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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Social anxiety disorder: recent developments in psychological approaches to conceptualization and treatment
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Social anxiety disorder: recent developments in psychological approaches to conceptualization and treatment

机译：社交焦虑症：概念化和治疗的心理学方法的最新进展

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The aim of the present study was to identify and synthesize recent research findings in the aetiology and psychological treatment of social anxiety disorder and consider how these might improve outcome through more effective intervention. The electronic databases Medline, EMBASE and Psychlnfo were searched for January 2000-December 2008. Publications of interest referred to in relevant articles were also reviewed. Case reports and publications not in English were excluded. The greatest variance in social anxiety disorder is accounted for by temperamental and personality factors and these may be associated with significant heritability. The environmental contribution is smaller and mainly due to non-shared factors, with a small contribution from shared environmental factors. Epidemiological research confirms that social anxiety disorder is chronic, and among the anxiety disorders has the lowest rates of treatment seeking, receipt of evidence-based treatments and recovery. Effective psychological treatments have been available for some time, and the research emphasis is on increasing the efficacy of treatments through innovations in programme content and delivery. Cognitive science research has contributed a better understanding of cognitive factors that maintain social anxiety disorder and informed enhancement of the cognitive elements of therapy. Internet-based programmes show promise as a novel way to deliver and improve access to effective therapy. Genetic, personality and temperamental factors contribute to the risk for social anxiety disorder. Given the associated comorbidity and disability, energy needs to be directed towards early recognition and treatment, and to increasing engagement and retention in effective therapy. Ongoing professional education is required to ensure that the disorder is recognized and evidence-based treatments received by patients who do seek help. Current cognitive behavioural treatments are being enhanced as the results of cognitive s
机译：本研究的目的是确定和综合社会焦虑症的病因学和心理治疗方面的最新研究结果，并考虑这些结果如何通过更有效的干预来改善预后。搜索了2000年1月至2008年12月的电子数据库Medline，EMBASE和Psychlnfo。还对相关文章中提到的感兴趣的出版物进行了审查。病例报告和非英语出版物被排除在外。社交焦虑症的最大变异是由气质和人格因素造成的，这些因素可能与遗传力有关。环境贡献较小，主要是由于非共享因素，而共享环境因素贡献很小。流行病学研究证实，社交焦虑症是慢性的，并且在焦虑症中寻求治疗，接受循证治疗和康复的比率最低。有效的心理治疗已有一段时间了，研究重点是通过计划内容和交付方式的创新来提高治疗效果。认知科学研究已经对维持社交焦虑症的认知因素有了更好的了解，并在知情的基础上增强了治疗的认知要素。基于Internet的程序显示出有望成为提供和改善有效治疗方法的一种新颖方式。遗传，人格和气质因素增加了社交焦虑症的风险。考虑到相关的合并症和残疾，需要将精力用于早期识别和治疗，以及增加对有效治疗的参与和保留。需要持续的专业教育，以确保该疾病得到认可，并且寻求帮助的患者接受循证治疗。随着认知能力的提高，当前的认知行为治疗正在得到加强。

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