Clinical features affecting treatment outcome in social phobia.

Characteristics of social phobics were examined to determine their effect on treatment acceptance, drop-out rate and amount of improvement at post-treatment. The rate of treatment non-acceptance was low and those who entered treatment differed from those who did not only on ratings of social phobia severity. The drop-out rate also was relatively low, and there were no differences between those who dropped out and those who completed treatment. When patients were divided on the specific versus generalized subtype dichotomy, a number of interesting findings emerged. Response to treatment was similar, but the specific subtype was significantly more improved at post-treatment than the generalized subtype. When compared on composite indexes of overall improvement and endstate functioning, there was no difference between the number of specific and generalized social phobics achieving significant or moderate improvement. However, a greater number of the specific subtype were judged to have high or moderate endstate status than the generalized subtype. A similar outcome was found when social phobics with comorbid disorders were compared with those who were non-comorbid. The results are discussed in terms of factors affecting outcome in social phobia treatment.

Husbandry practices employed by private aviculturists, bird markets and zoo collections, which may be conducive to fostering infectious diseases.

Zoos, quarantine stations, and bird markets, dealers and breeders are in the business of propagating or moving birds. Facilities often house and transport birds which have unknown histories of exposure to disease. As few tests are available for disease screening and monitoring in exotic avian species, familiarization with significant avian pathogens will enable the manager and veterinarian to recognize and prevent a disease outbreak. Implementing aviary management practices which minimize the spread of pathogens, in conjunction with quarantine and the proper handling of birds during shipment, can greatly reduce the threat of disease. The author reviews the husbandry practices (caging, nutrition, transport, quarantine) which can reduce the incidence and spread of infectious disease. Significant avian pathogens (bacteria, viruses, parasites) are listed, together with their host range and modes of transmission.

A composite measure to determine improvement following treatment for social phobia: the Index of Social Phobia Improvement.

This article describes the development of a composite index to determine improvement in treatment outcome research with social phobia. The index is comprised of 5 individual outcome measures that tap various domains of social phobia and assess the disorder via multiple methods (e.g. self-report, clinical ratings, behavioral performance). The ability of the index to determine improvement over treatment, and its initial concurrent validity are discussed.