Social anxiety disorder (SAD) is a prevalent chronic condition with a large demand for treatment. This community outpatient study examined the effectiveness of a group intervention version of the established one-to-one cognitive therapy derived from the Clark and Wells model for SAD. Questionnaires were completed pre-treatment and post-treatment for SAD symptoms (Social Phobia Scale, Social Interaction Anxiety Scale), depressive symptoms (BDI-II), self-focused attention, safety behaviours (Social Phobia Weekly Summary Scale and Subtle Avoidance Frequency Examination), and impaired functioning (Work and Social Adjustment Scale). From an initial sample of 159 participants, 101 completed at least seven of the nine weekly group sessions (Mage = 34.1 years, SDage = 10.8 years, 53% female). Significant improvements were demonstrated on all measures. Large effect sizes were found for social anxiety symptoms and safety behaviour use. Self-focused attention, depressive symptoms, and impaired functioning had moderate effect sizes. Effect sizes for anxiety (d = 1.00 and 1.32) and mood measures (d = 0.71) were as high, or in some cases, higher than previous group treatment studies. Results suggest group cognitive therapy for SAD based on the Clark and Wells model is effective in a clinical setting for individuals with moderate/severe and treatment-resistant social anxiety.

中文翻译：

---

群体认知疗法在日常护理中对社交焦虑症的有效性

社交焦虑症 (SAD) 是一种普遍存在的慢性疾病，需要大量治疗。这项社区门诊研究检查了源自克拉克和威尔斯 SAD 模型的已建立的一对一认知疗法的团体干预版本的有效性。问卷完成治疗前和治疗后的SAD症状（社交恐惧量表、社交焦虑量表）、抑郁症状（BDI-II）、自我关注、安全行为（社交恐惧症每周总结量表和微妙回避频率检查） ）和功能受损（工作和社会适应量表）。从 159 名参与者的初始样本中，101 人完成了九个每周小组会议中的至少七次（米年龄= 34.1 岁，标清年龄= 10.8 岁，53% 为女性）。各项措施均有显着改善。发现社交焦虑症状和安全行为使用的大效应量。以自我为中心的注意力、抑郁症状和功能受损的影响大小适中。焦虑的效应量（d= 1.00 和 1.32) 和情绪测量 (d= 0.71) 与之前的组治疗研究一样高，或在某些情况下更高。结果表明，基于克拉克和威尔斯模型的 SAD 集体认知疗法在临床环境中对中度/重度和难治性社交焦虑症患者有效。