Background:Our aim was to develop a brief cognitive behavioural therapy (CBT) protocol to augment treatment for social anxiety disorder (SAD). This protocol focused specifically upon fear of positive evaluation (FPE). To our knowledge, this is the first protocol that has been designed to systematically target FPE.Aims:To test the feasibility of a brief (two-session) CBT protocol for FPE and report proof-of-principle data in the form of effect sizes.Method:Seven patients with a principal diagnosis of SAD were recruited to participate. Following a pre-treatment assessment, patients were randomized to either (a) an immediate CBT condition (n = 3), or (b) a comparable wait-list (WL) period (2 weeks; n = 4). Two WL patients also completed the CBT protocol following the WL period (delayed CBT condition). Patients completed follow-up assessments 1 week after completing the protocol.Results:A total of five patients completed the brief, FPE-specific CBT protocol (two of the seven patients were wait-listed only and did not complete delayed CBT). All five patients completed the protocol and provided 1-week follow-up data. CBT patients demonstrated large reductions in FPE-related concerns as well as overall social anxiety symptoms, whereas WL patients demonstrated an increase in FPE-related concerns.Conclusions:Our brief FPE-specific CBT protocol is feasible to use and was associated with large FPE-specific and social anxiety symptom reductions. To our knowledge, this is the first treatment report that has focused on systematic treatment of FPE in patients with SAD. Our protocol warrants further controlled evaluation.

中文翻译：

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通过简短的认知行为治疗方案针对社交焦虑症患者对积极评价的恐惧：一项原理验证研究

背景：我们的目标是开发一个简短的认知行为疗法 (CBT) 方案，以加强对社交焦虑症 (SAD) 的治疗。该协议专门针对害怕正面评价(FPE)。据我们所知，这是第一个旨在系统地针对 FPE 的协议。目的：测试用于 FPE 的简短（两次）CBT 协议的可行性，并以效应大小的形式报告原理验证数据.方法：招募主要诊断为SAD的7名患者参加。在治疗前评估之后，患者被随机分配到（a）即时CBT条件（n= 3)，或 (b) 可比较的等候名单 (WL) 期（2 周；n= 4)。两名 WL 患者也在 WL 期后完成了 CBT 方案（延迟CBT 条件）。患者在完成方案 1 周后完成了后续评估。结果：共有 5 名患者完成了简短的 FPE 特异性 CBT 方案（7 名患者中有 2 名仅在候补名单中，未完成延迟CBT)。所有五名患者均完成了方案并提供了 1 周的随访数据。CBT 患者表现出与 FPE 相关的担忧以及整体社交焦虑症状大幅减少，而 WL 患者表现出与 FPE 相关的担忧有所增加。结论：我们简短的 FPE 特异性 CBT 方案是可行的，并且与大型 FPE 相关。特定和社交焦虑症状的减轻。据我们所知，这是第一份关注 SAD 患者 FPE 系统治疗的治疗报告。我们的协议值得进一步控制评估。