Changing core beliefs with trial-based cognitive therapy may improve quality of life in social phobia: a randomized study

Revista Brasileira de Psiquiatria

Vania Bitencourt Powell¹  Olivia Haun De Oliveira¹  Camila Seixas¹  Cláudia Almeida¹  Maria Conceição Grangeon¹  Milke Caldas¹  Thaís Delavechia Bonfim¹  Martha Castro¹  Amanda Galvão-de Almeida¹  Roberta De Oliveira Moraes¹  Donna Sudak¹  Irismar Reis De-oliveira¹ 

关键词: Cognitive therapy;    randomized trial;    social anxiety disorder;    social phobia;    quality of life;    trial-based cognitive therapy;    trial-based thought record;   

DOI  :  10.1590/1516-4446-2012-0863

来源: SciELO

【 摘 要 】

Objective: To determine whether there are differences in quality of life (QoL) improvement after treatment with the trial-based thought record (TBTR) versus conventional cognitive therapy (CCT) in patients with social anxiety disorder (SAD). Method: A randomized trial comparing TBTR with a set of CCT techniques, which included the standard 7-column dysfunctional thought record (DTR) and the positive data log (PDL) in patients with SAD, generalized type. Results: Repeated measures analysis of variance (ANOVA) revealed a significant time effect in the general health, vitality, social functioning, and mental health domains of the Short Form 36. It also indicated significant treatment effects on the bodily pain, social functioning, role-emotional, and mental health domains, with higher scores in the TBTR group. One-way analysis of covariance (ANCOVA), using pretreatment values as covariates, showed that TBTR was associated with significantly better QoL post-treatment (bodily pain, social functioning and role-emotional) and at follow-up (role-emotional). A significant treatment effect on the role-emotional domain at 12-month follow-up denoted a sustained effect of TBTR relative to CCT. Conclusion: This study provided preliminary evidence that TBTR is at least as effective as CCT in improving several domains of QoL in SAD, specifically when the standard 7-column DTR and the PDL are used.

【 授权许可】

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