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Originalia

Kognitiv-behaviorale und behaviorale Interventionen der Sozialen Phobie im Kindes- und Jugendalter

Published Online:September 01, 2006https://doi.org/10.1026/1616-3443.34.3.196

Abstract

Zusammenfassung.Theoretischer Hintergrund: In der Therapie der Sozialen Phobie bei Kindern und Jugendlichen werden verstärkt (kognitiv-)behaviorale Interventionsmethoden eingesetzt. Fragestellung: Es wurde ein Überblick zur Wirksamkeit dieser Verfahren sowie ein erster meta-analytischer Ausblick gegeben. Methode: Die Bestandsaufnahme ergab lediglich neun Psychotherapiestudien. Die Integration der bisherigen Ergebnisse erfolgte mittels einer Meta-Analyse unter Nutzung eines Random Effects-Modells. Ergebnisse: Trotz der geringen Anzahl einfließender Primäruntersuchungen waren deutliche Belege hinsichtlich der Wirksamkeit (kognitiv-)behavioraler Therapieverfahren zu finden. Die zeitliche Stabilität der Ergebnisse wurde bestätigt. Aussagen zu spezifischen Wirksamkeitsunterschieden behavioraler und kognitiv-behavioraler Therapien sowie zur Bedeutsamkeit der Elterninvolvierung waren jedoch auf Grund bisheriger Befunde nicht möglich. Schlussfolgerung: Die betrachteten Verfahren scheinen als Interventionsmaßnahmen für die Soziale Phobie bei Kindern und Jugendlichen sehr gut geeignet zu sein. Weitere Untersuchungen sind jedoch notwendig.


Cognitive-behavioral treatment of social phobia in children and adolescents: A review

Abstract.Background: (Cognitive-)behavioral interventions are increasingly being employed in the treatment of social phobia in children and adolescents. Objective: This paper reviews the current status of research on treatment of child and adolescent social phobia and investigates the efficacy of these interventions. Method: A systematic literature review yielded only nine psychotherapy studies. The results of these studies were integrated in a meta-analysis using the random effects model. Results: Despite the small number of studies, substantial empirical evidence was found for the efficacy of behavioral and cognitive-behavioral treatments. The temporal stability of the results could also be confirmed. The present empirical basis, however, does not allow for conclusions regarding differences in efficacy between behavioral and cognitive-behavioral interventions or regarding the significance of parental involvement. Conclusion: The investigated interventions therefore seem particularly suitable for the treatment of social phobia in children and adolescents. However, further research is needed.

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