PREGLEDI IZ LITERATURE. BIBLID: , 133(2005) 1-2 p UVOD. DSM-IV, odlikuje DSM-IV. Uradusuprikazaniaktuelniteorijskistavovi DSM-IV
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1 PREGLEDI IZ LITERATURE BIBLID: , 133(2005) 1-2 p UVOD DSM-IV, odlikuje DSM-IV ICD-10 DSM-IV Uradusuprikazaniaktuelniteorijskistavovi
2 tora okoline. skih receptora D2 i D4 transportera (DAT (SSRI 5-HT 5-HT1C m-cpp (m 5-HT2 i 5-HT1 ClarkWells Gabbard
3 ta adolescenta. zicija in vivo ru integrativnog pristupa, jer je kod neke dece i SSRIs MAO SSRIs
4 LITERATURA 1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th edition. Washington; Heimberg RG, Stein MB, Hiripi E, Kessler RC. Trends in the prevalence of social phobia in the United States: a synthetic cohort analysis of changes over four decades. Eur Psychiatry 2000; 15: Hofmann SG, Albano AM, Heimberg RG, Tracez MA, Chorpita BF, Barlow DH. Sybtypes of social phobia in adolescent. Depression & Anxiety 1999; 9: Bewamin RS, Costello EJ, Warren M. Anxiety disorders in a pediatric sample. J Anxiety Dis 1990; 4: Compton SN, Nelson AH, March JS. Social phobia and separation anxiety symptoms in community and clinical samples of children and adolescents. J Am Acad Child Adolesc Psychiatry 2000; 39: Lecrubier Y, Wittchen HU, Faravelli C, et al. A European perspective on social anxiety disorder. Eur Psychiatry 2000; 15: Wittchen HU, Stein MB, Kessler RC. Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity. Psychol Med 1999; 29: Montgomery SA. Social phobia: diagnosis, severity and implications for tretament. Eur Arch Psychiatry Clin Neurosci 1999; 249(Suppl 1):S1-S6. 9. Beidel DC, Turner SM, Morris TL. Psychopathology of childhood social phobia. J Am Acad Child Adolesc Psychiatry 1999; 38: Masia CL. School-based behavioral treatment for social anxiety disorder in adolescents: results of a pilot study (Statistical data included). J Am Acad Child Adolesc Psychiatry 2001; 40(7): Kendler KS, Neale MC, Kessler RC. The genetic epidemiology of phobias in women: the interrelationship of agoraphobia, social phobia, situation phobia and simple phobia. Arch Gen Psychiatry 1992; 49: Bögels SM, van Oosten A, Muris P, Smulders D. Familial correlates of social anxiety in children and adolescents. Beh Res Ther 2001; 39: Stein MB, Chartier MJ, Hazen AL, et al. A direct-interview family study of generalized social phobia. Am J Psychiatry 1998; 155: Mick MA, Telch MJ. Social anxiety and history of behavioral inhibition in young adults. J Anxiety Dis 1998; 12: Schneier FR, Liebowitz MR, Abi-Dargham A, Zea-Ponce Y, Lin Sh, Laruelle M. Low dopamine D2 receptor binding potential in social phobia. Am J Psychiatry 2000; 157: Hollander E, Kwon J, Weiller F, et al. Serotonergic function in social phobia: comparison to normal control and obsessive-compulsive disorder subjects. Psychiatry Res 1998; 79: Bell CJ, Malizia AL, Nutt DJ. The neurobiology of social phobia. Eur Arch Psychiatry Clin Neurosci 1999; 249(Suppl 1):S11-S Daniel L, Chokka P, Tibbo P. Toward an integrative understanding of social phobia. J Psychiatry Neurosci 2001; 26(3): Hayward C, Killen JD, Kraemer HC, Taylor CB. Linking selfreported childhood behavioral inhibition to adolescent social phobia. J Am Acad Child Adolesc Psychiatry 1998; 37: Biederman J, Hirshfeld-Becker DR, Rosenbaum JF, et al. Further evidence of association between behavioral inhibition and social anxiety in children. Am J Psychiatry 2001; 158: Schwartz CE, Snidman N, Kagan J. Adolescent social anxiety as an outcome of inhibited temperament in childhood. J Am Acad Child Adolesc Psychiatry 1999; 38: Musa CZ, Lepine JP. Cognitive aspects of social phobia: a review of theories and experimental research. Eur Psychiatry 2000; 15: Clark DM, Wells A. Cognitive therapy for anxiety disorders. In: Wright JH, Thase ME, editors. Cognitive therapy. Washington DC: American Psychiatric Press; Turk CL, Lerner J, Heimberg RG, Rapee RM. An integrated cognitive-behavioral model of social anxiety. In: Hofmann SG, DiBartolo PM, editors. Social phobia and social anxiety: An integration. Needham Heigts, MA: Allyn&Backon; Starčević V. Stawa straha u kliničkoj praksi. Beograd: Zavod za uxbenike i nastavna sredstva; Gabbard GO. Psychodynamic psychiatry in clinical practice. The DSM-IV edition. Washington DC: American Psychiatric Press; Ginsburg GS, Greca AM, Silverman WK. Social anxiety in children with anxiety disorders: Relation with social and emotional functioning. J Abnorm Child Psychol 1998; 26: La Greca AM. Friends or foes? Peer influences on anxiety among childen and adolescents. In: Silverman WK, Treffers PDA, editors. Anxiety disorders in children and adolescents: Reserach, assessment and interventions. London: Cambridge University Press; Bojanin S. Moral i mentalno zdravqe. Zbornik društveno humanističkih nauka. Bawa Luka; 2003 [u štampi]. 30. Nutt DJ, Bell CJ, Malizia AL. Brain mechanism in social anxiety disorders. J Clin Psychiatry 1998; 59(Suppl 17): Ninan PT. The functional anatomy, neurochemistry, and pharmacology of anxiety. J Clin Psychiatry 1999; 60(Suppl 22): Mathew SJ, Coplan JD, Gorman JM. Neurobiological mechanism of social anxiety disorder. Am J Psychiatry 2001; 158: Kolar D. Savremena terapija stawa straha. Beograd: Zadužbina Andrejević Biblioteka Dissertatio; p Kolar D, Bojanin S. Opsesivno-kompulzivni poremećaj kod dece i adolescenata integrativni pristup. Psihijatrija danas 2001; 33(1-2): Menninger WW. Integrated treatment of panic disorder and social phobia. Bull Mennin Clin 1992; 56(Suppl A):A61-A Hofmann SG, Roth WT. Issues related to social anxiety among controls in social phobia research. Beh Therapy 1996; 27: Miller VA, Feeny NC. Modification of cognitive-behavioral techniques in the treatment of five year-old girl with social fobia. J Contemp Psychother 2003; 33(4): Turk CL, Coles ME, Heimberg RG. Psychotherapy of social phobia. In: Stein DJ, Hollander E, editors. Textbook of anxiety disorders. Washington: American Psychiatric Press Inc; Gabbard GO. Psychodynamic of panic disorder and social phobia. Bull Mennin Clin 1992; 56(Suppl A):A3-A Murphy TK, Bengtson MA, Tan JY, Carbonell E, Levin GM. Selective serotonin reuptake inhibitors in the treatment of pediatric anxiety disorders: a review. Int Clin Psychopharamacol 2000; 15(Suppl 2):S47-S Schneier FR. Treatment of social phobia with antidepressant. J Clin Psychiatry 2001; 62(Suppl 1): Sussman N, Davidson JRT, Greist JH. Diagnosis and treatment of social phobia. J Clin Psychiatry 1999; 212:5-16.
5 SOCIAL PHOBIA IN DEVELOPMENTAL PERIOD: FROM THEORY TO THERAPY Dušan KOLAR 1, Svetomir BOJANIN 2 1 Department of Neurology and Psychiatry for Children and Adolescents, Belgrade; 2 Faculty of Defectology, University of Belgrade, Belgrade ABSTRACT The contemporary integrative theoretical and therapeutic concepts of social phobia in developmental period have been presented in the study. Besides current neurobiological theories, a very important hypothesis about behavioral inhibition has been represented as a predisposition of social phobia. The cognitive-behavioral theories of social phobia are dominant among psychological theories. The integrative concept of social phobia is the most realistic approach to this disorder and the bridge between biological and psychological theories. The interaction between biological and psychological etiological factors is represented through different therapeutical approaches to social phobia. Therapy of social phobia is integrative and involves different therapeutical modalities in different phases of therapy. In integrative psychotherapy, we use cognitive-behavioral therapy, dynamic oriented supportive psychotherapy, psychodynamic psychotherapy and phenomenological-existential psychotherapy. The cognitive-behavioral therapy yields the best results. The medicaments in use are the following: selective serotonin reuptake inhibitors, monoamine oxidase inhibitors, high-potency benzodiazepines, new antiepileptic drugs and rarely β-blockers. The combination of integrative psychotherapy and pharmacotherapy is the most optimal therapeutic approach to social phobia. This integrative and to patient adapted treatment will produce the best results in management of children s and adolescent s social phobia. Key words: social phobia, contemporary neurobiological concepts, psychobiological hypotheses, integrative psychotherapy, combined therapy Dušan KOLAR Klinika za neurologiju i psihijatriju za decu i omladinu Dr Subotića 6a, Beograd Tel: ; s: kolar@yubc.net i dkolar22@yahoo.com
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