A pilot study of clonazepam versus psychodynamic group therapy plus clonazepam in the treatment of generalized social anxiety disorder

被引：29

作者：

Knijnk, Daniela Z. ^{[1
,2
]}

Blanco, Carlos ^{[3
,4
]}

Salum, Giovanni Abrahao ^{[1
,2
]}

Moraes, Carolina U. ^{[1
,2
]}

Mombach, Clarissa ^{[1
,2
]}

Almeida, Ellen ^{[1
,2
]}

Pereira, Marilia ^{[1
,2
]}

Strapasson, Atahualpa ^{[1
,2
]}

Manfro, Gisele G. ^{[1
,2
]}

Eizirik, Claudio L. ^{[1
,2
]}

机构：

[1] Univ Fed Rio Grande do Sul, Sch Med, Post Grad Program Med Sci Psychiat, BR-90035003 Porto Alegre, RS, Brazil

[2] Hosp Clin Porto Alegre, Anxiety Disorders Program, BR-90035003 Porto Alegre, RS, Brazil

[3] Columbia Univ, New York, NY 10032 USA

[4] New York State Psychiat Inst & Hosp, New York, NY 10032 USA

来源：

EUROPEAN PSYCHIATRY | 2008年 / 23卷 / 08期

关键词：

Anxiety disorders; Social anxiety disorder; Social phobia; Psychodynamic therapy; Treatment; Anxiolytics;

D O I：

10.1016/j.eurpsy.2008.05.004

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background. - Both psychodynamic group therapy (PGT) and clonazepam are used as treatment strategies in reducing symptoms of generalized social anxiety disorder (GSAD). However, many individuals remain symptomatic after treatment with PGT or clonazepam. Method. - Fifty-eight adult outpatients with a diagnosis of GSAD according to DSM-IV were randomized to 12 weeks PGT Plus clonazepam or clonazepam. The Clinical Global impression-Improvement (CGI-I) Scale was the primary efficacy Measure. Secondary efficacy measures included the Liebowitz Social Anxiety Scale (LSAS) total score. the World Health Organization Instrument to Assess Quality of Life-Brief (WHOQOL-Bref) Scale and the Beck Depression Inventory (BDI). Results. - CGI-I data from 57 patients (intent-to-treat population) showed that patients who received PGT plus clonazepam presented significantly greater improvement than those who received clonazepam (P = 0.033). There were no significant differences between the two groups in the secondary efficacy measures. Conclusions. - Our study suggests that the combination of PGT with clonazepam may be a promising strategy for the treatment of GSAD. regarding gains in the global functioning. However the present study failed to detect more specific changes in social anxiety symptomatology between the two groups. (c) 2008 Elsevier Masson SAS. All rights reserved.

引用

页码：567 / 574

页数：8

共 61 条

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