The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia Disorder
Background: This clinical trial was conducted in order to assess treatment of social phobia disorder. Social phobia is an anxiety disorder that appears in some certain situations or against specific objects that are not commonly known as dangerous. Methods: This clinical trial assessed the separate...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2012-02-01
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| Series: | مجله دانشکده پزشکی اصفهان |
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| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/1365 |
| _version_ | 1797711667047432192 |
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| author | Hassan Toozandehjani Mahbobeh Ahmadpoor |
| author_facet | Hassan Toozandehjani Mahbobeh Ahmadpoor |
| author_sort | Hassan Toozandehjani |
| collection | DOAJ |
| description | Background: This clinical trial was conducted in order to assess treatment of social phobia disorder. Social phobia is an anxiety disorder that appears in some certain situations or against specific objects that are not commonly known as dangerous.
Methods: This clinical trial assessed the separate and combined effects of pharmacotherapy and cognitive-behavioral therapies (in comparison with placebo). Therefore, among the patients who referred to psychology centers and private psychiatry practices in Neyshabur and Mashhad, Iran, 60 patients with social phobia disorder were selected by accessible sampling. The subjects were randomly divided into pharmacotherapy, cognitive-behavioral therapies, combined therapy and placebo groups. The subjects were tested before, immediately after and 2 months after the end of the treatment course. Davidson Social Phobia, Schpillberger Anxiety, Hamilton-Beck Depression, Weismann-Myers Automatic Thought, California Social Adjustment and Eliss-Pope Self-Esteem tests were used to evaluate the patients.
Findings: The results of repeated measures one-way analysis of variance (ANOVA) showed decreased symptoms of social phobia, anxiety, and depression, change in automatic thought, and increased social adjustment and self-esteem levels among patients. The results also indicated the superiority of pharmacotherapy, cognitive-behavioral and combined therapies over placebo. Cognitive-behavioral and combined therapies were better than pharmacotherapy. However, the effectiveness of cognitive-behavioral and combined therapies had no significant differences.
Conclusion: Generally, pharmacotherapy affects physical and mood symptoms, but cognitive-behavioral therapies mainly affect thoughts and phobia impulse and gradually other real life situations. Therefore, these methods of therapy are interdependent. |
| first_indexed | 2024-03-12T07:10:25Z |
| format | Article |
| id | doaj.art-a4326e0c565140358bd4fd9eaae1f172 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T07:10:25Z |
| publishDate | 2012-02-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-a4326e0c565140358bd4fd9eaae1f1722023-09-02T23:11:09ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2012-02-012916824912507843The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia DisorderHassan Toozandehjani0Mahbobeh Ahmadpoor1Assistant Professor, Department of Educational Sciences, School of Humanities, Neyshabur Branch, Islamic Azad University, Neyshabur, IranDepartment of General Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, IranBackground: This clinical trial was conducted in order to assess treatment of social phobia disorder. Social phobia is an anxiety disorder that appears in some certain situations or against specific objects that are not commonly known as dangerous. Methods: This clinical trial assessed the separate and combined effects of pharmacotherapy and cognitive-behavioral therapies (in comparison with placebo). Therefore, among the patients who referred to psychology centers and private psychiatry practices in Neyshabur and Mashhad, Iran, 60 patients with social phobia disorder were selected by accessible sampling. The subjects were randomly divided into pharmacotherapy, cognitive-behavioral therapies, combined therapy and placebo groups. The subjects were tested before, immediately after and 2 months after the end of the treatment course. Davidson Social Phobia, Schpillberger Anxiety, Hamilton-Beck Depression, Weismann-Myers Automatic Thought, California Social Adjustment and Eliss-Pope Self-Esteem tests were used to evaluate the patients. Findings: The results of repeated measures one-way analysis of variance (ANOVA) showed decreased symptoms of social phobia, anxiety, and depression, change in automatic thought, and increased social adjustment and self-esteem levels among patients. The results also indicated the superiority of pharmacotherapy, cognitive-behavioral and combined therapies over placebo. Cognitive-behavioral and combined therapies were better than pharmacotherapy. However, the effectiveness of cognitive-behavioral and combined therapies had no significant differences. Conclusion: Generally, pharmacotherapy affects physical and mood symptoms, but cognitive-behavioral therapies mainly affect thoughts and phobia impulse and gradually other real life situations. Therefore, these methods of therapy are interdependent.http://jims.mui.ac.ir/index.php/jims/article/view/1365Social phobia disorderPharmacotherapyCognitive-behavioral therapiesCombined therapyPlaceboAnxietyDepressionSocial adjustmentSelf-esteemAutomatic thought |
| spellingShingle | Hassan Toozandehjani Mahbobeh Ahmadpoor The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia Disorder مجله دانشکده پزشکی اصفهان Social phobia disorder Pharmacotherapy Cognitive-behavioral therapies Combined therapy Placebo Anxiety Depression Social adjustment Self-esteem Automatic thought |
| title | The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia Disorder |
| title_full | The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia Disorder |
| title_fullStr | The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia Disorder |
| title_full_unstemmed | The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia Disorder |
| title_short | The Efficacy of Pharmacotherapy, Cognitive-Behavioral Therapies and Their combination on Patients with Social Phobia Disorder |
| title_sort | efficacy of pharmacotherapy cognitive behavioral therapies and their combination on patients with social phobia disorder |
| topic | Social phobia disorder Pharmacotherapy Cognitive-behavioral therapies Combined therapy Placebo Anxiety Depression Social adjustment Self-esteem Automatic thought |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/1365 |
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