Cognitive-Behavioral and Psychodynamic Therapy in Adolescents with Social Anxiety Disorder: A Multicenter Randomized Controlled Trial
| Autor: | Eric Leibing, Simone Salzer, Peter Henningsen, Falk Leichsenring, Regina Steil, Eva Vonderlin, Uwe Ruhl, Rita Rosner, Hamid Peseschkian, Christiane Steinert, Annette Stefini, Günter Reich, Klaus-Thomas Kronmüller, Yvonne Schopf |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Waiting Lists medicine.medical_treatment Liebowitz social anxiety scale behavioral disciplines and activities law.invention 03 medical and health sciences 0302 clinical medicine Superiority Trial Randomized controlled trial law Humans Medicine Applied Psychology Psychiatric Status Rating Scales Psychodynamic psychotherapy Cognitive Behavioral Therapy business.industry Social anxiety Phobia Social Cognition General Medicine 3. Good health 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Anxiety Female medicine.symptom Psychotherapy Psychodynamic business 030217 neurology & neurosurgery |
| Zdroj: | Psychotherapy and Psychosomatics. 87:223-233 |
| ISSN: | 1423-0348 0033-3190 |
| DOI: | 10.1159/000488990 |
| Popis: | Background: Although social anxiety disorder (SAD) has an early onset and is frequently found in adolescence, evidence for psychotherapeutic treatments of SAD in adolescents is rather scarce. Within the Social Phobia Psychotherapy Research Network (SOPHO-NET), we examined the efficacy of cognitive-behavioral (CBT) and psychodynamic therapy (PDT) compared to a waiting list (WL) in these patients. Methods: In a multicenter randomized controlled superiority trial, 107 patients, aged 14–20 years, were randomized to CBT (n = 34), PDT (n = 34), or WL (n = 39). Assessments were made at baseline, at the end of treatment, and 6 and 12 months after termination. The Liebowitz Social Anxiety Scale for Children and Adolescents (LSAS-CA) applied by raters masked to the treatment condition was used as the primary outcome. As secondary outcomes, rates of response and remission and the Social Phobia Anxiety Inventory (SPAI) were used. Results: Both treatments were superior to WL in the LSAS-CA (CBT: p = 0.0112, d = 0.61, 95% CI 0.14–1.08; PDT: p = 0.0261, d = 0.53, 95% CI 0.06–1.00). At the end of treatment, response rates were 66, 54, and 20% for CBT, PDT, and WL. The corresponding remission rates were 47, 34, and 6%, respectively. CBT and PDT were significantly superior to WL regarding remission (CBT: p = 0.0009, h = 1.0; PDT: p = 0.0135, h = 0.74), response (CBT: p = 0.0004, h = 0.97; PDT: p = 0.0056, h = 0.72), and the SPAI (CBT: p = 0.0021, d = 0.75, 95% CI 0.27–1.22; PDT: p = 0.0060, d = 0.66, 95% CI 0.19–1.13). Treatment effects were stable at 6- and 12-month follow-ups. Conclusions: These results are comparable to the large SOPHO-NET trial in adults (n = 495). Early treatments for social anxiety are needed in order to prevent chronic manifestation of SAD. |
| Databáze: | OpenAIRE |
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