Background:

Considering the need for developing and examining evidenced-based programs using a brief group format for management of social anxiety disorder (SAD) at the community level, we studied theefficacy of two brief versions of cognitive-behavioral therapy (CBT) programs, brief cognitive-behavioral group therapy (bCBGT), and verbal exposure augmented cognitive behavioral therapy (VE-CBT), on social anxiety among university students.

Methods:

A single-center, randomized, parallel-group design was adopted. We delivered six weekly two-hour group sessions, bCBGT and VE-CBT, to 41 university students diagnosed with SAD. An independent rater assessed participants using the Liebowitz Social Anxiety Scale (LSAS) and Clinical Global Impression scale-Severity (CGI-S) at baseline, postintervention, and two-month follow-up. A patient-rated measure, Social Phobia Inventory (SPIN), was assessed at the same time-points.

Results:

There was a significant improvement in severity of social anxiety from baseline to posttreatment and baseline to two-month follow-up in both groups. However, the treatment effects in bCBGT were statistically superior to VE-CBT at postintervention (SPIN, P = 0.038; LSAS, P = 0.028; CGI-S, P = 0.036) and follow-up (SPIN, P = 0.006; LSAS, P = 0.01; CGI-S, P = 0.04).

Conclusions:

Brief CBT treatments, both bCBGT and VE-CBT, are efficacious for SAD among university students. They have the potential to address barriers associated with SAD management. However, we recommend a longer follow-up and replications in diverse settings.

Clinical trial registration number: CTRI/2019/11/021954

中文翻译：

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简短认知行为团体疗法和言语暴露增强认知行为疗法治疗大学生社交焦虑症：随机对照可行性试验

 背景：

考虑到需要使用简短的小组形式来开发和审查基于证据的计划，以在社区层面管理社交焦虑症（SAD），我们研究了两种简短版本的认知行为治疗（CBT）计划的功效，即简短的认知行为治疗行为团体疗法（bCBGT）和言语暴露增强认知行为疗法（VE-CBT）针对大学生的社交焦虑。

 方法：

采用单中心、随机、平行组设计。我们为 41 名被诊断患有 SAD 的大学生提供了六次每周两小时的小组课程、bCBGT 和 VE-CBT。独立评估者在基线、干预后和两个月的随访中使用利博维茨社交焦虑量表（LSAS）和临床总体印象严重程度量表（CGI-S）对参与者进行评估。在同一时间点评估了患者评价的指标——社交恐惧症量表（SPIN）。

 结果：

从基线到治疗后以及从基线到两个月随访，两组的社交焦虑严重程度都有显着改善。然而，在干预后（SPIN，P = 0.038；LSAS，P = 0.028；CGI-S，P = 0.036）和随访时（SPIN，P = 0.006；LSAS， P = 0.01；CGI-S，P = 0.04）。

 结论：

简短的 CBT 治疗（bCBGT 和 VE-CBT）对大学生的 SAD 有效。它们有潜力解决与 SAD 管理相关的障碍。然而，我们建议在不同的环境中进行更长的随访和重复。

临床试验注册号：CTRI/2019/11/021954