焦虑
心理信息
荟萃分析
社交焦虑
焦虑症
梅德林
心理学
广泛性焦虑症
临床心理学
系统回顾
随机对照试验
惊恐障碍
认知行为疗法
广泛性焦虑
心理健康
心理干预
特异性恐惧症
认知疗法
精神科
医学
内科学
法学
政治学
作者
Rachel Evans,David M. Clark,Eleanor Leigh
出处
期刊:Behavioural and Cognitive Psychotherapy
[Cambridge University Press]
日期:2021-05-01
卷期号:49 (3): 352-369
被引量:15
标识
DOI:10.1017/s135246582000079x
摘要
Abstract Background: Social anxiety disorder (SoAD) in youth is often treated with a generic form of cognitive behavioural therapy (CBT). Some studies have suggested that primary SoAD is associated with lower recovery rates following generic CBT compared with other anxiety disorders. Aims: This systematic review and meta-analysis investigated recovery rates following generic CBT for youth with primary SoAD versus other primary anxiety disorders. Method: Five databases (PsycINFO, Web of Science, PubMed, Embase, Medline) were searched for randomised controlled trials of generic CBT for child and/or adolescent anxiety. Results: Ten trials met criteria for inclusion in the systematic review, six of which presented sufficient data for inclusion in the meta-analysis. Sixty-seven did not report data on recovery rates relative to primary diagnosis. While most individual studies included in the systematic review were not sufficiently powered to detect a difference in recovery rates between diagnoses, there was a pattern of lower recovery rates for youth with primary SoAD. Across the trials included in the meta-analysis, the post-CBT recovery rate from primary SoAD (35%) was significantly lower than the recovery rate from other primary anxiety disorders (54%). Conclusions: Recovery from primary SoAD is significantly less likely than recovery from any other primary anxiety disorder following generic CBT in youth. This suggests a need for research to enhance the efficacy of CBT for youth SoAD.
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