Background:Social anxiety disorder (SoAD) in youth is often treated with a generic form of cognitive behavioural therapy (CBT). Some studies have suggested that primary SoAD is associated with lower recovery rates following generic CBT compared with other anxiety disorders.Aims:This systematic review and meta-analysis investigated recovery rates following generic CBT for youth with primary SoAD versus other primary anxiety disorders.Method:Five databases (PsycINFO, Web of Science, PubMed, Embase, Medline) were searched for randomised controlled trials of generic CBT for child and/or adolescent anxiety.Results:Ten trials met criteria for inclusion in the systematic review, six of which presented sufficient data for inclusion in the meta-analysis. Sixty-seven did not report data on recovery rates relative to primary diagnosis. While most individual studies included in the systematic review were not sufficiently powered to detect a difference in recovery rates between diagnoses, there was a pattern of lower recovery rates for youth with primary SoAD. Across the trials included in the meta-analysis, the post-CBT recovery rate from primary SoAD (35%) was significantly lower than the recovery rate from other primary anxiety disorders (54%).Conclusions:Recovery from primary SoAD is significantly less likely than recovery from any other primary anxiety disorder following generic CBT in youth. This suggests a need for research to enhance the efficacy of CBT for youth SoAD.

中文翻译：

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与患有其他原发性焦虑症的年轻人相比，患有原发性社交焦虑症的年轻人在接受通用 CBT 后恢复的可能性是否更低？系统评价和荟萃分析

背景：青少年社交焦虑障碍 (SoAD) 通常采用通用形式的认知行为疗法 (CBT) 进行治疗。一些研究表明，与其他焦虑症相比，原发性 SoAD 与普通 CBT 后恢复率较低有关。相对其他原发性焦虑症。方法：在五个数据库（PsycINFO、Web of Science、PubMed、Embase、Medline）中搜索了针对儿童和/或青少年焦虑症的通用 CBT 的随机对照试验。结果：十项试验符合纳入系统的标准审查，其中六项提供了足够的数据以包含在荟萃分析中。67 人没有报告与初步诊断相关的恢复率数据。虽然系统评价中包含的大多数个体研究不足以检测诊断之间恢复率的差异，但原发性 SoAD 的青年恢复率较低。在荟萃分析中包括的试验中，原发性 SoAD 的 CBT 后恢复率 (35%) 明显低于其他原发性焦虑症的恢复率 (54%)。结论：从原发性 SoAD 中恢复的可能性明显低于在青少年通用 CBT 后从任何其他原发性焦虑症中恢复的可能性。这表明需要进行研究以提高 CBT 对青少年 SoAD 的功效。