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      사회 불안 장애에 대한 한국형 인지행동집단 치료의 효과 = The Effect of Korean-Type Cognitive-Behavioral Group Therapy for Social Anxiety Disorder

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      https://www.riss.kr/link?id=A103913370

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      다국어 초록 (Multilingual Abstract)

      Objectives: The aim of this study was to evaluate the therapeutic effect of Korean-type cognitive behavioral group therapy (CBGT) in the treatment of social anxiety disorder (SAD). Methods: Twenty-nine patients with SAD completed the Korean-type CBGT ...

      Objectives: The aim of this study was to evaluate the therapeutic effect of Korean-type cognitive behavioral group therapy (CBGT) in the treatment of social anxiety disorder (SAD).
      Methods: Twenty-nine patients with SAD completed the Korean-type CBGT or SAD. The Koreantype CBGT for SAD is characterized by Korean-culture specific methods such as paradoxical intention,video feedback, and Korean cultural receptivity process on the classical CBGT course. The main outcome measure was a self-report version of the Liebowitz Social Anxiety Scale (LSAS-SR).
      Results: After the treatment, the total score on the LSAS-SR had significantly improved (15.80±29.14, p=0.006, cohen’s d=0.69), with both fear and avoidance subscales decreased (7.60±13.94, p=0.006 vs. 8.30±16.31, p=0.009, respectively). We also found significant correlation between the effect of the Korean-type CBGT (r=0.414, p=0.026) and the educational level of subjects.
      Accompanying pharmacotherapy for SAD did not elicit any differences in the treatment response.
      Conclusion: Our study showed that the Korean-type CBGT was effective in the treatment of SAD patients in reducing both fear and avoidance symptoms.

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      참고문헌 (Reference)

      1 유은승, "한국판 Liebowitz사회불안척도(LSAS)의 요인구조 및 진단적 유용성 -대학생 집단과 사회공포증환자 집단을 중심으로" 한국임상심리학회 26 (26): 251-270, 2007

      2 조용래, "사회불안장애 청소년에 대한 집단인지행동치료 효과의 예비연구" 한국임상심리학회 24 (24): 243-253, 2005

      3 Furukawa TA, "Videotaped experiments to drop safety behaviors and self-focused attention for patients with social anxiety disorder: do they change subjective and objective evaluations of anxiety and performance?" 40 : 202-210, 2009

      4 Chen J, "Video feedback with peer ratings in naturalistic anxiety-provoking situations for social anxiety disorder: Preliminary report" 41 : 6-10, 2010

      5 Heimberg RG, "Treatment of social phobia by exposure, cognitive restructuring, and homework assi" 173 : 236-245, 1985

      6 Falloon IR, "The treatment of social phobia. Real-life rehearsal with nonprofessional therapists" 169 : 180-184, 1981

      7 Schneier FR, "The relationship of social phobia subtypes and avoidant personality disorder" 32 : 496-502, 1991

      8 Park K, "The outcome of cognitive-behavioral group treatment for social phobia" 20 : 1-18, 2001

      9 Rapee RM, "The effects of video feedback on the self-evaluation of performance in socially anxious subjects" 34 : 315-322, 1996

      10 Cho Y, "The effect of group cognitive therapy for social phobia" 19 : 186-201, 2000

      1 유은승, "한국판 Liebowitz사회불안척도(LSAS)의 요인구조 및 진단적 유용성 -대학생 집단과 사회공포증환자 집단을 중심으로" 한국임상심리학회 26 (26): 251-270, 2007

      2 조용래, "사회불안장애 청소년에 대한 집단인지행동치료 효과의 예비연구" 한국임상심리학회 24 (24): 243-253, 2005

      3 Furukawa TA, "Videotaped experiments to drop safety behaviors and self-focused attention for patients with social anxiety disorder: do they change subjective and objective evaluations of anxiety and performance?" 40 : 202-210, 2009

      4 Chen J, "Video feedback with peer ratings in naturalistic anxiety-provoking situations for social anxiety disorder: Preliminary report" 41 : 6-10, 2010

      5 Heimberg RG, "Treatment of social phobia by exposure, cognitive restructuring, and homework assi" 173 : 236-245, 1985

      6 Falloon IR, "The treatment of social phobia. Real-life rehearsal with nonprofessional therapists" 169 : 180-184, 1981

      7 Schneier FR, "The relationship of social phobia subtypes and avoidant personality disorder" 32 : 496-502, 1991

      8 Park K, "The outcome of cognitive-behavioral group treatment for social phobia" 20 : 1-18, 2001

      9 Rapee RM, "The effects of video feedback on the self-evaluation of performance in socially anxious subjects" 34 : 315-322, 1996

      10 Cho Y, "The effect of group cognitive therapy for social phobia" 19 : 186-201, 2000

      11 Cho WY, "The effect of expentency, aliance, and adherence in the cognitive-behavioral group therapy on reduction of social phobic symptoms" Ajou Univ. 2002

      12 Frankl V, "The Will to Meaning: Foundations and Applications of Logotherapy" Meridian 1988

      13 Heimberg R, "The Nature and Treatment of Social Fears and Phobias" Guilford Press 1990

      14 Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10" 59 (59): 22-33, 1998

      15 Matsunaga H, "Taijin kyofusho: a form of social anxiety disorder that responds to serotonin reuptake inhibitors?" 4 : 231-237, 2001

      16 Heimberg RG, "Specific issues in the cognitive-behavioral treatment of social phobia" 54 Suppl : 36-45, 1993

      17 Stravynski A, "Social skills problems in neurotic outpatients. Social skills training with and without cognitive modification" 39 : 1378-1385, 1982

      18 Iancu I, "Social phobia symptoms: prevalence, sociodemographic correlates, and overlap with specific phobia symptoms" 47 : 399-405, 2006

      19 Kessler RC, "Social phobia subtypes in the National Comorbidity Survey" 155 : 613-619, 1998

      20 Brown E, "Social phobia subtype and avoidant personality disorder: Effect on severity of social phobia, impairment, and outcome of cognitive behavioral treatment" 26 : 467-486, 1995

      21 Mennin DS, "Screening for social anxiety disorder in the clinical setting: using the Liebowitz Social Anxiety Scale" 16 : 661-673, 2002

      22 Fedoroff IC, "Psychological and pharmacological treatments of social phobia: a meta-analysis" 21 : 311-324, 2001

      23 Kessler RC, "Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication" 62 : 617-627, 2005

      24 Marom S, "Impact of depression on treatment effectiveness and gains maintenance in social phobia: a naturalistic study of cognitive behavior group therapy" 26 : 289-300, 2009

      25 Hirsch CR, "Imagery special issue: underestimation of auditory performance in social phobia and the use of audio feedback" 38 : 447-458, 2007

      26 Lee S, "Group therapy of social phobia-process and results" 25 : 618-627, 1986

      27 Lee S, "Group therapy of social phobia-Emperical trial" 24 : 257-264, 1985

      28 Aderka IM, "Factors affecting treatment efficacy in social phobia: the use of video feedback and individual vs. group formats" 23 : 12-17, 2009

      29 Hope DA, "Dismantling cognitive-behavioral group therapy for social phobia" 33 : 637-650, 1995

      30 Marks IM, "Different ages of onset in varieties of phobia" 123 : 218-221, 1966

      31 Gould R, "Cognitive-behavoiral and pharmacological treatment for social phobia: a metaanalysis" 4 : 291-306, 1997

      32 Heimberg RG, "Cognitive-behavioral therapy for social anxiety disorder: current status and future directions" 51 : 101-108, 2002

      33 Beck A, "Cognitive therapy of depression" Guilford Press 1979

      34 Stangier U, "Cognitive therapy for social phobia: individual versus group treatment" 41 : 991-1007, 2003

      35 McEvoy PM, "Changes in postevent processing and metacognitions during cognitive behavioral group therapy for social phobia" 23 : 617-623, 2009

      36 Basoglu M, "Alprazolam and exposure for panic disorder with agoraphobia. Attribution of improvement to medication predicts subsequent relapse" 164 : 652-659, 1994

      37 McManus F, "A demonstration of the efficacy of two of the components of cognitive therapy for social phobia" 23 : 496-503, 2009

      38 Otto MW, "A comparison of the efficacy of clonazepam and cognitive-behavioral group therapy for the treatment of social phobia" 14 : 345-358, 2000

      39 Clark D, "A cognitive perspective on social phobia" John Wiley & Sons 2001

      40 Lee S, "A clinical study of social phobia for 10 years" 33 : 305-312, 1994

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