认知行为疗法对社交焦虑症治疗效果影响因素的范围综述

A scoping review of factors influencing the effect of cognitive behavioral therapy on social anxiety disorder

目的 分析认知行为疗法(CBT)对社交焦虑症(SAD)治疗效果的影响和预测因素,并探索预测因素对改善治疗效果的意义。方法 采用范围综述的方法,在中文数据库(中国知网、维普中文期刊服务平台、万方数据知识服务平台、中国生物医学文献数据库)和外文数据库(PubMed、Embase、Cochrane Library)检索自建库至2021年10月关于CBT治疗SAD的相关文献。由2名研究人员独立对纳入文献进行数据提取和分析。结果 最终共纳入22篇文献,经分析得出大脑认知和功能状态、治疗前心率变异性、患者的治疗经历、治疗师胜任力、SAD相关的症状量表得分均可影响并预测CBT的治疗效果。结论 治疗师对CBT治疗SAD效果预测因素的评估,有利于及时调整治疗方案,为患者选择最佳治疗方式,对精准医学的发展具有重要意义。

Objective To analyze the influencing and predictive factors of cognitive behavioral therapy(CBT) on the treatment effect of social anxiety disorder(SAD),and explore the significance of predictive factors to improve the treatment effect.Methods Based on the scoping review method,researches related to predictors of the effect of CBT in the treatment of SAD were searched in Chinese databases(CNKI,Wanfang,VIP,CBM) and foreign databases(PubMed,Embase,Cochrane Library) from the establishment of the database until October 2021.Two researchers independently extracted and analyzed the data of the included literature.Results A total of 22 articles were included.The results showed that the cognitive and functional status of the brain,the heart rate variability before treatment,the treatment experience of patients,the competence of therapists,and the score of SAD related symptom scale could all affect and predict the therapeutic effect of CBT.Conclusions Therapists’ evaluation of predictors of the effect of CBT on SAD is conducive to timely adjustment of treatment plan and selection of the best treatment for patients,which is of great significance for the development of precision medicine.