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Clinical Characteristics and Treatment Responses of Social Phobia Subtypes Based on Interpersonal Problem Patterns

Abstract

This study aimed to determine whether individuals with social phobia (SP) could be classified into subtypes according to their interpersonal problem patterns and to discover whether such different subtypes would respond differently to cognitive -behavioral therapy. We used the Korean Inventory of Interpersonal Problems (KIIP-C), Anxiety Disorder Interview Schedule-IV (ADIS-IV), and Self-Reported Test Battery (Korean version of Social Avoidance and Distress Scale; SADS, Brief-Fear of negative Evaluation Scale; B-FNE, Social Interaction Anxiety Scale; SIAS, Social Phobia Scale; SPS) to assess 74 SP patients who participated in eight-weeks of cognitive-behavioral therapy and we examined the participants' behavior patterns as recorded before -and -after the therapy for the treatment's effects. According to our cluster analysis of T-scores of KIIP-C variations, Participants fell into two different classifications: dominant type (n = 14), and submissive type (n = 60). Comparing their different characteristics and responses to treatment, we found the generalized social phobia group reported greater symptom severity and suffered more interpersonal problems than did the non-generalized social phobia group. When examined via interpersonal subtype classification, the two subgroups shared similar symptom severity and treatment responses patterns. With regard to social avoidance, dominant-type SP patients improved significantly more than did submissive type patients. We discussed the implications and potential clinical relevance of social phobia classification based on interpersonal problem patterns.

keywords
사회 공포증 하위 유형, 대인관계 문제, 임상 특징, 치료 반응, social phobia subtype, interpersonal problem, characteristic, treatment response

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