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首页> 外文期刊>The British journal of psychiatry : >Guided and unguided self-help for social anxiety disorder: randomised controlled trial.
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Guided and unguided self-help for social anxiety disorder: randomised controlled trial.

机译：社交焦虑症的有指导和无指导的自助服务：随机对照试验。

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BACKGROUND: Internet-delivered self-help programmes with added therapist guidance have shown efficacy in social anxiety disorder, but unguided self-help has been insufficiently studied. AIMS: To evaluate the efficacy of guided and unguided self-help for social anxiety disorder. METHOD: Participants followed a cognitive-behavioural self-help programme in the form of either pure bibliotherapy or an internet-based treatment with therapist guidance and online group discussions. A subsequent trial was conducted to evaluate treatment specificity. Participants (n = 235) were randomised to one of three conditions in the first trial, or one of four conditions in the second. RESULTS: Pure bibliotherapy and the internet-based treatment were better than waiting list on measures of social anxiety, general anxiety, depression and quality of life. The internet-based therapy had the highest effect sizes, but directly comparable effects were noted for bibliotherapy augmented with online group discussions. Gains were well maintained a year later. CONCLUSIONS: Unguided self-help through bibliotherapy can produce enduring improvement for individuals with social anxiety disorder.
机译：背景：在治疗师的指导下，通过互联网提供的自助程序已显示出对社交焦虑症的疗效，但对未经指导的自助服务的研究不足。目的：评估有指导和无指导自助对社交焦虑症的疗效。方法：参与者遵循认知行为自助计划，采用纯书目疗法或基于互联网的治疗方法，并带有治疗师的指导和在线小组讨论。随后进行了试验以评估治疗特异性。参加者（n = 235）在第一次试验中被随机分配到三个条件之一，在第二次试验中被随机分配到四个条件之一。结果：就社交焦虑，一般焦虑，抑郁和生活质量的测量而言，纯书目治疗和基于互联网的治疗优于等待清单。基于互联网的疗法具有最大的效果，但通过在线小组讨论增强了文献疗法的直接可比效果。一年后收益保持良好。结论：通过书目疗法进行无指导的自助可以为患有社交焦虑症的人带来持久的改善。

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