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Verfasst von:Salzer, Simone [VerfasserIn]   i
 Stefini, Annette [VerfasserIn]   i
 Kronmüller, Klaus-Thomas [VerfasserIn]   i
 Vonderlin, Eva [VerfasserIn]   i
Titel:Cognitive-behavioral and psychodynamic therapy in adolescents with social anxiety disorder
Titelzusatz:a multicenter randomized controlled trial
Verf.angabe:Simone Salzer, Annette Stefini, Klaus-Thomas Kronmüller, Eric Leibing, Falk Leichsenring, Peter Henningsen, Hamid Peseschkian, Günter Reich, Rita Rosner, Uwe Ruhl, Yvonne Schopf, Christiane Steinert, Eva Vonderlin, Regina Steil
E-Jahr:2018
Jahr:June 12, 2018
Umfang:11 S.
Fussnoten:Gesehen am 16.05.2019
Titel Quelle:Enthalten in: Psychotherapy and psychosomatics
Ort Quelle:Basel : Karger, 1953
Jahr Quelle:2018
Band/Heft Quelle:87(2018), 4, Seite 223-233
ISSN Quelle:1423-0348
Abstract:Background: Although social anxiety disorder (SAD) has an early onset and is frequently found in adolescence, evidence for psychotherapeutic treatments of SAD in adolescents is rather scarce. Within the Social Phobia Psychotherapy Research Network (SOPHO-NET), we examined the efficacy of cognitive-behavioral (CBT) and psychodynamic therapy (PDT) compared to a waiting list (WL) in these patients. Methods: In a multicenter randomized controlled superiority trial, 107 patients, aged 14-20 years, were randomized to CBT (n = 34), PDT (n = 34), or WL (n = 39). Assessments were made at baseline, at the end of treatment, and 6 and 12 months after termination. The Liebowitz Social Anxiety Scale for Children and Adolescents (LSAS-CA) applied by raters masked to the treatment condition was used as the primary outcome. As secondary outcomes, rates of response and remission and the Social Phobia Anxiety Inventory (SPAI) were used. Results: Both treatments were superior to WL in the LSAS-CA (CBT: p = 0.0112, d = 0.61, 95% CI 0.14-1.08; PDT: p = 0.0261, d = 0.53, 95% CI 0.06-1.00). At the end of treatment, response rates were 66, 54, and 20% for CBT, PDT, and WL. The corresponding remission rates were 47, 34, and 6%, respectively. CBT and PDT were significantly superior to WL regarding remission (CBT: p = 0.0009, h = 1.0; PDT: p = 0.0135, h = 0.74), response (CBT: p = 0.0004, h = 0.97; PDT: p = 0.0056, h = 0.72), and the SPAI (CBT: p = 0.0021, d = 0.75, 95% CI 0.27-1.22; PDT: p = 0.0060, d = 0.66, 95% CI 0.19-1.13). Treatment effects were stable at 6- and 12-month follow-ups. Conclusions: These results are comparable to the large SOPHO-NET trial in adults (n = 495). Early treatments for social anxiety are needed in order to prevent chronic manifestation of SAD.
DOI:doi:10.1159/000488990
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1159/000488990
 Volltext: https://www.karger.com/Article/FullText/488990
 DOI: https://doi.org/10.1159/000488990
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1665795115
Verknüpfungen:→ Zeitschrift

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