尽管认知行为团体疗法（CBGT）是治疗社交焦虑症的有效方法，但许多社交焦虑患者在治疗后仍然出现症状。 CBGT 的可能改善可能来自更具体验性的团体心理治疗，即心理剧 (PD)。 CBGT 和 PD 的整合（标记为 CBPT）可能提供比单独使用 CBGT 或 PD 更有效的治疗方法。在本研究中，我们首先调查了三种团体治疗（CBGT、PD 和 CBPT）是否优于等待名单治疗（WL）。其次，我们研究了 CBPT 是否比单独的 CBGT 或 PD 更有效。
方法144 名社交焦虑患者被随机分配到三个活跃状态或 WL。等待后，WL 参与者被随机分配接受积极的治疗条件。
结果多层次分析的结果表明，所有治疗方法在减少社交焦虑方面均优于 WL。只有 CBGT 和 CBPT 在减少对负面评价的恐惧方面与 WL 有显着差异。治疗后和六个月随访后，任何变量的活动状态之间没有显着差异，治疗退出也没有显着差异。
局限性首先，缺乏长期的跟踪。其次，由于参与者的流失，与 WL 相比，我们没有达到积极治疗组的计划人数。此外，本研究并非设计为非劣效性或等效性试验。
结论虽然综合CBPT显示出良好的效果，但并不比其他治疗更有效。
"点击查看英文标题和摘要"
Effectiveness of cognitive behavioral group therapy, psychodrama, and their integration for treatment of social anxiety disorder: A randomized controlled trialBackground and objectives
Although cognitive behavioral group therapy (CBGT) is an effective treatment for social anxiety disorder, many socially anxious patients are still symptomatic after treatment. A possible improvement for CBGT could come from the more experiential group psychotherapy, psychodrama (PD). The integration of CBGT and PD (labeled CBPT) might offer an even more effective treatment than CBGT or PD alone. With the present study, we investigated first whether three kinds of group therapy (CBGT, PD, and CBPT) are superior to a waitlist (WL). Second, we investigated whether CBPT is more effective than CBGT or PD alone.
MethodsOne hundred and forty-four social anxiety patients were randomly assigned to three active conditions or a WL. After wait, WL-participants were randomized over the active treatment conditions.
ResultsThe results of a multilevel analysis showed that all treatments were superior to WL in reducing social anxiety complaints. Only CBGT and CBPT differed significantly from WL in reducing fear of negative evaluations. There were no significant differences between active conditions in any of the variables after treatment and after six-month follow up, neither were there significant differences in treatment dropout.
LimitationsFirst there is the lack of a long-term follow-up. Second, because of loss of participants, we did not reach the planned numbers in the active treatment groups in comparison to WL. Moreover, this study was not designed as a non-inferiority or equivalence trial.
ConclusionsAlthough the integrative CBPT showed good results, it was not more effective than the other treatments.