EVIDENCIA EMPÍRICA DE LA COMBINACIÓN DE PSICOTERAPIA Y TRATAMIENTO FARMACOLÓGICO DE LA FOBIA SOCIAL (TRASTORNO DE ANSIEDAD SOCIAL)

FACULTAD DE PSICOLOGÍA - UBA / SECRETARÍA DE INVESTIGACIONES / ANUARIO DE INVESTIGACIONES / VOLUMEN XX EVIDENCIA EMPÍRICA DE LA COMBINACIÓN DE PSICOT

2 downloads 49 Views 332KB Size

Story Transcript

FACULTAD DE PSICOLOGÍA - UBA / SECRETARÍA DE INVESTIGACIONES / ANUARIO DE INVESTIGACIONES / VOLUMEN XX

EVIDENCIA EMPÍRICA DE LA COMBINACIÓN DE PSICOTERAPIA Y TRATAMIENTO FARMACOLÓGICO DE LA FOBIA SOCIAL (TRASTORNO DE ANSIEDAD SOCIAL) EMPIRIC EVIDENCE ABOUT COMBINED PSYCHOTHERAPY AND PHARMCOLOGICAL TREATMENT OF SOCIAL PHOBIA (SOCIAL ANXIETY DISORDER) 























\

]

^

_

`

]

c

d

c

e

f

c

a

g

h

d

c

i

j

+

,

-

.

/

N

=

3

W

0

3

.

.

,

-

-

.

.

O

-

3

/

2

G

1

2

6

1

/

3

2

@

2

0

4

/

R

5

S

8

-

5

6

1

D

T

.

-

F

3

@

7

0

U

3

/

8

P

G

A

3

/

6

N

B

1

6

8

3

G

/

-

2

.

D

/

E

0

1

9

2

0

O

F

0

2

/

G

8

:

E

/

N

/

/

0

3

1

>

A

.

/

0

/

6

0

1

O

;

0

1

3

2

<

8

3

/

/

F

-

4

/

0

?

A

2

6

8

1

1

8

3

6

-

/

A

2

4

G

6

3

=

,

-

1

C

?

/

2

5

>

.

0

3

C

8

-

/

.

5

.

6

-

@

3

6

2

8

3

-

1

-

3

/

3

.

3

A

B

0

4

@

1

5

5

3

A

C

B

D

8

6

-

3

1

7

C

E

.

3

/

D

F

@

8

E

G

S

3

3

F

0

A

6

G

P

B

1

/

/

8

O

s

^





n





\



l



!

o









"









#





































$





%









&







'



(





)













































*

n

&RPELQHGWUHDWPHQW &7 IRUSDWLHQWVZLWKVRFLDODQ[LHW\ GLVRUGHURUVRFLDOSKRELDLVTXLWHFRPPRQLQFOLQLFDOSUDF +RZHYHUWKHVXSHULRULW\RI7&RYHUSV\FKRWKHUDS\ DQGRU SKDUPDFRWKHUDS\ DV PRQRWKHUDS\ LV VWLOO QRW FOHDU2YHUWKHODVWIHZ\HDUVVHYHUDOFOLQLFDOVWXGLHVWKDW HYDOXDWH WKH HI¿FDF\ RI &7 LQ VRFLDO SKRELD KDYH EHHQ SXEOLVKHG$V\VWHPDWLFUHYLHZRIFOLQLFDOVWXGLHVDERXW &7LQVRFLDOSKRELDZDVFDUULHGRXWLQWKLVDUWLFOHLQWKH IROORZLQJGDWDEDVH(%6&23XE0HG&RFKUDQH&ROODER GDWDEDVH(%6&23XE0HG&RFKUDQH&ROODER &ROODER UDWLRQDQGWKH³3RUWDOGH%~VTXHGDGHOD%LEOLRWHFD9LUWXDO HQ 6DOXG´ :H IRXQG  UDQGRPL]HG FRQWUROOHG VWXGLHV 7KHUHLVDVXSHULRULW\RI&7RYHUPRQRWKHUDS\LQPRVWRI WKHP HLWKHU SV\FKRWKHUDSHXWLF RU SKDUPDFRORJLF :H  WKHVH ¿QGLQJV LQ WHUPV RI WKH PHWKRGRORJLFDO OLPLWDWLRQV RI DOO FOLQLFDO VWXGLHV IRXQG DQG EDVHG RQ FOLQLFDO VXJJHVWLRQV GHULYHG WKHUHIURP *LYHQ WKLV LW LV FRQFOXGHGWKDWWKHUHLVHYLGHQFHDERXWWKHVXSHULRULW\RI &7RYHUPRQRWKHUDS\LQVRFLDOSKRELDWUHDWPHQWDOWKRXJK FDXWLRQLQJHQHUDOL]LQJWKLVFRQFOXVLRQLVVXJJHVWHG c

h

j

r

g

h

t

g

g

.H\ZRUGV &RPELQHGWUHDWPHQW3V\FKRWKHUDS\3KDUPDFRWKHUDS\ 6RFLDOSKRELD6RFLDODQ[LHW\GLVRUGHU k

D

E

9

0

/

A





r

P

-





f

C

0





p

0

S



m

h

q

k

3

D





l

7UDWDPLHQWRFRPELQDGR3VLFRWHUDSLD)DUPDFRWHUDSLD )RELDVRFLDO7UDVWRUQRGHDQVLHGDGVRFLDO

M



(OWUDWDPLHQWRFRPELQDGR 7& GHODIRELDVRFLDORWUDVWRU QRGHDQVLHGDGVRFLDOHVIUHFXHQWHHQODSUiFWLFDFOtQLFD 6LQHPEDUJRODHYLGHQFLDDFHUFDGHVXVXSHULRULGDGVR EUHODSVLFRWHUDSLDRODIDUPDFRWHUDSLDDGPLQLVWUDGDVHQ IRUPDGHPRQRWHUDSLDQRHVWiFODUD(QORV~OWLPRVDxRV VHKDQSXEOLFDGRHVWXGLRVFOtQLFRVTXHHYDO~DQODH¿FDFLD GHO7&HQODIRELDVRFLDO(QHVWHDUWtFXORVHUHDOL]DXQD UHYLVLyQVLVWHPiWLFDGHHVWXGLRVFOtQLFRVVREUHHO7&GHOD IRELDVRFLDODWUDYpVGHODVEDVHVGHGDWRV(%6&23XE 0HG&RFKUDQH&ROODERUDWLRQ\HO3RUWDOGH%~VTXHGDGH OD %LEOLRWHFD 9LUWXDO HQ 6DOXG 6H KDOODURQ  HVWXGLRV FRQWURODGRV\DOHDWRUL]DGRV(QODPD\RUtDGHORVHVWXGLRV FOtQLFRVVHREVHUYyXQDVXSHULRULGDGGHO7&VREUHODPR QRWHUDSLDVHDSVLFRWHUDSpXWLFDRIDUPDFROyJLFD6HGLV FXWHQHVWRVKDOOD]JRVHQIXQFLyQGHODVOLPLWDFLRQHVPH WRGROyJLFDV GH ORV HVWXGLRV FOtQLFRV HQFRQWUDGRV \ ODV VXJHUHQFLDVFOtQLFDVTXHGHHOORVSXHGHQH[WUDHUVH6H FRQFOX\HTXHH[LVWHHYLGHQFLDDFHUFDGHODVXSHULRULGDG GHO7&VREUHODPRQRWHUDSLDHQHOWUDWDPLHQWRGHODIRELD VRFLDODXQTXHVHVXJLHUHFDXWHODHQODJHQHUDOL]DFLyQGH HVWDFRQFOXVLyQ b





8

1

F

8

O

2

G

/

-

A

3

1

6

9

:

H

1

2

1

;

3

1

I

0

6

D

-

1

D

E

@

J

@

<

E

F

4

?

/

F

Q

-

Q

4

7

2

V

1

-

4

4

C

K

1

V

X

C

1

1

0

=

5

.

@

-

O

2

?

8

>

I

>

.

6

3

1

1

/

@

2

@

-

3

2

/

3

8

6

A

B

/

8

/

1

1

2

5

C

5

0

0

D

8

-

6

8

E

.

3

-

F

3

@

L

.

3

A

@

3

I

A

1

B

1

-

@

C

G

D

.

3

I

E

F

G

<

1

A

-

8

O

/

6

/

0

Q

>

@

O

>

6

1

4

G

3

A

B

1

C

D

E

F

G

(VWXGLDQWHGHOD/LFHQFLDWXUDHQ3VLFRORJtD8%$%HFDULD(VWtPXORDODV9RFDFLRQHV&LHQWt¿FDV&RQVHMR,QWHUXQLYHUVLWDULR1DFLRQDO &,1 

Y

S

0

8

,

Z

O

-

-

.

O

>

/

O

0

3

.

2

-

1

/

2

S

0

3

P

4

/

8

5

6

O

3

-

7

A

1

/

.

8

-

3

3

0

6

/

/

8

0

2

9

/

0

@

8

/

1

X

:

1

1

0

.

;

>

@

1

O

1

<

2

/

2

2

/

-

5

1

8

4

-

=

.

>

3

?

@

/

3

A

6

-

B

3

6

1

R

/

D

0

E

F

5

8

U

-

.

G

3

@

3

A

B

1

C

D

E

F

G

<

1

A

-

8

O

/

6

4

N

3

.

O

3

6

/

0

Q

>

@

O

>

6

1

4

=

3

.

-

/

2

1

2

R

S

D

T

F

U

G

N

3

.

O

3

6

/

0

5

8

-

.

3

H

ORJtD8&(67HUDSHXWDFRJQLWLYRFHUWL¿FDGRSRUOD$VRFLDFLyQ$UJHQWLQDGH7HUDSLD&RJQLWLYD $$7& 'RFHQWHHQJUDGR\SRVJUDGR3VLFROR H

A

B

1

,

[

5

C

-

8

.

D

/

-

.

E

0

3

F

.

@

3

-

G

1

A

Q

2

B

3

H

3

1

2

/

C

D

-

0

E

6

/

5

F

.

8

O

-

3

.

6

3

D

@

3

E

A

F

B

1

Q

C

4

D

V

E

C

F

5

8

G

<

-

.

3

1

@

A

3

-

A

8

B

O

/

1

C

6

D

/

E

0

F

Q

G

>

@

O

>

6

1

4

=

3

.

-

/

2

1

2

R

S

D

T

F

U

G

N

3

.

/

0

O

/

/

0

A

6

1

2

3

4

?

3

8

A

6

1

2

3

C

5

8

-

.

3

@

3

A

B

1

C

D

E

F

G

N

-

6

/

.

O

3

6

D

E

F

Q

4

V

C

G

DE LA PÁGINA 29 A LA 38

29

EVIDENCIA EMPÍRICA DE LA COMBINACIÓN DE PSICOTERAPIA Y TRATAMIENTO FARMACOLÓGICO DE LA FOBIA SOCIAL (TRASTORNO DE ANSIEDAD SOCIAL) EMPIRIC EVIDENCE ABOUT COMBINED PSYCHOTHERAPY AND PHARMCOLOGICAL TREATMENT OF SOCIAL PHOBIA (SOCIAL ANXIETY DISORDER) D’Alessandro, Fabián; Garay, Cristian J.; Rosales, M. Guadalupe; Donatti, Sofía; Korman, Guido P.; Etchevers, Martín J. u

a

n

\

v

w

_

o

o

u

x

a

/DFRPELQDFLyQGHPHGLFDFLyQ\SVLFRWHUDSLDR7UDWD PLHQWR&RPELQDGR 7& KDVLGRHVWXGLDGDHQGLYHUVRV WUDVWRUQRV PHQWDOHV (Q UHYLVLRQHV DQWHULRUHV VH KDQ GLVFXWLGRORVHVWXGLRVHPStULFRVSXEOLFDGRVVREUHHO7& SDUDORVWUDVWRUQRVGHSUHVLYRVORVWUDVWRUQRVGHDQVLHGDG \ORVWUDVWRUQRVSVLFyWLFRV *DUD\\.RUPDQ*DUD\ )DEULVVLQ\(WFKHYHUV*DUD\)DEULVVLQ.RUPDQ\ (WFKHYHUV  *DUD\ )DEULVVLQ .RUPDQ (WHQEHUJ +RUQHV'¶$OHVVDQGUR\(WFKHYHUV.HHJDQ\*DUD\  &RPRVHKDPHQFLRQDGRHQRWUROXJDU *DUD\HW DO H[LVWHQPHQRVHVWXGLRVFRQWURODGRV\DOHDWRUL ]DGRVHQORVWUDVWRUQRVGHDQVLHGDGTXHHQORVWUDVWRUQRV GHOHVWDGRGHOiQLPR(QHVWHDUWtFXORVHUHYLVDUiODHYL GHQFLDHPStULFDH[LVWHQWHDFHUFDGHORVUHVXOWDGRVGHO7& HQODIRELDVRFLDO WUDVWRUQRGHDQVLHGDGVRFLDO  y

z

{

|

}

~

{



|

€





‚

}

€

~

ƒ

‚



}



~



„

ƒ

}

z

/DIRELDVRFLDORWUDVWRUQRGHDQVLHGDGVRFLDO 7$6 GH¿ QLGRFRQFODULGDGHQHO'60,,, $3$ KDVLGRLQ FOXLGRHQHOFDStWXOR³7UDVWRUQRVGH$QVLHGDG´GHO'60,9 $3$ LQFOXVLyQTXHVHPDQWXYRHQHO'60,975 $3$ \HQHO'60 $3$ /DFDUDFWHUtVWLFD HVHQFLDOGHHVWHWUDVWRUQRHVHOPLHGRSHUVLVWHQWH\DFX VDGRDVLWXDFLRQHVGHtQGROHVRFLDORDFWXDFLRQHVHQS~ EOLFR TXHQRLQYROXFUHQDSHUVRQDVGHOPHGLRIDPLOLDU SRU WHPRUDTXHUHVXOWHQHPEDUD]RVDVRDODHYDOXDFLyQQH JDWLYDSRUSDUWHGHORVRWURV/DH[SRVLFLyQDGLFKRVHVWt PXORVSURGXFHFDVLLQYDULDEOHPHQWHXQDUHVSXHVWDLQPH GLDWDGHDQVLHGDGFRPRSXHGHVHUXQDFULVLVGHDQJXVWLD VLWXDFLRQDORPiVRPHQRVUHODFLRQDGDFRQXQDVLWXDFLyQ GHWHUPLQDGD(OSDFLHQWHUHFRQRFHTXHHVWHWHPRUUHVXO WDH[FHVLYRRLUUDFLRQDO (OPLHGRDODHYDOXDFLyQQHJDWLYDSRUORVRWURVHVXQD FDUDFWHUtVWLFDFHQWUDOGHO7$6HQIDWL]DGDSRUODPD\RUtD GH ORV PRGHORV FRJQLWLYRV %HFN (PHU\  *UHHQEHUJ &ODUN5DSHH +HLPEHUJ:HOOV &ODUN \DTXHHVODEDVHGHOWHPRUSHUVLVWHQWH TXHH[SHULPHQWDQHQVLWXDFLRQHVVRFLDOHV6LELHQDOJX QDVYHFHVGLFKDVFLUFXQVWDQFLDVSXHGHQVHUVRSRUWDGDV SRU ORV LQGLYLGXRV H[SHULPHQWDQGR HOHYDGD DQVLHGDG  /DV FULVLV GH DQJXVWLD VH GLIHUHQFLDQ SRU HO PRGR GH LQLFLR \ OD SUHVHQFLD R DXVHQFLD GH GHVHQFDGHQDQWHV DPELHQWDOHV QRHVWiQUHODFLRQDGDVFRQHVWtPXORV VLWXDFLRQDOHVRGHVHQFDGHQDQWHVDPELHQWDOHVHVGHFLUDSDUHFHQ VLQQLQJ~QPRWLYRDSDUHQWHDGLIHUHQFLDGHORTXHVXFHGHFRQ TXHDSDUHFHQGHIRUPDFDVLH[ FOXVLYD LQPHGLDWDPHQWH GHVSXpV GH OD H[SRVLFLyQ R DQWLFLSDFLyQ GHXQHVWtPXORRGHVHQFDGHQDQWHDPELHQWDO SHMHQWUDUDXQD UHXQLyQ FRQ PXFKD JHQWH  UHODFLRQDGDVFRQXQDVLWXDFLyQGHWHUPLQDGDVRQDTXHOODVTXHWLH QHQ VLPSOHPHQWH PiV SUREDELOLGDGHV GH DSDUHFHU DO H[SRQHUVH HOLQGLYLGXRDFLHUWRVHVWtPXORVRGHVHQFDGHQDQWHVDPELHQWDOHV DXQTXHQRVLHPSUHH[LVWHHVWDDVRFLDFLyQFRQHOHVWtPXORQLWDP SRFR VLHPSUH HO HSLVRGLR DSDUHFH LQPHGLDWDPHQWH GHVSXpV GH H[SRQHUVHDODVLWXDFLyQ SHMODVFULVLVWLHQHQPiVSUREDELOLGD GHV GH DSDUHFHU DO KDEODU FRQ SHUVRQDV GHO VH[R RSXHVWR SHUR DYHFHVHOLQGLYLGXRSXHGHFRQYHUVDUFRQHOORVVLQVXIULUQLQJXQD FULVLVGHDQJXVWLDRELHQSDGHFHUODDORVYHLQWHPLQXWRVGHHVWDU PDQWHQLHQGRXQDFRQYHUVDFLyQFRQXQDSHUVRQDGHRWURJpQHUR  $3$  …

‡

Š

‡

Œ



†

Ž





‡

‘

Š

†

Š

Ž



‡

’



‰

†

Œ

†

†

‡

ˆ

‰

“

ˆ

‰

Š

‡

Š

‡

Œ



†

Ž





‡

‘

Š

†

‡

Š

‘



†

ˆ

Š

”

Ž

†

“

…

30

Š

‹

‡



†

‡

”

‡

‡

†

‡

ˆ

‰

Š

‡

Š

‡

Œ



†

Ž





‡

‘

Š

†

•

–

‡

”

•



Ž

JHQHUDOPHQWHDFDEDQFRQYLUWLpQGRVHHQPRWLYRGHHYLWD FLyQ(QHVWH~OWLPRVHQWLGRHO'60,9 $3$  xDODTXHHVWHWUDVWRUQRVRODPHQWHSXHGHGLDJQRVWLFDUVH VLHOFRPSRUWDPLHQWRGHHYLWDFLyQHOWHPRURODDQVLHGDG GHDQWLFLSDFLyQLQWHU¿HUHQPDUFDGDPHQWHFRQODUXWLQDGHO LQGLYLGXRVXVUHODFLRQHVODERUDOHV\VXYLGDVRFLDORELHQ JHQHUDXQPDOHVWDUFOtQLFDPHQWHVLJQL¿FDWLYRFRQGLFLR QHVTXHORGLIHUHQFLDUtDQGHODWLPLGH]\GHELHQGRSHU VLVWLUDGHPiVPHVHVFRPRPtQLPRHQORVSDFLHQWHV PD\RUHVGHDxRV3RUVXSDUWH5DFKPDQ  VHxD OyTXHODVVLWXDFLRQHVPiVFRP~QPHQWHHYLWDGDVHQHO 7$6VRQODVVLJXLHQWHVKDEODUHQS~EOLFRDVLVWLUD¿HVWDV \R UHXQLRQHV \ FRPXQLFDUVH FRQ ¿JXUDV GH DXWRULGDG %HLGHO\7XUQHU  LQIRUPDURQTXHHVWHWLSRGHDFWXD FLRQHVVRQFDOL¿FDGDVSRUORVSDFLHQWHVFRPR³SUHRFX SDQWHV´\HYLWDGDVHQ PiVGHXQ6LELHQWDQWRHO PLHGRFRPRODHYLWDFLyQVRQFRPXQHVHQHOWUDVWRUQRGH SiQLFR\ODDJRUDIRELDORTXHGLVWLQJXHDO7$6HVHOFD UiFWHUVRFLDOGHGLFKDVVLWXDFLRQHV /LHERZLW]+HLPEHUJ )UHVFR7UDYHUV 6WHLQ  5HVSHFWRGHODHYDOXDFLyQGLDJQyVWLFDGHEHGHVFDUWDUVH TXHODVLQWRPDWRORJtDHQFXHVWLyQVHGHEDDORVHIHFWRV ¿VLROyJLFRVGLUHFWRVGHXQDVXVWDQFLDXQDHQIHUPHGDG PpGLFDRTXHQRSXHGDQH[SOLFDUVHPHMRUSRUODSUHVHQFLD GHRWURWUDVWRUQRPHQWDO6LHVWD~OWLPDRSFLyQIXHUDHO FDVRHOWHPRURHOFRPSRUWDPLHQWRGHHYLWDFLyQQRVH OLPLWDQDODSUHRFXSDFLyQSRUVXSRVLEOHLPSDFWRVRFLDO '60,975 3RU~OWLPRVHSODQWHDODHVSHFL¿FD FLyQGHWLSR³JHQHUDOL]DGD´ODFXDOLQYROXFUDTXHORVWHPR UHVVHH[WLHQGDQDODPD\RUtDGHODVVLWXDFLRQHVVRFLDOHV ORFXDOVHPDQWLHQHQHQHO'60 $3$  (VUHOHYDQWHDQLYHOFOtQLFRWHQHUHQFXHQWDTXHODVSHUVR QDVFRQ7$6VXHOHQWHQHUHVWiQGDUHVH[FHVLYDPHQWHDO WRVGHGHVHPSHxRVRFLDOHVGHFLUTXHHVSHUDQSURYRFDU XQDLPSUHVLyQSDUWLFXODUPHQWHSRVLWLYDVREUHORVGHPiV SHUR GXGDQ VREUH VX YHUGDGHUD FDSDFLGDG GH ORJUDUOR %HFNHWDO+RIPDQQ %DUORZ  (O7$6HVFRQVLGHUDGRHOVHJXQGRWUDVWRUQRPiVFRP~Q GHWRGRVORVWUDVWRUQRVPHQWDOHV ODIRELDHVSHFt¿FDVH XELFDHQHOSULPHUOXJDU 6HJ~QHO~OWLPR1&65 &HQVR 1DFLRQDO GH &RPRUELOLGDG  UHSOLFDGR  EDVDGR HQ ORV FULWHULRVGLDJQyVWLFRVGHO'60,9HO7$6SRVHHXQDSUH YDOHQFLD D OR ODUJR GH OD YLGD GH  .HVVOHU &KLX 'HPOHU  :DOWHUV   $ VX YH] VH KD HQFRQWUDGR HYLGHQFLD TXH VXJLHUH XQ DXPHQWR GH OD LQFLGHQFLD GHO 7$6DWUDYpVGHOWLHPSR 5DSHH 6SHQFH  (O 7$6 VXHOH FRPHQ]DU D SULQFLSLRV R PHGLDGRV GH OD DGROHVFHQFLDORTXHPXHVWUDXQLQLFLRPiVWDUGtRTXHHO FDVRGHODVIRELDVHVSHFt¿FDVSHURXQLQLFLRPiVWHPSUD QRTXHHOWUDVWRUQRGHSiQLFR 5DSHH6DGGRFN  6DGGRFN HOWUDVWRUQRGHHVWUpVSRVWUDXPiWLFR\HO WUDVWRUQR REVHVLYRFRPSXOVLYR .HVVOHU %HUJOXQG 'HPOHU0HULNDQJDV :DOWHUV /DHGDGPHGLDGH DSDULFLyQHVGHDxRVFRQXQGHSUREDELOLGDGGH GHVDUUROORDQWHVGHORVDxRVGHHGDG &KDYLUD6WHLQ %DLOH\ 6WHLQ $KRUDELHQDSHVDUGHOLQLFLRWHP SUDQRGHODHQIHUPHGDGGLYHUVRVDXWRUHVKDQREVHUYDGR TXHODVSHUVRQDVTXHSDGHFHQ7$6QREXVFDQWUDWDPLHQ WRKDVWDELHQHQWUDGDODHGDGDGXOWDDSUR[LPDGDPHQWHD g

j

DE LA PÁGINA 29 A LA 38

FACULTAD DE PSICOLOGÍA - UBA / SECRETARÍA DE INVESTIGACIONES / ANUARIO DE INVESTIGACIONES / VOLUMEN XX

ORVDxRV %XWOHU&XOOLQJWRQ0XQE\$PLHV *HOGHU  +HLPEHUJ 'RGJH +RSH .HQQHG\ =ROOR  %HF NHU %RWHOOD %DxRV  3HUSLxi  'DOU\PSOH  \RWURVGLUHFWDPHQWHQRFRQVXOWDQRELHQFXDQGROR KDFHQ HO WUDVWRUQR QR HV UHFRQRFLGR DGHFXDGDPHQWH 6DGGRFN 6DGGRFN  8QDVHULHGHYDULDEOHVSHUPLWHQSUHGHFLUODFURQLFLGDGHQ HO7$6(QSULPHUOXJDUODSUHVHQFLDGHFRPRUELOLGDGFRQ WUDVWRUQRVGHODSHUVRQDOLGDGHVSHFLDOPHQWHHOWUDVWRUQR GHODSHUVRQDOLGDGSRUHYLWDFLyQVHDVRFLDFRQXQDPHQRU SUREDELOLGDGGHUHPLVLyQ 0DVVLRQ'\FN6KHD3KLOOLSV :DUVKDZ .HOOHU 'HPDQHUDVLPLODUVLHOSDFLHQ WHSDGHFHHOVXEWLSRJHQHUDOL]DGRGHO7$6HVPiVSURED EOHTXHVHGHPXHVWUHPD\RUFURQLFLGDG)LQDOPHQWHDO LJXDOTXHORTXHRFXUUHFRQRWURVWUDVWRUQRVGHDQVLHGDG OD PD\RU JUDYHGDG GH ORV VtQWRPDV DVt FRPR HO PD\RU GHWHULRURIXQFLRQDOVHDVRFLDQFRQXQFXUVRPiVGXUDGH UR \ HVWDEOH GHO 7$6 &KDUWLHU +D]HQ  6WHLQ  9ULHQGV%HFNHU0H\HU:LOOLDPV/XW] 0DUJUDI  3RUWDQWRVLVHFRQVLGHUDHOIUHFXHQWHFXUVRFUyQLFRGHO WUDVWRUQRVXFRQVHFXHQWHGLVPLQXFLyQVLJQL¿FDWLYDGHVX IXQFLRQDPLHQWRVRFLDO\TXHODVSHUVRQDVVXHOHQUHWUDVDU ODE~VTXHGDGHWUDWDPLHQWRSXHGHFRQFOXLUVHTXHHVSULR ULWDULRHYDOXDUTXpWLSRGHWUDWDPLHQWRSXHGHEULQGDUHO PD\RUEHQH¿FLR\QLYHOGHH¿FDFLDHQODUHPLVLyQGHOD SDWRORJtDGHVFULSWD&RPRODFURQLFLGDG\ODJUDYHGDGVRQ FDUDFWHUtVWLFDVGHORVSDFLHQWHVDVRFLDGDVFRQODSHUWLQHQ FLDGHO7&HQRWURVWUDVWRUQRV *DUD\)DEULVVLQ.RUPDQ  (WFKHYHUV HVWDPELpQLPSRUWDQWHFRQRFHUODHYLGHQ FLDDIDYRUGHHVWDPRGDOLGDGHQHODERUGDMHGHO7$6 (QODDFWXDOLGDGVHFRQVLGHUDTXHHQODSDWRJHQLDGHO7$6 LQWHUDFW~DQXQDGLYHUVLGDGGHFDXVDVWDOHVFRPRIDFWRUHV JHQpWLFRV \ ELROyJLFRV SRU XQ ODGR \ DFRQWHFLPLHQWRV DPELHQWDOHVSRURWUR5HVSHFWRDOSULPHUJUXSR$PH\ 'HJQDQ\)R[  UHWRPDQODLGHDSURSXHVWDSRU.D JDQ5H]QLFN&ODUNH\*DUFLD&ROO  GH³LQKLELFLyQ FRQGXFWXDO´&RQVLGHUDQTXHpVWD~OWLPDUHSUHVHQWDXQR GHORVUDVJRVWHPSHUDPHQWDOHVPiVHVWDEOHVGHODLQIDQ FLD LQYROXFUDQGR UHDFWLYLGDG PRWRUD \ HPRFLRQDOLGDG QHJDWLYDDORQRYHGRVRFRPRSXHGHQVHUODVVLWXDFLRQHV GHtQGROHVRFLDO/DLQWHUDFFLyQHQWUHHOSDWUyQHQFXHV WLyQHOIXQFLRQDPLHQWRHMHFXWLYR\YDULDEOHVFRQWH[WXDOHV HQWUHHOODVDOJXQDVYLQFXODGDVDODV¿JXUDVSDUHQWDOHV GHWHUPLQDUtDODSHUVLVWHQFLDRQRGHOSDWUyQDORODUJRGHO GHVDUUROOR(QORVFDVRVHQTXHHVWHSHUVLVWLHUDUHSUHVHQ WDUtDXQIDFWRUGHULHVJRSDUDHOGHVDUUROORGHWUDVWRUQRV GHDQVLHGDG5HVSHFWRDOVHJXQGRJUXSR%UDFLN.U\VWD \=DF]HN  FRQFOX\HQGHORVKDOOD]JRVGHVXHVWXGLR TXHORVDQWHFHGHQWHVYLQFXODGRVDODPELHQWHIDPLOLDUORV IDFWRUHVHGXFDFLRQHVODVPDODVUHODFLRQHVFRQSDUHV\HO KDEHUVLGRREMHWRGHEXUODVHQODLQIDQFLDMXHJDQXQSDSHO GHLPSRUWDQFLDHQODSUREOHPiWLFD &RQUHVSHFWRDODVFRQVHFXHQFLDVUHODFLRQDGDVFRQHO LPSDFWRIXQFLRQDOGHO7$6HOEDMRUHQGLPLHQWRDFDGpPLFR SRUHMHPSORPHQRUHVQLYHOHVHGXFDWLYRVFRPSOHWDGRV \ HOEDMRUHQGLPLHQWRODERUDO SRUHMHPSORLQFDSDFLGDGSDUD &XDQGR HOSDFLHQWHH[SHULPHQWD DQVLHGDGHQODPD\RUtDGHODV VLWXDFLRQHVVRFLDOHV $3$



DE LA PÁGINA 29 A LA 38

WUDEDMDU\PD\RUHVWDVDVGHGHVHPSOHR VRQDOJXQDVGH ODVFRQVHFXHQFLDVUHODFLRQDGDVFRQHOLPSDFWRIXQFLRQDO GHO 7$6 :LWWFKHQ  %HORFK   UHVXOWDQGR HQ XQD UHGXFFLyQGHODFDOLGDGGHYLGD .HVVOHU6WHLQ %HUJOXQG  /DELEOLRJUDItDVHxDODWDPELpQPD\RUSUREDELOLGDG GHSHUPDQHFHUVROWHURVPD\RUXWLOL]DFLyQGHORVVHUYLFLRV GHVDOXG .DW]HOQLFN.REDN'H/HLUH+HQN*UHLVW'D YLGVRQHWDO6WHLQ .HDQ \SHRUFDOLGDGGH YLGD DXWRUHSRUWDGD .DW]HOQLFN HW DO  :LWWFKHQ )XHWVFK 6RQQWDJ  5HODFLyQ GHO 7$6 FRQ RWURV WUDVWRUQRV PHQWDOHV \ SUREOHPDVFOtQLFRV (OGHORVSDFLHQWHVFRQ7$6FXPSOLHURQDGHPiVORV FULWHULRVGHRWURWUDVWRUQRSVLTXLiWULFR $FDUWXUNGH*UDDI YDQ6WUDWHQ+DYH &XLMSHUV /RVSULQFLSDOHVWUDV WRUQRV FRPyUELGRV VRQ RWURV WUDVWRUQRV GH DQVLHGDG WUDVWRUQRVGHOHVWDGRGHiQLPR\UHODFLRQDGRVDOFRQVXPR GH VXVWDQFLDV *UDQW +DVLQ %ODQFR 6WLQVRQ &KRX *ROGVWHLQHWDO  &RQUHVSHFWRDODUHODFLyQHQWUHHO7$6\ORVWUDVWRUQRV GHOHVWDGRGHiQLPRVHKDHQFRQWUDGRTXHDOLJXDOTXH RWURVWUDVWRUQRVGHDQVLHGDGHVXQIDFWRUGHULHVJRSDUD HOGHVDUUROORGHXQWUDVWRUQRGHSUHVLYR )LQN$NLPRYD 6SLQGHOHJJHU+DKQ/DQ]HQEHUJHU .DVSHU LQ FOXVRHVFRQVLGHUDGRHOWUDVWRUQRGHDQVLHGDGPiVDVR FLDGR D OD GHSUHVLyQ 'LFKD FRPRUELOLGDG VH HQFXHQWUD UHODFLRQDGDFRQPD\RUVHYHULGDGGHORVVtQWRPDVLQLFLR PiVSUHFR]GHORVPLVPRVPD\RUFRPRUELOLGDGFRQRWURV SUREOHPDV FOtQLFRV SRU HMHPSOR DEXVR GH VXVWDQFLDV  'DOU\PSOH \PD\RUULHVJRVXLFLGD 6DUHHQ&R[ $¿¿GH*UDDI$VPXQGVRQWHQ+DYH 6WHLQ &RQ UHVSHFWRDOWUDVWRUQRELSRODUHOGHORVSDFLHQWHVFRQ HVHWUDVWRUQRGHOHVWDGRGHiQLPRSUHVHQWDQXQ7$6FR PyUELGRUHSUHVHQWDQGRDVtHOWUDVWRUQRGHDQVLHGDGPiV FRP~QHQGLFKDSREODFLyQGHSDFLHQWHV /DFRPRUELOLGDG7$6\DEXVRGHDOFRKROWLHQHXQDSUHYD OHQFLDGH 6FKQHLHU)RRVH+DVLQ+HLPEHUJ/LX *UDQW %ODQFR (VWDLPSRUWDQWHDVRFLDFLyQKDVLGR H[SOLFDGDFRPRXQLQWHQWRGHDXWRPHGLFDFLyQSRUSDUWH GHORVSDFLHQWHVRULHQWDGRDUHGXFLUORVVtQWRPDVGHO7$6 6DUHHQHWDO)LQNHWDO  (QWUHORVWUDVWRUQRVGHSHUVRQDOLGDGHOWUDVWRUQRHYLWDWLYR GHODSHUVRQDOLGDGHVHOPiVFRP~QPHQWHDVRFLDGRFRQ HO7$6SUHVHQWiQGRVHKDVWDHQXQGHORVLQGLYLGXRV FRQHOVXEWLSRJHQHUDOL]DGRGHGLFKRWUDVWRUQR +HLPEHUJ %HFNHU ([LVWHXQDJUDQFRQWURYHUVLDDHVWHUHV SHFWRSRUHOVRODSDPLHQWRGHFULWHULRVHQWUHDPERVWUDV WRUQRVTXHFXHVWLRQDODH[LVWHQFLDGHGRVWUDVWRUQRVGLIH UHQFLDGRV 7UDWDPLHQWRGHO7$6 ([LVWHQGLYHUVRVPRGHORVGHSVLFRWHUDSLD\YDULDVRSFLR QHV GH WUDWDPLHQWRV SVLFRIDUPDFROyJLFRV SDUD HO 7$6 'DGRTXHHVWHWUDEDMRQRUHYLVDHOWUDWDPLHQWRSVLFROyJLFR RIDUPDFROyJLFRGHO7$6VLQRTXHVHFHQWUDHQODHYLGHQ FLD VREUH OD FRPELQDFLyQ GH DPERV SDUD VX DERUGDMH VRODPHQWHVHPHQFLRQDQDTXtORVWUDWDPLHQWRVTXHFXHQ WDQFRQHYLGHQFLDHPStULFDUHVXOWDQWHGHODLQYHVWLJDFLyQ

31

EVIDENCIA EMPÍRICA DE LA COMBINACIÓN DE PSICOTERAPIA Y TRATAMIENTO FARMACOLÓGICO DE LA FOBIA SOCIAL (TRASTORNO DE ANSIEDAD SOCIAL) EMPIRIC EVIDENCE ABOUT COMBINED PSYCHOTHERAPY AND PHARMCOLOGICAL TREATMENT OF SOCIAL PHOBIA (SOCIAL ANXIETY DISORDER) D’Alessandro, Fabián; Garay, Cristian J.; Rosales, M. Guadalupe; Donatti, Sofía; Korman, Guido P.; Etchevers, Martín J.

GHUHVXOWDGRV5HVSHFWRDORVDERUGDMHVSVLFRVRFLDOHVHV LPSRUWDQWHGHVWDFDUTXHHOWUDWDPLHQWRPiVHVWXGLDGRHV ODWHUDSLDFRJQLWLYRFRQGXFWXDOHQGLYHUVDVIRUPDV 1, &( &RQUHVSHFWRDORVWUDWDPLHQWRVIDUPDFROyJL FRVVHVXHOHQFRQVLGHUDUFRPRIiUPDFRVHIHFWLYRVORV LQKLELGRUHVVHOHFWLYRVGHODUHFDSWDFLyQGHODVHURWRQLQD ,656  ODV EHQ]RGLDFHSLQDV %='  OD YHQODID[LQD \ OD EXVSLURQDFRQVLGHUiQGRVHDORVSULPHURVFRPRHOWUDWD PLHQWRGHSULPHUDHOHFFLyQ 6DGRFN\6DGRFN 6LQ HPEDUJRVHJ~QODJXtDFOtQLFDGHO1,&(  QRVHLQ FOX\HQDODV%='FRPRWUDWDPLHQWRGHHOHFFLyQ `

]

n

v

w

v

—

v

˜

™

l

(VWH WUDEDMR FRQVLVWH HQ XQD UHYLVLyQ VLVWHPiWLFD GH OD HYLGHQFLDHPStULFDGHO7&GHO7$6 SVLFRWHUDSLD\WUDWD PLHQWRIDUPDFROyJLFR UHSUHVHQWDQGRXQHVWXGLRWHyULFR FOiVLFRGHDFXHUGRDODFODVL¿FDFLyQGHHVWXGLRVGHLQYHV WLJDFLyQ HQ SVLFRORJtD SURSXHVWD SRU 0RQWHUR \ /HyQ  (OREMHWLYRIXHUHOHYDUHVWXGLRVHPStULFRVGLVSRQL EOHVGHO7&HQDGXOWRV3DUDODE~VTXHGDGHDUWtFXORVVH XWLOL]DURQODVEDVHVGHGDWRVGH(%6&23XE0HG \HO3RUWDOGH%~VTXHGDGHOD%LEOLRWHFD 9LUWXDOHQ6DOXG6HXWLOL]DURQGLFKDVEDVHVGHGDWRVSRU ODVVLJXLHQWHVUD]RQHVVRQGHDFFHVROLEUH\FRPSLODQXQD YDVWDFDQWLGDGGHSXEOLFDFLRQHVLQFOX\HQGRORVHVWXGLRV GH PD\RU UHOHYDQFLD HQ OD IXQGDPHQWDFLyQ HPStULFD HQ VDOXGPHQWDOWDQWRDQLYHOUHJLRQDOFRPRLQWHUQDFLRQDO /DVSDODEUDVFODYHFRQODVFXDOHVVHUHDOL]yODE~VTXHGD IXHURQ ODV VLJXLHQWHV ³6RFLDO $Q[LHW\ &RPELQHG 7UHDWPHQW´³6RFLDO3KRELD&RPELQHG7UHDWPHQW´³6RFLDO 3KRELD&RPELQLQJ7UHDWPHQW´\³6RFLDO$Q[LHW\&RPEL QLQJ7UHDWPHQW´6HLQFOX\HURQHVWXGLRVFOtQLFRVFRQWUR ODGRV\DOHDWRUL]DGRVSXEOLFDGRVHQWUHHOHURGHHQHUR GH\HOGHPD\RGHLQYROXFUDQGRSDFLHQWHV DGXOWRV GHDDxRVGHHGDG \XWLOL]DQGRORVFULWHULRV GLDJQyVWLFRVGHIRELDVRFLDOWUDVWRUQRGHDQVLHGDGVRFLDO VHJ~Q'60,9 $3$ \'60,975 $3$  LQFOXLGRV ORV TXH FXPSOLHUDQ OD HVSHFLILFDFLyQ GH ³JHQHUDOL]DGRD´6HH[FOX\HURQORVHVWXGLRVDELHUWRVRQR FRQWURODGRVQRDOHDWRUL]DGRVGLVHxRLQWUDVXMHWRVDTXH OORVFX\RLGLRPDTXHQRIXHUDLQJOpVRHVSDxRODVtFRPR ORVTXHLQYROXFUDUDQSREODFLyQLQIDQWRMXYHQLO PHQRUHVGH DxRV 1RVHKDOODURQHVWXGLRVFRQSREODFLyQGHWHUFH UDHGDG PD\RUHVGHDxRV  š

¡

¢

\

›

œ



ž

Ÿ

 

¡

š

]

^

›

_

£

£

—

Ÿ

¤

n

›

l

ž

w

Ÿ

¥

v

¦

›

^

&RPR UHVXOWDGR GH OD UHYLVLyQ VH KDOODURQ  HVWXGLRV FRQWURODGRV\DOHDWRUL]DGRVTXHFRPELQDQGLIHUHQWHVWL SRVGHDERUGDMHVSVLFRVRFLDOHVFRQWUDWDPLHQWRVIDUPD FROyJLFRVWDPELpQGLIHUHQWHV YHU7DEOD  %ORRPKRII+DXJ+HOOVWU|P+ROPH+XPEOH0DGVEXHW DO   GLYLGLHURQ  SDFLHQWHV FRQ 7$6 HQ FXDWUR JUXSRV VHUWUDOLQD\WHUDSLDGHH[SRVLFLyQE VHUWUDOLQD \ FXLGDGR PpGLFR JHQHUDO F  SODFHER IDUPDFROyJLFR \ WHUDSLDGHH[SRVLFLyQ\G SODFHERIDUPDFROyJLFR\FXLGD GRPpGLFRJHQHUDO6HWUDWDGHXQGLVHxRH[SHULPHQWDO IDFWRULDOFRPSOHWR/DDVLJQDFLyQIXHDOHDWRUL]DGDDGREOH FLHJRSRUFRPSXWDGRUDHQEORTXHVGHVXMHWRVGHIRUPD

32

WDOTXHSDFLHQWHVHQFDGDEORTXHIXHURQDOHDWRUL]DGRV DFDGDXQRGHORVWUDWDPLHQWRV/RVLQYHVWLJDGRUHVKDOOD URQTXHORVSDFLHQWHVWUDWDGRVFRQVHUWUDOLQDPHMRUDURQ VLJQL¿FDWLYDPHQWHPiVTXHORVQRWUDWDGRVFRQHOOD1RVH REVHUYDURQGLIHUHQFLDVVLJQL¿FDWLYDVHQWUHORVSDFLHQWHV WUDWDGRVFRQH[SRVLFLyQ\ORVTXHQRIXHURQWUDWDGRVFRQ pVWD/DVHUWUDOLQD\HO7&IXHURQVLJQL¿FDWLYDPHQWHVXSH ULRUHVDOSODFHER (VWHHVWXGLRWXYRXQVHJXLPLHQWRGHVHPDQDV +DXJ HW DO   GH  VHPDQDV /DV SULQFLSDOHV PHGLGDV HPSOHDGDVIXHURQOD(VFDODGH,PSUHVLyQ&OtQLFD*OREDO GH6HYHULGDG6XEHVFDODGH)RELD6RFLDO &*,63VXV VLJODVHQLQJOpV \OD(VFDODGH)RELD6RFLDO 636VXV VLJODVHQLQJOpV /RVDXWRUHVKDOODURQTXHHOJUXSRTXH UHFLELyWHUDSLDGHH[SRVLFLyQSUHVHQWyXQDPHMRUtDDGLFLR QDO GXUDQWH HVWH SHUtRGR GH HQ OD &*,63 PHGLD GH FDPELR   &,  3  \ HQ OD 636 PHGLDGHFDPELR&,3 (O JUXSRTXHUHFLELySODFHERSRUVXSDUWHWDPELpQSUHVHQ WyXQDPHMRUtDDGLFLRQDOHQOD&*,63 PHGLDGHFDPELR &,3 GXUDQWHHOSHUtRGR/RV SDFLHQWHVTXHUHFLELHURQVHUWUDOLQDFRPRPRQRWHUDSLDR 7&GHWHUDSLDGHH[SRVLFLyQ\VHUWUDOLQDSUHVHQWDURQ HQ ODVXEHVFDODPHQWDOGHO6) XQDWHQGHQFLDVLJQL¿FD WLYDDOGHWHULRURGHODPHMRUtDWHUDSpXWLFDDOFDQ]DGDDOVHU FRPSDUDGRVFRQORVJUXSRVTXHUHFLELHURQSODFHER\WH UDSLDGHH[SRVLFLyQ/RVLQYHVWLJDGRUHVFRQFOX\HURQTXH ODVWpFQLFDVGHH[SRVLFLyQDSOLFDGDVFRQEDMRVQLYHOHVGH DQVLHGDGSRGUtDQSRVHHUPHQRULPSDFWRTXHODWHUDSLD GHH[SRVLFLyQDSOLFDGDFRQQLYHOHVPD\RUHVGHDQVLHGDG \DVRFLDUVHDXQDPD\RUWDVDGHUHFDtGDXQDYH]FRQFOXL GRHOWUDWDPLHQWR 'DYLGVRQ)RD+XSSHUW.HHIH)UDQNOLQ&RPSWRQHWDO  DVLJQDURQSDFLHQWHVFRQ7$6DFLQFRJUXSRV H[SHULPHQWDOHVHQXQGLVHxRH[SHULPHQWDOIDFWRULDOIUDF FLRQDGRRLQFRPSOHWR 7& WHUDSLDFRJQLWLYRFRQGXFWXDO JUXSDO\ÀXR[HWLQD  WHUDSLDFRJQLWLYRFRQGXFWXDOJUXSDO \SODFHERIDUPDFROyJLFR WHUDSLDFRJQLWLYRFRQGXFWXDO JUXSDO ÀXR[HWLQDR SODFHERIDUPDFROyJLFR/DDOHD WRUL]DFLyQ VH UHDOL]y HQ EORTXHV SRU FRPSXWDGRUD /D DVLJQDFLyQDWHUDSLDFRJQLWLYDFRQGXFWXDOJUXSDOIXHED ODQFHDGD 6H KDOOy TXH WRGRV ORV WUDWDPLHQWRV DFWLYRV IXHURQVXSHULRUHVDOSODFHERHQODVPHGLGDVGHUHVXOWDGRV SULPDULDV 1RREVWDQWHVHKDOOyTXHDSHVDUGHORVEHQH¿FLRVGHO WUDWDPLHQWRPXFKRVSDFLHQWHVSHUPDQHFLHURQFRQVtQWR PDVOXHJRGHVHPDQDV/RVDXWRUHVFRQFOX\HURQTXH HO7&QRUHSRUWyQLQJXQDYHQWDMDDGLFLRQDOSRUVREUHOD PRQRWHUDSLD 3RUVXSDUWH+RIPDQQ0HXUHW6PLWV6LPRQ3ROODFN (LVHQPHQJHUHWDO  DVLJQDURQSDFLHQWHVFXP SOLHQGRFULWHULRVGH7$6VHJ~Q'60,9\XQVLJQL¿FDWLYR WHPRUGHKDEODUHQS~EOLFRDGRVFRQGLFLRQHVH[SHULPHQ WDOHV GRQGH ORV SDFLHQWHV UHFLELHURQ   7& WHUDSLD GH H[SRVLFLyQ\GF\FORVHULQD R WHUDSLDGHH[SRVLFLyQ\ SODFHERHQXQGLVHxRH[SHULPHQWDOIDFWRULDOIUDFFLRQDGR GRQGHHOJUXSRFRQWUROUHFLELyHOWUDWDPLHQWRXVXDOGHWH UDSLDGHH[SRVLFLyQ/DDOHDWRUL]DFLyQVHJHQHUyDQWHVGH ODDVLJQDFLyQGHORVSDUWLFLSDQWHV\VHRFXOWyKDVWDHO¿QDO DE LA PÁGINA 29 A LA 38

FACULTAD DE PSICOLOGÍA - UBA / SECRETARÍA DE INVESTIGACIONES / ANUARIO DE INVESTIGACIONES / VOLUMEN XX

GHOHVWXGLR6HHPSOHDURQHQHOHVWXGLROD(VFDODGH,P SUHVLyQ&OtQLFD*OREDOGH6HYHULGDG &*,6 OD(VFDODGH $QVLHGDG6RFLDOGH/LHERZLW] /6$6VXVVLJODVHQLQJOpV  \HO,QYHQWDULRGH$QVLHGDG\)RELD6RFLDO 63$,VXVVL JODV HQ LQJOpV  FRPR PHGLGDV SULQFLSDOHV /RV DXWRUHV KDOODURQTXHHO7&UHVXOWyVXSHULRUDODWHUDSLDGHH[SRVL FLyQDFRPSDxDGDGHSODFHER\TXHVHSURGXMRXQDPH MRUtDJHQHUDOGHODDQVLHGDGVRFLDODSHVDUGHKDOODUVHHO WUDWDPLHQWRIRFDOL]DGRHQHODERUGDMHGHXQDVLWXDFLyQGH GHVHPSHxRVRFLDO KDEODUHQS~EOLFR /RVDXWRUHVFRQ FOX\HURQ TXH OD GF\FORVHULQD VHUtD XQD HVWUDWHJLD GH SRWHQFLDFLyQGHORVHIHFWRVGHODWHUDSLDGHH[SRVLFLyQD HIHFWRVGHODERUGDMHGHOWUDVWRUQR/RVUHVXOWDGRVVHPDQ WXYLHURQHQHOVHJXLPLHQWRUHDOL]DGRDXQPHVGHFRQFOXL GRVORVWUDWDPLHQWRV 3UDVNR'RFNHU\+RUiFHN+RXERUi.RVRYi.ODVFKNDHW DO  DVLJQDURQSDFLHQWHVFRQ7$6VXEWLSRJHQH UDOL]DGRDWUHVFRQGLFLRQHVH[SHULPHQWDOHV 7& WHUDSLD FRJQLWLYRFRQGXFWXDOJUXSDO\ PRFOREHPLGD  WHUDSLD FRJQLWLYRFRQGXFWXDOJUXSDO\SODFHERIDUPDFROyJLFRR  PRFOREHPLGD\JXtDGHDSR\RHQXQGLVHxRH[SHULPHQWDO IDFWRULDOLQFRPSOHWR/RVVXMHWRVIXHURQDVLJQDGRVDOHDWR ULDPHQWHDODVGLIHUHQWHVFRQGLFLRQHVVLQTXHVHHVSHFL ¿TXHODIRUPDHQTXHIXHUHDOL]DGRHVWR/DPRFOREHPLGD IXHVXSHULRUHQODUHGXFFLyQLQLFLDOGHODDQVLHGDGVXEMH WLYDJHQHUDODVXYH]ODWHUDSLDFRJQLWLYRFRQGXFWXDOIXH HOWUDWDPLHQWRVXSHULRUSDUDODUHGXFFLyQGHODFRQGXFWD GHHYLWDFLyQ/DFRPELQDFLyQGHWHUDSLDFRJQLWLYRFRQ GXFWXDO \ IDUPDFRWHUDSLD PRVWUy HO HIHFWR PiV UiSLGR /XHJRGHPHVHVGHWUDWDPLHQWRORVPHMRUHVUHVXOWDGRV IXHURQREWHQLGRVSRUORVSDFLHQWHVWUDWDGRVFRQWHUDSLD FRJQLWLYRFRQGXFWXDOJUXSDOFRPRPRQRWHUDSLDHO7&QR UHSUHVHQWy XQD YHQWDMD DGLFLRQDO /D WDVD GH UHFDtGDV GXUDQWHHOVHJXLPLHQWRGHPHVHVIXHVLJQL¿FDWLYDPHQ WHPHQRUHQHOJUXSRWUDWDGRFRQWHUDSLDFRJQLWLYRFRQ GXFWXDOJUXSDO  TXHHQHOJUXSRWUDWDGRFRQ7&   \HOJUXSRTXHUHFLELyPRFOREHPLGD   *XDVWHOOD5LFKDUGVRQ/RYLERQG5DSHH*DVWRQ0LWFKHOO HWDO  \GHIRUPDVLPLODUD+RIIPDQHWDO   DVLJQDURQSDFLHQWHVGLDJQRVWLFDGRVFRQ7$6\TXH DGHPiVUHSRUWDURQWHPRUGHKDEODUHQS~EOLFRHQODVPH GLGDVGHDXWRUHSRUWHDGRVFRQGLFLRQHVH[SHULPHQWDOHV  7& GF\FORVHULQD\WHUDSLDGHH[SRVLFLyQ R WHUDSLDGH H[SRVLFLyQ\SODFHERIDUPDFROyJLFRHQXQGLVHxRH[SHUL PHQWDOIDFWRULDOLQFRPSOHWR/DDVLJQDFLyQDOD]DUGHORV VXMHWRVIXHUHDOL]DGDPHGLDQWHQXPHUDFLyQGHORVFRQWHQH GRUHVGHODPHGLFDFLyQ'LFKDVHFXHQFLDGHDOHDWRUL]DFLyQ IXHGHVDUUROODGDDQWHVGHOH[SHULPHQWR\RFXOWDDWRGDVODV SHUVRQDVLQYROXFUDGDVHQHOFXLGDGRHYDOXDFLyQRVXSHU YLVLyQ GH ORV SDFLHQWHV KDVWD TXH VH FRPSOHWDURQ ODV HYDOXDFLRQHVGHVHJXLPLHQWR+DOODURQTXHHO7&IXHVXSH ULRUORVSDFLHQWHVTXHUHFLELHURQ7&UHSRUWDURQXQDPHMR UtDPD\RUHQP~OWLSOHVPHGLGDV/RVLQYHVWLJDGRUHVLQ¿HUHQ TXHHODSUHQGL]DMHDGDSWDWLYRYLQFXODGRDODWHUDSLDGH H[SRVLFLyQLQWHUDFWXDUtDFRQORVHIHFWRVGHODPHGLFDFLyQ PHMRUDQGRORVUHVXOWDGRVREVHUYDGRV .QLMQLN%ODQFR6DOXP0RUDHV0RPEDFK$OPHLGDHWDO  DVLJQDURQSDFLHQWHVFRQHOVXEWLSRJHQHUDOL]D GR GH 7$6 D GRV JUXSRV TXH UHFLELHURQ ORV VLJXLHQWHV DE LA PÁGINA 29 A LA 38

WUDWDPLHQWRV 7& WHUDSLDSVLFRGLQiPLFDJUXSDO\FORQD ]HSDP  R   FORQD]HSDP HQ XQ GLVHxR H[SHULPHQWDO IDFWRULDOLQFRPSOHWR/RVVXMHWRVHOHJLEOHVIXHURQDVLJQD GRVDOD]DUDODVGLVWLQWDVFRQGLFLRQHVH[SHULPHQWDOHVD SDUWLUGHXQDOLVWDGHJHQHUDGDSRUFRPSXWDGRUDODDOHD WRUL]DFLyQIXHHVWUDWL¿FDGDSRUVH[R\JUDYHGDGGHVtQWR PDVSDUDHYLWDUORVSRVLEOHVHIHFWRVGHFRQIXVLyQGLIHUHQ FLDO HQ ORV JUXSRV GH WUDWDPLHQWR /D PHGLGD SULQFLSDO HPSOHDGDHQHOHVWXGLRIXHOD(VFDODGH,PSUHVLyQ&OtQLFD *OREDO0HMRUtD &*,, /RVLQYHVWLJDGRUHVKDOODURQTXH HOJUXSRTXHUHFLELy7&PRVWUyXQDPHMRUtDVLJQL¿FDWLYD PHQWHPD\RUFRPSDUDGRFRQHOTXHUHFLELyFORQD]HSDP ~QLFDPHQWHUHVSHFWRDOD&*,,$UDt]GHGLFKRVKDOOD] JRVVRVWXYLHURQTXHODDGLFLyQGHODWHUDSLDJUXSDOSVLFR GLQiPLFDSRGUtDVHUXQDSURPLVRULDHVWUDWHJLDGHSRWHQ FLDFLyQGHOFORQD]HSDPSDUDODIRUPDJHQHUDOL]DGDGHO WUDVWRUQR %ODQFR +HLPEHUJ 6FKQHLHU )UHVFR &KHQ 7XUN HW DO  GLYLGLHURQSDFLHQWHVFRQ7$6HQFXDWURJUXSRV VHJ~QUHFLELHUDQORVVLJXLHQWHVWUDWDPLHQWRV 7& WHUD SLD FRJQLWLYRFRQGXFWXDO JUXSDO \ IHQHO]LQD    WHUDSLD FRJQLWLYRFRQGXFWXDOJUXSDO IHQHO]LQDR SODFHER HQXQGLVHxRH[SHULPHQWDOIDFWRULDOLQFRPSOHWR/RVVXMH WRVIXHURQDVLJQDGRVDOHDWRULDPHQWHVLQHVSHFL¿FDUVHHO PRGRHQTXHHVWRIXHUHDOL]DGR/DVHVFDODVHPSOHDGDV FRPRPHGLGDVSULQFLSDOHVGHUHVXOWDGRVGHOHVWXGLRIXH URQ/6$6\&*,6+XERDOJXQDVGLIHUHQFLDVHQWUHORV JUXSRVHQODJUDYHGDGLQLFLDOGHOWUDVWRUQR/DVGLIHUHQ FLDVHQODHVFDOD/6$6SRUVXSDUWHHVWXYLHURQSUy[LPDV DVHUVLJQL¿FDWLYDVHQODOtQHDGHEDVH7DPELpQVHRE VHUYDURQDOJXQDVGLIHUHQFLDVHQWUHDPERVFHQWURVHQORV TXHVHUHDOL]yHOHVWXGLR&RPRUHVXOWDGRGHOHVWXGLRVH KDOOy XQ JUDGLHQWH GH H¿FDFLD HQWUH ORV WUDWDPLHQWRV VLHQGRHO7&PD\RUDFDGDPRQRWHUDSLDODVFXDOHVDVX YH]VHUtDQVXSHULRUDOSODFHER3RUVXSDUWHODIHQHO]LQD FRPRPRQRWHUDSLDIXHVXSHULRUDOSODFHERSHURQRRFX UULyORPLVPRFRQODWHUDSLDFRJQLWLYRFRQGXFWXDOJUXSDO 6HFRQFOX\ySRUORWDQWRTXHHO7&IXHVXSHULRUDDPEDV PRQRWHUDSLDV\DOSODFHER )LQDOPHQWHHOHVWXGLRPXOWLFpQWULFRSXEOLFDGRSRU&UDVNH 6WHLQ6XOOLYDQ6KHUERXUQH%\VWULWVN\5RVHHWDO   SUHVHQWDXQGLVHxRHQHOFXDOVHGLYLGLyXQDPXHVWUDGH SDFLHQWHVFRQORVWUDVWRUQRVGHDQVLHGDGPiVIUH FXHQWHVHQXQPHGLRFRPXQLWDULR WUDVWRUQRGHDQJXVWLD WUDVWRUQRGHHVWUpVSRVWUDXPiWLFRWUDVWRUQRGHDQVLHGDG JHQHUDOL]DGD\7$6VHJ~Q'60,9 WDQWRFRPRGLDJQyV WLFRSULQFLSDORFRPyUELGR'HOWRWDOGHODPXHVWUD SDFLHQWHV SRVHtDQ 7$6 FRPR GLDJQyVWLFR SULQFLSDO VLQ H[FOXLUORVSDFLHQWHVFRQWUDVWRUQRVPHQWDOHVFRPyUELGRV /RVSDFLHQWHVIXHURQDVLJQDGRVDGRVFRQGLFLRQHVD 7& WHUDSLDFRJQLWLYRFRQGXFWXDODVLVWLGDSRUFRPSXWDGRUD SURJUDPD&$/0\WUDWDPLHQWRIDUPDFROyJLFR RE WUD WDPLHQWR XVXDO WUDWDPLHQWR IDUPDFROyJLFR \ DVHVRUtD   ROD GHULYDFLyQ DXQ HVSHFLDOLVWDGH VDOXG PHQWDO HQXQGLVHxRH[SHULPHQWDOLQWHUVXMHWRFRQJUX SRVDOHDWRULRVGRQGHVHHPSOHDFRPRJUXSRFRQWURODO WUDWDPLHQWRXVXDO'HVSXpVGHODHYDOXDFLyQLQLFLDOGHOt QHDGHEDVHORVSDFLHQWHVIXHURQDOHDWRUL]DGRVDODVGL IHUHQWHV FRQGLFLRQHV H[SHULPHQWDOHV GH DFXHUGR D XQ §

¨

©

ª

«

¬

­

®

ª

¯

°

33

EVIDENCIA EMPÍRICA DE LA COMBINACIÓN DE PSICOTERAPIA Y TRATAMIENTO FARMACOLÓGICO DE LA FOBIA SOCIAL (TRASTORNO DE ANSIEDAD SOCIAL) EMPIRIC EVIDENCE ABOUT COMBINED PSYCHOTHERAPY AND PHARMCOLOGICAL TREATMENT OF SOCIAL PHOBIA (SOCIAL ANXIETY DISORDER) D’Alessandro, Fabián; Garay, Cristian J.; Rosales, M. Guadalupe; Donatti, Sofía; Korman, Guido P.; Etchevers, Martín J.

SURJUDPDDXWRPDWL]DGRFRQWUROiQGRVHODVHYHULGDGGHOD FOtQLFD\ODSUHVHQFLDGHGHSUHVLyQPD\RUFRPyUELGD(O SURJUDPD&$/0LQYROXFUDPyGXORVGHSVLFRHGXFDFLyQ H[SRVLFLyQDXWRPRQLWRUHRMHUDUTXtDGHWHPRUHVUHHQ WUHQDPLHQWRUHVSLUDWRULR\SUHYHQFLyQGHUHFDtGDVHOSD FLHQWHORVOOHYDFDERFRQODDVLVWHQFLDGHFOtQLFRVHVSHFLD OLVWDVHQDQVLHGDG6HREVHUYyTXHHO7&IXHVXSHULRUDO WUDWDPLHQWRXVXDOHQHO7$6FRPRGLDJQyVWLFRSULQFLSDO /RVSXQWDMHVGHO63,1IXHURQVLJQL¿FDWLYDPHQWHPHQRUHV HQHOJUXSRTXHUHFLELyHOSURJUDPD&$/0FRPSDUDGRV FRQORVREWHQLGRVSRUHOJUXSRTXHUHFLELyHOWUDWDPLHQWR XVXDO D  PHVHV GH VHJXLPLHQWR 6LQ HPEDUJR GLFKR UHVXOWDGRQRVHPDQWXYRSRVWHULRUPHQWH5HVSHFWRDORV WUDVWRUQRVFRPyUELGRV~QLFDPHQWHSDUDHO7$6VHREVHU YDURQ GLIHUHQFLDV VLJQL¿FDWLYDPHQWH IDYRUDEOHV SDUD HO SURJUDPD&$/0D\PHVHVGHVHJXLPLHQWR w

u

^

o

_

^

u

x

a

(QSULPHUOXJDUHVLPSRUWDQWHGHVWDFDUTXHHQDOJXQRV HVWXGLRVORVIiUPDFRVXWLOL]DGRVQRIXHURQORVTXHKR\HQ GtD VRQ FRQVLGHUDGRV GH SULPHUD HOHFFLyQ SDUD HO 7$6 1,&(   3RU HMHPSOR XQD GH ODV LQYHVWLJDFLRQHV XWLOL]yXQDQWLGHSUHVLYR,0$2 PRFOREHPLGD  3UDVNRHW DO UDUDPHQWHXWLOL]DGRHQODSUiFWLFDFOtQLFDDFWXDO /R PLVPR SXHGH GHFLUVH GHO HVWXGLR GH %ODQFR HW DO  TXHXWLOL]DRWUR,0$2ODIHQHO]LQD$VXYH]HQORV HVWXGLRVGH+RIIPDQHWDO  \*XDVWHOODHWDO   VHKDLPSOHPHQWDGRHOXVRGHODGFLFORVHULQDXQDQWLELy WLFRSDUDODWXEHUFXORVLVTXHVLELHQKDVLGRHVWXGLDGRHQ HOWUDWDPLHQWRGHO7$6QRVHHQFXHQWUDGHQWURGHOWUDWD PLHQWR IDUPDFROyJLFR GH HOHFFLyQ SDUD GLFKR WUDVWRUQR 1,&( 3RU~OWLPRHQHOHVWXGLRGH.QLMQLNHWDO  HOSVLFRIiUPDFRXWLOL]DGRHVXQDQVLROtWLFREHQ]R GLDFHStQLFRHOFORQD]HSDPHOFXDOVLELHQGLVPLQX\HORV VtQWRPDVGHDQVLHGDGSUHVHQWHVHQHOWUDVWRUQRWDPSRFR VHLQFOX\HGHQWURGHORVWUDWDPLHQWRVIDUPDFROyJLFRVGH HOHFFLyQSDUDHO7$6 1,&( 6REUHHVWHDVSHFWR GHEHGHFLUVHTXHHOKHFKRGHTXHVRODPHQWHGRVGHORV RFKRHVWXGLRVFOtQLFRVFRQWURODGRVKDOODGRVXWLOLFHQORV WUDWDPLHQWRVIDUPDFROyJLFRVUHFRPHQGDGRVSDUDHO7$6 GL¿FXOWDPXFKRODLQFOXVLyQGHODHYLGHQFLDTXHSURYHHQ VREUHODH¿FDFLDGHO7&HQXQDFRQFOXVLyQJHQHUDOL]DEOH DODSUiFWLFDFOtQLFD (QVHJXQGROXJDUODVIRUPDVGHSVLFRWHUDSLDXWLOL]DGDVHQ ODVGLVWLQWDVLQYHVWLJDFLRQHVVREUH7&SDUDHO7$6 VRQ KHWHURJpQHDV'HQWURGHORVDERUGDMHVFRJQLWLYRFRQGXF WXDOHVVHKDQLPSOHPHQWDGRFRPRWUDWDPLHQWRGLYHUVDV YDULDQWHVGHORVPLVPRV7UHVGHORVHVWXGLRVDSOLFDURQ WHUDSLDGHH[SRVLFLyQFRPR~QLFDIRUPDGHSVLFRWHUDSLD %ORPKRIIHWDO+RIIPDQHWDO*XDVWHOODHW DO 2WURVHVWXGLRVXWLOL]DURQODWHUDSLDFRJQLWLYR FRQGXFWXDOHQIRUPDWRJUXSDO 'DYLGVRQHWDO3UDV NRHWDO%ODQFRHWDO ODFXDOKDGHPRVWUDGR DOFDQ]DUUHVXOWDGRVVLPLODUHVDOPRGHORLQGLYLGXDO HLQFOX VRVXSHULRUHV \DFWXDOPHQWHHVFRQVLGHUDGRXQWUDWD PLHQWRELHQHVWDEOHFLGRSDUDHO7$6 *DUD\.RUPDQ  .HHJDQ $VXYH]HQHOHVWXGLRGH&UDVNHHWDO  IXHLPSOHPHQWDGRHOPRGHORFRJQLWLYRFRQGXFWXDO GHVGHXQGLVHxRLQIRUPiWLFRFRQRFLGRFRPR³SURJUDPD

34

&$/0´'LFKRDERUGDMHSUHVHQWDFDUDFWHUtVWLFDVSURSLDV \DTXHVLELHQORVSDFLHQWHVFXHQWDQFRQODJXtDGHXQ SURIHVLRQDOODVLQGLFDFLRQHVSDUWHQGHODSODWDIRUPDSUH GLVHxDGD)LQDOPHQWHXQRGHORVHVWXGLRV .QLMQLNHWDO  DSOLFyODWHUDSLDSVLFRGLQiPLFDJUXSDOODFXDOHV XELFDGDSRUODVJXtDVFOtQLFDVFRPRXQDGHODV~OWLPDV RSFLRQHV DOWHUQDWLYDV D LPSOHPHQWDU HQ HO 7$6 1,&(  $OLJXDOTXHHQHOFDVRGHORVWUDWDPLHQWRVIDUPD FROyJLFRVODGLYHUJHQFLDHQHOFDVRGHODVSVLFRWHUDSLDV LQFOXLGDVHQORVHVWXGLRVGH7&SDUDHO7$6KDFHGLItFLO PHQWHJHQHUDOL]DEOHVORVUHVXOWDGRVGHORVKDOOD]JRVDOD SUiFWLFDFOtQLFDFRWLGLDQD'HEHGHVWDFDUVHVLQHPEDUJR TXHDGLIHUHQFLDGHORVIiUPDFRVHVWXGLDGRVHQHOFDVR GHORVWUDWDPLHQWRVSVLFROyJLFRVVHWUDWDGHLQWHUYHQFLR QHVTXHFXHQWDQFRQHYLGHQFLD\VRQUHFRPHQGDGDVFR PRWUDWDPLHQWRVGHHOHFFLyQSDUDHO7$6 1,&(  (QWHUFHUOXJDUVHSXHGHGHVWDFDUODKHWHURJHQHLGDGGH ODVPXHVWUDVGHSDFLHQWHVHYDOXDGDV3RUXQODGRWHQLHQ GRHQFXHQWDORVFULWHULRVGLDJQyVWLFRVGHO'60,9 $3$  DOJXQRVHVWXGLRV +RIIPDQHWDO%ODQFRHW DO  &UDVNH HW DO   LQFOX\HURQ SDFLHQWHV FRQ 7$6\RWURV %ORPKRIIHWDO'DYLGVRQHWDO 3UDVNRHWDO.QLMQLNHWDO HYDOXDURQSDFLHQ WHVFRQ7$6GHVXEWLSRJHQHUDOL]DGRORFXDOVHxDODXQ JUDGRGHVHYHULGDGPD\RU3RURWURODGRORVHVWXGLRVGH +RIIPDQHWDO  \*XDVWHOODHWDO  QRVyOR LQFOX\HQSHUVRQDVTXHSDGH]FDQ7$6VLQRTXHWDPELpQ XWLOL]DFRPRFULWHULRLQFOXVLYRHOWHPRUDKDEODUHQS~EOLFR HOFXDOLQWHJUDHOWUDVWRUQRSHURQRSDUHFHVX¿FLHQWHSDUD GLDJQRVWLFDUOR$VLPLVPRHQLQYHVWLJDFLRQHV %ORPKRII HWDO&UDVNHHWDO VHFRQWHPSODURQFRPRU ELOLGDGHVFRQRWURVWUDVWRUQRVGHDQVLHGDG\GHOHVWDGR GHO iQLPR WRPDQGR DO 7$6 FRPR WUDVWRUQR SULQFLSDO R FRPyUELGRHQHOHVWXGLRGH&UDVNHHWDO  ORFXDO DSRUWDJUDQYDOLGH]HFROyJLFDDODVLQYHVWLJDFLRQHV'L FKDVGLIHUHQFLDVWDQWRLQWHUJUXSDOHVFRPRLQWUDJUXSDOHV SRGUtDQ LQÀXLU SRU Vt PLVPDV HQ OD H¿FDFLD HQFRQWUDGD SDUDORVWUDWDPLHQWRVDSOLFDGRV6LQHPEDUJRODKHWHUR JHQHLGDGGHODVPXHVWUDVKDFHTXHHQFRQMXQWRORVHVWX GLRVLQFOX\DQDSDFLHQWHVPiVVLPLODUHVDORVREVHUYDGRV HQODSUiFWLFDFOtQLFDTXHVHFDUDFWHUL]DQSRUVXGLYHUVL GDG\FRPRUELOLGDG :HVWHQ (VWDVLPLOLWXGKDFH TXHORVUHVXOWDGRV\VXVFRQFOXVLRQHVSXHGDQJHQHUDOL ]DUVHDORVFRQWH[WRVGHDVLVWHQFLDFRQPHQRUGL¿FXOWDG (QFXDUWROXJDUVHFRQVLGHUDTXHODFDQWLGDGGHJUXSRV PtQLPDSDUDHVWXGLDUODH¿FDFLDGHO7&HVGHJUXSRV 7&IiUPDFRSVLFRWHUDSLDSODFHER  .OHUPDQ:HLVVPDQ 0DUNRZLW]*OLFN:LOQHU0DVRQ 6KHDU (VWRQR TXLHUHGHFLUTXHORVHVWXGLRVFRQJUXSRV +RIIPDQHWDO *XDVWHOODHWDO.QLMQLNHWDO&UDVNH HWDO QRVHDQUHOHYDQWHVSHURVtTXHVXVFRQFOXVLR QHVSUHVHQWDQLPSRUWDQWHVOLPLWDFLRQHV(QHOHVWXGLRGH *XDVWHOODHWDO  SRUHMHPSORVHREVHUYDTXHHO7& HVVXSHULRUDODSVLFRWHUDSLDSHURQRVHSXHGHLQIHULUGH HOORTXHVHDWDPELpQVXSHULRUDODIDUPDFRWHUDSLD,QYHU VDPHQWHORVKDOOD]JRVGH.QLMQLNHWDO  VXJLHUHQ TXHHO7&HVVXSHULRUDOWUDWDPLHQWRIDUPDFROyJLFRFRQ FORQD]HSDPSHURQRSXHGHFRQFOXLUVHVXVXSHULRULGDG VREUHODSVLFRWHUDSLDHQFXHVWLyQ(VGHFLUQRSXHGHLQ DE LA PÁGINA 29 A LA 38

FACULTAD DE PSICOLOGÍA - UBA / SECRETARÍA DE INVESTIGACIONES / ANUARIO DE INVESTIGACIONES / VOLUMEN XX

IHULUVHGHHVWRVHVWXGLRVVLVHMXVWL¿FDHO7&HQUHODFLyQD ODPRQRWHUDSLDVHDIDUPDFROyJLFDRSVLFRWHUDSpXWLFD$ VXYH]HVQHFHVDULRWHQHUSUHVHQWHTXHHOFXLGDGRPpGL FRJHQHUDO %ORPKRIIHWDO \ODVJXtDVGHDSR\R 3UDVNRHWDO FRPSDUWHQFRQQXPHURVDVIRUPDVGH SVLFRWHUDSLDORTXHVHGHQRPLQDIDFWRUHVFRPXQHVHQWUH HOODV 0HVVHU :DPSROG SRUORTXHQRVHFRQVL GHUDUtDQHOHTXLYDOHQWHDOSODFHERIDUPDFROyJLFR3RUOR WDQWRGLFKRVWUDWDPLHQWRVSHUPLWLUtDQGLVFHUQLUODH¿FDFLD GHORVIDFWRUHVHVSHFt¿FRVGHXQDSVLFRWHUDSLDSHURQR SRGUtDQXWLOL]DUVHSDUDHYDOXDUODVXSHULRULGDGGHXQ7& VREUHODSVLFRWHUDSLDFRPRPRQRWHUDSLDWDOFRPRKDFH 3UDVNRHWDO  DOFRPSDUDUHO7&FRQHOJUXSRTXH UHFLEHHOSVLFRIiUPDFRFRPELQDGRFRQODJXtDGHDSR\R $OFRPELQDUHOWUDWDPLHQWRSVLFRIDUPDFROyJLFRFRQDOJXQD GHODVYDULDQWHVPHQFLRQDGDV JXtDGHDSR\RRFXLGDGR PpGLFRJHQHUDO QRTXHGDFODURVLHOJUXSRFRUUHVSRQGH DXQDPRQRWHUDSLDRHQUHDOLGDGVHHVWiHYDOXDQGRRWUR WLSRGH7&/RPLVPRRFXUUHDOFRQVLGHUDUFRPRPRQRWH UDSLDODFRPELQDFLyQGHSVLFRWHUDSLDFRQSODFHERIDUPD FROyJLFR %ORPKRIIHWDO (OHVWXGLRUHDOL]DGRSRU &UDVNHHWDO  GHPXHVWUDPD\RUHIHFWLYLGDGGHO7& WUDWDPLHQWRFRJQLWLYRFRQGXFWXDOFRPSXWDUL]DGRMXQWRD ODIDUPDFRWHUDSLD VREUHODPHGLFDFLyQMXQWRDODRULHQWD FLyQRFRQVHMHUtD 6LQHPEDUJRXQDGHVXV OLPLWDFLRQHVHVTXHVRODPHQWHFRPSDUDJUXSRV\DPERV SRGUtDQYHUVHFRPRIRUPDVGLIHUHQWHVGH7&&RQORFXDO QRSHUPLWHFRQFOXLUODVXSHULRULGDGGHO7&VREUHODPRQR WHUDSLD VLQR GHO SURJUDPD &$/0 VREUH OD FRQVHMHUtD $GHPiVHQHVWHHVWXGLRORVUHVXOWDGRVQR VHPDQWLHQHQHQORVVHJXLPLHQWRVUHDOL]DGRVDORV\ PHVHV $VLPLVPRUHVXOWDLPSRUWDQWHGHVWDFDUTXHODVPRQRWHUD SLDVSVLFROyJLFDV\IDUPDFROyJLFDVPXHVWUDQXQDH¿FDFLD UHODWLYDPHQWHHTXLYDOHQWHHQWUHVtODPHMRUtDGHORVSD FLHQWHVQRHVKRPRJpQHDVHJ~QUHFLEDQXQRXRWURWUDWD PLHQWR$VtHQHOHVWXGLRGH3UDVNRHWDO  VHRE VHUYyXQDLPSRUWDQWHVLJQL¿FDWLYDGHORVVtQWRPDVHQHO JUXSR WUDWDGR IDUPDFROyJLFDPHQWH PRFOREHPLGD  VLQ HPEDUJRHQODVFRQGXFWDVGHHYLWDFLyQORVUHVXOWDGRVQR HUDQ WDQ SURQXQFLDGRV HQ HVWH JUXSR PLHQWUDV TXH HO JUXSR TXH UHFLELy WHUDSLD FRJQLWLYRFRQGXFWXDO JUXSDO H[KLELyPHMRUHVUHVXOWDGRVHQODUHGXFFLyQGHODVFRQGXF WDVGHHYLWDFLyQQRWDQWRHQRWURVVtQWRPDVGHO7$6\ PRVWUyXQDPHQRUWDVDGHUHFDtGDVTXHHO7&\ODIDUPD FRWHUDSLD+DXJHWDO  KDOOyUHVXOWDGRVVLPLODUHV\ VXJLHUHQ TXH ODV WpFQLFDV GH H[SRVLFLyQ DSOLFDGDV FRQ EDMRVQLYHOHVGHDQVLHGDG DWULEXLGRVDOWUDWDPLHQWRIDU PDFROyJLFR FRQ VHUWUDOLQD  SRGUtDQ SRU XQ ODGR WHQHU PHQRULPSDFWRTXHODDSOLFDFLyQGHODVPLVPDVFRQQLYH OHV PD\RUHV GH DQVLHGDG HQ HO JUXSR TXH QR UHFLELy VHUWUDOLQD \SRURWUROOHYDUDXQDPD\RUWDVDGHUHFDtGDV XQDYH]FRQFOXLGRHOWUDWDPLHQWR3RUORWDQWRVHSXHGH REVHUYDUTXHHQODHWDSDGHVHJXLPLHQWRGHDPERVHVWX GLRV 3UDVNRHWDO+DXJHWDO HO7&WLHQGH DSHUGHUH¿FDFLDFRQUHVSHFWRDODPRQRWHUDSLDSVLFRWH UDSpXWLFD(VGHVWDFDEOHTXHVHJ~QORVHVWXGLRVPHQFLR QDGRVHO7&QRVHDVXSHULRUDODPRQRWHUDSLDHLQFOXVLYH SXHGDFRPSOLFDUODDSOLFDFLyQGHODSVLFRWHUDSLDDFRUWR\ §

±

§

¨

©

ª

«

¬

­

­

®

ª

¯

DE LA PÁGINA 29 A LA 38

¨

©

ª

«

¬

­

­

®

ª

¯

ODUJRSOD]R 'HODUHYLVLyQUHDOL]DGDVHGHVSUHQGHTXHORVWUDWDPLHQ WRVVRPHWLGRVDLQYHVWLJDFLyQGHO7&GHO7$6VRQHOWUDWD PLHQWRIDUPDFROyJLFR ,566VHUWUDOLQD\ÀXR[HWLQD,0$2 IHQHO]LOLQD\PDFOREHPLGD\GF\FORVHULQD \ORVDERUGD MHVFRJQLWLYRVFRQGXFWXDOHV 7&&JUXSDOWHUDSLDGHH[ SRVLFLyQ 'LFKRVWUDWDPLHQWRVPRVWUDURQVXSHULRULGDGHQ UHODFLyQDOSODFHER(O7&HQORVHVWXGLRVKDOODGRVPRVWUy r

²

²

¬

«

©

­

³

´

µ

¨

«

«

©



¬

²

®

¨

²

¬

«

¨

«

®

·

®

­

´

º

²

¬

«

´

­

´

·

¨

ª

¨

³

¬

´



®

´

¸

¹

HPEDUJRKD\TXHWHQHUHQFXHQWDODVYDULDFLRQHVTXHVH HQFRQWUDURQHQORVHVWXGLRVFRQVHJXLPLHQWRUHVSHFWRGH ODH¿FDFLDGHOD7&ODFXDOHQJHQHUDOVHHTXLSDUyDOD H¿FDFLDGHODSVLFRWHUDSLDRLQFOXVRVHXELFySRUGHEDMR GHODPLVPD$VXYH]ODPRQRWHUDSLDIDUPDFROyJLFDD ODUJRSOD]RHYLGHQFLyXQDPD\RUWDVDGHUHFDtGDV\GLV PLQXFLyQGHVXH¿FDFLD 3DUDIXWXURVHVWXGLRVUHVXOWDQHFHVDULDXQDPHMRUDGHORV GLVHxRVH[SHULPHQWDOHV3RUHMHPSORVHUtDUHOHYDQWHTXH ORVFULWHULRVGHLQFOXVLyQH[FOXVLyQSDUDODUHFROHFFLyQGH ODPXHVWUDH[SOLFLWHQODLQFOXVLyQRQRGHOWUDVWRUQRHYLWD WLYRGHSHUVRQDOLGDG$VLPLVPRHOKHFKRGHLQFOXLUHQXQD PLVPD PXHVWUD SDFLHQWHV FRQ 7$6 FRPR GLDJQyVWLFR SULQFLSDORFRPyUELGR\DVXYH]VXPDUSHUVRQDVTXH SRVHDQRWUDVFRPRUELOLGDGHVVLELHQDSRUWDPD\RUYDOLGH] HFROyJLFDDODLQYHVWLJDFLyQWDPELpQSRGUtDHQVRPEUHFHU ODHVSHFL¿FDGGHORVUHVXOWDGRVREWHQLGRV3RURWURODGR GHEHUtDQGHVDUUROODUVHFULWHULRVTXHHVSHFL¿TXHQQRVyOR ODH¿FDFLDGHLPSOHPHQWDUXQ7&VLQRWDPELpQORVFRVWRV \ EHQH¿FLRV TXH HOOR LPSOLFDUtD 3RU HMHPSOR ODV JXtDV GHVDUUROODGDVSRUOD1,&(  UHFRPLHQGDQFRPELQDU OD7&&FRQIDUPDFRWHUDSLD ,566 FXDQGRORVSDFLHQWHV KDQUHVSRQGLGRGHIRUPDSDUFLDODODPRQRWHUDSLDSVLFR OyJLFD&RQUHVSHFWRDFXHVWLRQHVHVSHFt¿FDPHQWHPHWR GROyJLFDVUHVXOWDLPSRUWDQWHJDUDQWL]DUODSUHVHQFLDGH XQJUXSRFRQWUROXQVHJXLPLHQWRPiVH[WHQVR &RPRFRQFOXVLyQJHQHUDOVHREVHUYDTXHH[LVWHHYLGHQ FLDDIDYRUGHODVXSHULRULGDGGHO7&VREUHODPRQRWHUDSLD HQHOWUDWDPLHQWRGHO7$6DXQTXHUHVXOWDQHFHVDULRPH MRUDUORVGLVHxRVPHWRGROyJLFRVIXWXURV\VHVXJLHUHFDX WHODKDVWDHQWRQFHV

35

EVIDENCIA EMPÍRICA DE LA COMBINACIÓN DE PSICOTERAPIA Y TRATAMIENTO FARMACOLÓGICO DE LA FOBIA SOCIAL (TRASTORNO DE ANSIEDAD SOCIAL) EMPIRIC EVIDENCE ABOUT COMBINED PSYCHOTHERAPY AND PHARMCOLOGICAL TREATMENT OF SOCIAL PHOBIA (SOCIAL ANXIETY DISORDER) D’Alessandro, Fabián; Garay, Cristian J.; Rosales, M. Guadalupe; Donatti, Sofía; Korman, Guido P.; Etchevers, Martín J. n

»

¼

½

»

Î

¾

Ï

¿

Ð

]

À

Á

Â

Ã

Ä

Å

À

Æ

½

Ç

È

Ä

Æ

Å

À

É

Æ

Å

È

Á

Ê

Å

½

»

Ã

Å

À

Ë

»

½

Ì

»

Á

Å

Ê

Ä

Í

»

Ã

Å

À

Ã

Ì

n

o

Ã

Ì

½

n

l

^

Ñ

¿

Ö

×

Ð

Ó

Õ

Ö

Ò

Ð

Ò

Ó

Õ

Ö

×

Ø

Ô

Ò

Ú

Ü

Û

Ð

×

Ý

Þ

Õ

Ð

Ô

Ó

×



å

æ

ê

ç

ë

ì

í

å

ì

è

î

ï

é

ð

ñ

î

å

ò

è

é

ê

ë

ì

í

ì

SODFHER

Ô

Ò

×

â

Ö

î

ï

ð

ñ

î

é

&0

&0\ SODFHER

å

×

Õ

Ô

ã

Ö

Ô

Ò

Ô

Ò

Ú

Ü

Ð

Û

ø

   SODFHER    SODFHER      QV 7& æ

ó

æ

ó

å

ô

õ

ö

ù

ö

ó

÷

ö

 'DYLGVRQ HWDO

 7& 7&&*\ 7&&* 73  )OXR[HWLQD  7&&*\ SODFHER

å

)OXR[HWLQD

å

æ

ç

å

è

é

å

è

ñ

é



7& 7&&* \PRFOREH ð

þ

î

ö

ü

ø

ç

ø

7&&* \SODFHER

0RFOREHPLGD é

ÿ



î

þ

ë

DSR\R

ò

ø

÷

ú

ê

ô

ê

7&!73HQ63$,    \/6$6     &RKHQG  

PHV 6HPDQWXYLHURQORVUHVXOWDGRV FRQXQFUHFLPLHQWROLQHDU

û

ý

Ð

Ô

ø

÷

û

SODFHER

ü

 3UDVNR(WDO

õ

Ü

Û

1RUHSRUWD 7RGRVORVWUDWDPLHQWRV VXSHUDURQVLJQL¿FDWLYDPHQWH DOSODFHER  ,& 7) D 73 í D 73   D  7& íD (Q&*, ,& 7)  D 73   íD  73   D  7& íD (O7&QRUHSRUWyYHQWDMD DGLFLRQDO

SODFHER

è

  'F\FORVHULQD  +RIIPDQHWDO

ù

Ú

PHVHVPHMRUtDDGLFLRQDO VHJ~Q&*,63 GH73   \SODFHER  'HWHULRUR VHJ~Q6) GH7)  \7& 

÷

ø



Ö

Û

ä

Ô

ø

å

å

 +DXJHWDO

Þ

Ó

Ð

ß

 %ORRPKRII HWDO

á

à

ß

Ù

Ô

è

PHVHV 73WXYRORVPHMRUHVUHVXOWDGRV 7)    7& 7)   7) 7& QV (Q&*, VXEHVFDODGH ñ

ê



ê



õ

å

ô







û

ô





ø

û



PHVHV å





ø



ë

ë



ì

ð

þ

î

þ

ò

õ

å

ô





å



ù

ø



  7)       

û



å

æ

å



ù

ø

õ



é

7)WXYRPD\RUUHFDtGDV   TXH73  \7&  0DQWHO&R[WHVW)   %UHVRZWHVW)   1RKXERGLIHUHQFLDVLJQL¿FDWLYD

ë



ñ

í

ì

ë

å

ô

é

å

æ

ø

å

æ

õ

û

å

ô



ø



å



æ

õ

û

ø

 *XDVWHOOD HWDO



 .QLMQLNHWDO



 %ODQFRHWDO



å

æ

ç

å

è

é

å

è

é

å

PHV /6$6WDPDxRGHHIHFWR  /RVUHVXOWDGRVVHPDQWXYLHURQ /RVWDPDxRVGHHIHFWRHQODV RWUDVPHGLGDV H[FHSWRHQ 63$, IXHURQGHD æ

ë

ì



ë

ì



î

å

ô

î

å

ù

ë

ñ

õ



'F\FORVHULQD 

SODFHER

36'*\ FORQD]HSDP 7&&*\ IHQHO]LGLQD PHMRUtD  

  &UDVNHHWDO

å

æ

æ

&$/0 \ å

FORQD]HSDP

å

æ

ù

ë

ñ

ë

ï



ð

þ

ð

ñ

î

PHMRUtD 

å

ù

ñ

1RUHSRUWD

õ

GI S 

û

7&&* PHMRUtD 

ë



&*,,

1RUHSRUWD

3ODFHER 7&IXHHOPiVHIHFWLYR PHMRUtD [ð GI S  7DPDxRGHHIHFWRHQ/6$6  VHJ~QGGH&RKHQ 73  7) 7&  7DPDxRGHHIHFWRHQ&*,6 VHJ~QGGH&RKHQ 73  7) 7&  7&!7) WDPDxRGHHIHFWR 

é

FRXQVHOOLQJ

\PHVHV 6HPDQWXYLHURQORVUHVXOWDGRV VyORSDUDHO7$6FRPyUELGR WDPDxRVGHHIHFWRD  

ù

73 7UDWDPLHQWR3VLFROyJLFR7) 7UDWDPLHQWR)DUPDFROyJLFR 7& WUDWDPLHQWRFRPELQDGR7&& 7HUDSLD&RJQLWLYR&RQGXFWXDO7&&* 7HUDSLD&RJQLWLYR&RQGXFWXDO*UXSDO7( 7HUDSLDGH([SRVLFLyQ&0 FXLGDGRVPpGLFRV'I   JUDGRVGHOLEHUWDG ,&  LQWHUYDORGHFRQ¿DQ]D36'* 7HUDSLD3VLFRGLQiPLFD*UXSDO6)  %636  &*, 63$, 6RFLDO3KRELD$Q[LHW\,QYHQWRU\/6$6 /LHERZLW]6RFLDO$Q[LHW\6FDOH  Ð

Ô

Ò

Ø















&

36



#

'

#

$





(





%





)



ø













û





















































ü





!

"



#









$

#









%

#





$









#



'

DE LA PÁGINA 29 A LA 38

FACULTAD DE PSICOLOGÍA - UBA / SECRETARÍA DE INVESTIGACIONES / ANUARIO DE INVESTIGACIONES / VOLUMEN XX

*

+

,

+

*

+

-

.

/

0

1

2

/

2

3

/

4

5

*

6

,

/

.

0

1

‰

$FDUWXUN&GH*UDDI59DQ6WUDWHQ$+DYH07 &XLMSHUV 3  6RFLDOSKRELDDQGQXPEHURIVRFLDOIHDUVDQGWKHLU DVVRFLDWLRQZLWKFRPRUELGLW\KHDOWKUHODWHGTXDOLW\RIOLIHDQG KHOS VHHNLQJ   ”

7



8

:

;

ˆ

Š

†

“

’

‡

ˆ

8

Š

9

†

‘

‰

†

8

Ž

Œ

’

‡

$PHULFDQ3V\FKLDWULF$VVRFLDWLRQ  

Š

=

ˆ

†

“

ˆ

8

Š

9

†

‘

‰

Š

ˆ



’

Š

Œ



•

Š

”

“

”

‹

<

•

†

Ž



†

“

”

Ž

•



Ž

‘

†

“

Œ

Š

‡

”

‰

Œ



‰

‡

>

‘

;



9

†



Œ

Ž

?

”

‡

‘

Š

ˆ

†

Ž

Œ

‡

‘

†

‘

Š

‡

‘

Š

‹

 :DVKLQJWRQ '&

@

$XWKRU Š

=

$PHULFDQ3V\FKLDWULF$VVRFLDWLRQ   “

•

†

Ž



†

“

”

Ž

•



Ž

‘

†

“

Œ

Š

‡

”

‰

Œ



‰

‡

>

‘

A

†



Ž

Š



9

†



Œ

”

Ž

?

‡

‘

Š

ˆ

†

Ž

Œ

‡

‘

†

‘

Š

‡

‘

Š

‹

”

‡

‘

Š

ˆ

†

Ž

Œ

‡

‘

†

‘

Š

‡

‘

Š

‰

‡

’



ˆ

‘

Š



B

%HFN $7 (PHU\ *  *UHHQEHUJ 5/   $Q[LHW\ GLVRU  1HZ

Get in touch

Social

© Copyright 2013 - 2024 MYDOKUMENT.COM - All rights reserved.