自信心心理训练对社交焦虑障碍患者社交回避与苦恼及社会的支持影响

目的 探讨自信心心理训练对社交焦虑症患者社交回避与苦恼以及社会支持的影响.方法 将80例16～30岁社交焦虑症患者随机分为自信心训练治疗组（研究组）和空白组（对照组）,研究组每周进行两次自信心训练,每次3小时,持续5周,共10次；对照组不采取任何治疗手段.干预前与干预结束3个月后分别对两组进行社交回避与苦恼（SAD）以及社会支持评定量表（SSRS）评定,了解患者社交回避与苦恼及社会支持的改善状况.结果 入组时两组SAD评定无差异（t=-0.242,P＞0.05）,SSRS评定无差异（t=0.208,P＞0.05）；两组心理干预后SAD比较有显著性差异（t=-3.326,P＜0.001）；SSRS有显著性差异（t =2.390,P＜0.05）.结论 自信心心理训练可以明显改善社交焦虑症患者的社交回避与苦恼症状,并可有效提高患者的社会支持水平.

Effects of Self-confidence Training on Social Avoidance and Distress,Social Support of Patients with Social Anxiety Disorder

Objective To explore the effects of self-confidence training on social avoidance and distress, social support of patients with social anxiety disorder. Methods A total of 80 16 - 30 years old patients with social anxiety disorder were randomly divided irlto study group and control group. Study group was given the serf-confidence training twice a week ,three hours each time ,for five weeks. Self- confidence training had not provided for control group cases. Pre-treatment and post-treatment for three months, both groups ~qere assessed with SAD and SSRS. Results Pre-treatment,there were no differences in SAD（t =-0. 242,P 〉0.05）and SSRS（t =0. 208,P 〉0.05） between two groups. Post-treatment for three months, there were significant differences between two groups on SAD （ t = -3. 326, P 〈 0. 001 ）and SSRS（t = 2. 390 ,P 〈 0. 05 ）. Conclusion Self-confidence training can improve the level of social avoidance and distress and social support for patients with social anxiety disorder.