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Comparison of subtypes of social phobia in clinical characteristics and therapeutic outcome

Abstract

The present study investigated the differences between subtypes of social phobia in clinical characteristics and therapeutic outcome. The participants for the present study consisted of 83 social phobic patients who were classified as 51 generalized subtype patients and 32 nongeneralized subtype patients according to DSM-IV criteria. Generalized subtype patients were younger, less educated, and had shorter duration of illness than nongeneralized subtype patients. Also they were more anxious in most social situations, had more negative cognitions toward themselves and more passive avoidant behaviors than nongeneralized subtype patients. However, in somatic symptoms there were no significant differences between two subtypes. Generalized subtype patients were highly comorbid for avoidant personality disorder, were more likely to report past suicide attempts than nongeneralized subtype patients. Although the symptoms of generalized subtype patients were significantly more severe at pretreatment than those of nongeneralized subtype patients, both subtype patients improved to a similar degree over treatment. The implication and the limitations of this study were discussed, and the directions for future research were suggested.

keywords
social phobia, generalized subtype, nongeneralized subtype, cognitive-behavioral treatment, 사회공포증, 일반화 하위유형, 비일반화 하위유형, 인지행동집단치료, social phobia, generalized subtype, nongeneralized subtype, cognitive-behavioral treatment

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