Abstract

D'ALESSANDRO, Fabián et al. Empiric evidence about combined psychotherapy and pharmcological treatment of social phobia (social anxiety disorder). Anu. investig. [online]. 2013, vol.20, n.1, pp.29-38. ISSN 1851-1686.

Combined treatment (CT) for patients with social anxiety disorder or social phobia is quite common in clinical practice. However, the superiority of TC over psychotherapy and/or pharmacotherapy as monotherapy is still not clear. Over the last few years, several clinical studies that evaluate the effcacy of CT in social phobia have been published. A systematic review of clinical studies about CT in social phobia was carried out in this article in the following datábase: EBSCO, PubMed, Cochrane Collaboration and the "Portal de Búsqueda de la Biblioteca Virtual en Salud". We found 8 randomized controlled studies. There is a superiority of CT over monotherapy in most of them, either psychotherapeutic or pharmacologic. We discuss these fndings in terms of the methodological limitations of all clinical studies found, and based on clinical suggestions derived therefrom. Given this, it is concluded that there is evidence about the superiority of CT over monotherapy in social phobia treatment, although caution in generalizing this conclusión is suggested.

Keywords : Combined treatment; Psychotherapy; Pharmacotherapy; Social phobia; Social anxiety disorder.

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