ABSTRACT
Ei objetivo del estudio es mejorar los resultados informados por las revisiones sobre el tratamiento de adultos con Fobia social generalizada. La muestra la integraron 91 participantes con Fobia social generalizada (EM: 19.90 años; DT: 1.05) asignados aleatoriamente a tres condiciones experimentales, evaluados antes y después del tratamiento, y a los 6, 12, y 24 meses en los grupos tratados. Los resultados muestran (a) la efectividad de la detección en el contexto comunitario versus la intervención clínica, en el corto y medio plazo, y (b) una mejora significativa de los efectos del tratamiento, frente a los de las revisiones de las intervenciones clínicas ad hoc, tanto en los abandonos como en las tasas de recuperación. Ello permite concluir que esta modalidad de aplicación del tratamiento cognitivo-conductual puede ser una estrategia complementaria a la convencional con la que mejorar los resultados actuales de la intervención psicológica en este trastorno.
The study investigates how to improve the results reported by the reviews on the effects of clinical interventions in adults with Generalized social phobia. The sample was composed of 91 participants (median age = 19.90 years, SD = 1.05) randomly assigned to three experimental conditions. The evaluations were conducted before and after treatment in all three groups and at 6-, 12-, and 24-month follow-up for the treatment groups. The results show (a) the effectiveness of the cognitive-behavioral strategy of detection and intervention, in a community context, versus clinical intervention both for the short and medium term; and (b) a significant improvement over the percentages of dropouts and of rates of complete recovery from the disorder. These findings allow us to conclude that the cognitive-behavioral strategy of detection and intervention, in a community context is shown to be a complementary intervention to the conventional and with high efficiency ratios.
Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Behavior Therapy/methods , Community Psychiatry/methods , Phobia, Social/therapy , Spain , Cognitive Behavioral Therapy , Phobia, Social/psychologyABSTRACT
El propósito de este estudio es adaptar y validar para su aplicación en población adulta española el tratamiento Terapia para la Eficacia Social (Turner, Beidel, Cooley, Woody y Messer, 1994). Se presentan los resultados obtenidos con un grupo experimental-tratamiento compuesto por 16 participantes que fueron comparados con un grupo de control-lista de espera, todos con fobia social generalizada (APA, 2000). La evaluación se realizó antes y después del tratamiento en ambos grupos, así como en dos medidas de seguimiento en el grupo experimental. Los resultados en el grupo experimental muestran la eficacia a corto y a largo plazo de la adaptación realizada de la Terapia para la Eficacia Social en todas las medidas que evalúan la ansiedad y evitación social; por el contrario, los integrantes del grupo de control no alcanzaron mejoría en ninguna de las variables evaluadas.
The objective of this study is to adapt and validate for use in the adult Spanish population the treatment known as social effectiveness therapy (Turner, Beidel, Cooley, Woody, and Messer, 1994). We present results that were obtained by comparing an experimental-treatment group consisting of 16 participants with a waiting list control group, all with generalized social phobia (APA, 2000). The evaluation was carried out before and after the treatment in both groups as well as in two follow-ups with the experimental group. The results in the experimental group show the short and long-term efficacy of social effectiveness therapy for all measures that assess social anxiety and avoidance. In contrast, the members of the control group did not experience improvement in any of the variables evaluated.
Subject(s)
Humans , Male , Female , Young Adult , Social Behavior , Psychotherapy/methods , Phobic Disorders/therapy , Spain , Personality , Psychotherapy, Group , Interpersonal Relations , Treatment Outcome , Phobic Disorders/diagnosis , Phobic Disorders/psychologyABSTRACT
OBJECTIVES: The purposes of this study were to understand the difference of coping strategies for stress and to compare the degree of social avoidance, subjective distress and fear of negative evaluation between patients with generalized and nongeneralized social phobia. METHODS: Forty-six outpatients meeting the criteria of DSM-IV social phobia at the Department of Psychiatry Kangbuk Samsung Hospital were included. They were classified as generalized type (n=30) and nongeneralized type (n=16) according to the number of difficult situations. Social Phobia Scale (SPS), Social Avoidance and Distress Scale (SADS) and Brief-Fear of Negative Evaluation (BFNE) scales were administered to both groups. To evaluate the coping strategies for stress, we used 'Multidimensional Coping Scale'. RESULTS: 1) The group of generalized social phobia showed significantly lower scores on emotional expression and religious seeking and showed higher scores on passive withdrawal in multidimensional coping scales than the group of nongeneralized social phobia. 2) The group of generalized social phobia reported greater subjective fear of situation in which the patients were exposed to scrutiny by others than did the group of nongeneralized social phobia. The group of generalized social phobia tended to report severer anxiety and to avoid social situation that may be embarrassing far greater than did in group of nongeneralized social phobia. 3) In both groups, social avoidance and distress were positively correlated with passive withdrawal and emotional support and negatively correlated with active coping. Fear for negative evaluation was positively correlated with fatalism and negatively correlated with positive interpretation. CONCLUSION: Efficient and active intervention to change unproductive coping strategy such as passive withdrawal is essential in the treatment of social phobia patients. Also this study suggests that interventions designed to modify behaviors and cognitions in emotional support seeking and fatalism could improve symptoms.