT and this Group CBT, which were effective in assessing changes in social anxiety symptoms as well as co-occurring psychiatric symptoms.



中文翻译:

一项针对团体和个人的社交焦虑症认知行为治疗方法的随机临床试验。

为了比较两种认知行为疗法(CBT)干预措施(个人干预和小组干预)在社交焦虑症治疗中的效果。在一项针对86名年轻成年人的随机临床试验中,我们将两个治疗组与候补条件进行了比较。单独的CBT干预是由De-Oliveira开发的基于试验的认知疗法(TBCT),这是一种新颖的技术,其中,治疗师将患者纳入模拟司法试验中,以识别和改变核心机能障碍的信念。小组干预包括基于Hofmann和Otto方案的暴露疗法(CBT组),以重构关于社交场合的消极和功能障碍的认知。相对于等待清单控制,这两种干预措施都可以减少从测试前到测试后的精神病症状以及主要的社交焦虑和抑郁症状。干预措施是最近在巴西引入的,这是第一个比较TBCT和本组CBT的随机对照试验,这些试验有效地评估了社交焦虑症状以及共同出现的精神症状的变化。

更新日期:2019-12-24
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