RESUMEN
Contenido: Sesiones del tratamiento. Recursos para el terapeuta. Comorbilidad. Depresión/distimia. Hiperactividad. Comportamientos obsesivo-compulsivos. Ataques de pánico. Problemas de cumplimiento. Hipercrítica. Negación de la ansiedad. Rechazo a la escuela. Temores realistas. Dificultades familiares
Asunto(s)
Humanos , Niño , Terapia Cognitivo-Conductual , Salud MentalRESUMEN
Cuaderno de actividades del manual para el terapeuta del mismo autor
Asunto(s)
Humanos , Niño , Terapia Cognitivo-Conductual , Salud MentalRESUMEN
OBJECTIVE: This article reviews relevant aspects of social phobia and the stages of treatment within cognitive-behavioral therapy in children and adolescents, as well as in adults. METHOD: A review of the literature published on the treatment of social phobia using cognitive-behavioral treatments was performed using the Medline database. RESULTS: A review of the literature suggests that social phobia is a chronic and prevalent condition, characterized by social inhibition and excessive shyness. Diagnosis and treatment of the disorder are usually determined by distress level and functional impairment. Population studies indicate that lifetime prevalence rates for social phobia range from 2.5 to 13.3%. The main techniques used in cognitive-behavioral therapy for social phobia are described and exemplified in a case report. CONCLUSIONS: There is a general consensus in the literature that cognitive-behavioral therapy is efficacious in the treatment of youth and adults with social phobia. Because of the early onset associated with social phobia, the identification of children at high risk for the development of social phobia should be prioritized in future investigations.
Asunto(s)
Terapia Cognitivo-Conductual/métodos , Trastornos Fóbicos/terapia , Adolescente , Adulto , Trastornos de Ansiedad/psicología , Trastornos de Ansiedad/terapia , Asertividad , Niño , Humanos , Masculino , Trastornos Fóbicos/psicología , Timidez , Resultado del TratamientoRESUMEN
OBJETIVO: Este artigo revisa aspectos relevantes da fobia social e os estágios de tratamento através da terapia cognitivo-comportamental em crianças, adolescentes e adultos. MÉTODO: A partir do banco de dados Medline, realizou-se revisão da literatura publicada a respeito do tratamento da fobia social por meio da terapia cognitivo-comportamental. RESULTADOS: Revisão da literatura sugere que a fobia social é uma condição prevalente e crônica, caracterizada por inibição social e timidez excessiva. Tanto o diagnóstico como o tratamento desse transtorno são comumente determinados pelo nível de incômodo e pelo prejuízo funcional. Estudos populacionais indicam taxas de prevalência ao longo da vida para a fobia social entre 2,5 e 13,3 por cento. As principais técnicas utilizadas na terapia cognitivo-comportamental para a fobia social são descritas e exemplificadas em um relato de caso. CONCLUSÕES: Há consenso geral na literatura de que a terapia cognitivo-comportamental é eficaz tanto para o tratamento de jovens como de adultos com fobia social. Uma vez que a fobia social com freqüência tem início precoce, a identificação de crianças com risco acentuado para o desenvolvimento de fobia social deve ser priorizada em investigações futuras.
OBJECTIVE: This article reviews relevant aspects of social phobia and the stages of treatment within cognitive-behavioral therapy in children and adolescents, as well as in adults. METHOD: A review of the literature published on the treatment of social phobia using cognitive-behavioral treatments was performed using the Medline database. RESULTS: A review of the literature suggests that social phobia is a chronic and prevalent condition, characterized by social inhibition and excessive shyness. Diagnosis and treatment of the disorder are usually determined by distress level and functional impairment. Population studies indicate that lifetime prevalence rates for social phobia range from 2.5 to 13.3 percent. The main techniques used in cognitive-behavioral therapy for social phobia are described and exemplified in a case report. CONCLUSIONS: There is a general consensus in the literature that cognitive-behavioral therapy is efficacious in the treatment of youth and adults with social phobia. Because of the early onset associated with social phobia, the identification of children at high risk for the development of social phobia should be prioritized in future investigations.
Asunto(s)
Adolescente , Adulto , Niño , Humanos , Masculino , Terapia Cognitivo-Conductual/métodos , Trastornos Fóbicos/terapia , Trastornos de Ansiedad/psicología , Trastornos de Ansiedad/terapia , Asertividad , Trastornos Fóbicos/psicología , Timidez , Resultado del TratamientoRESUMEN
Reviews the empirical literature on the comorbidity of anxiety and depressive disorders in youth, emphasizing prevalence of comorbidity, difficulties in assessment and measurement, familial factors, and developmental differences. The nature of anxiety and of depression in youth is examined (e.g., differentiating cognitive deficiencies from cognitive distortions), and treatment recommendations are presented from a cognitive-behavioral framework. Components of the treatment include affective education, enactive programming, addressing reinforcement difficulties, correcting cognitive distortions, and enhancing problem-solving skills. Peer and familial factors are discussed. Successful treatment of co-morbid children relies on a flexible application of these strategies with consideration of the developmental level and particular symptom constellation of the individual child.