Vinsamlegast notið þetta auðkenni þegar þið vitnið til verksins eða tengið í það: http://hdl.handle.net/1946/33448
Cognitive Behavioural Therapy (CBT) is the recommended first line treatment for social anxiety disorder (SAD). It has repeatedly been demonstrated that CBT is effective, both in an individual and a group format (CBGT). The individual CBT has, however, been suggested to be superior to CBGT. One of the problems with CBT for SAD are high dropout rates.
Objective: The aim of this study was to examine the outcome of shorter and more intensive CBT (ICBT) for SAD delivered over the course of four days (22 hrs). The outcome was compared to the outcome of a10-week CBGT.
Method: Twenty-eight adult participants with SAD as a primary diagnosis were recruited, 15 in the ICBT and 13 in the CBGT. Participants were assessed with a standardized diagnostic interview (MINI), a specific SAD interview and the questionnaires SPS, SIAS, LSAS-RS, SPWSS, SDS, PHQ-9 at the intake interview. The questionnaires were administered additionally at pre- and post-treatment and at 3 months follow-up. Demographic features, treatment outcome, attendance and dropout rates were examined and compared between the two conditions. The intensive CBT was delivered partly individually and partly in a group, combining the features of both treatment forms.
Results: Significant improvements were observed at post-treatment both for the ICBT and the CBGT. The ICBT was however, superior on several measures, with less dropout and better attendance. Follow-up assessment indicated that improvement was either maintained, declined or increased
Conclusion: The results indicate that ICBT could be at least equally effective as CBGT with better attendance and less dropout.
Key words: Social anxiety disorder, cognitive behavioural therapy, group treatment.
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