TY  - JOUR
T1  - A placebo-controlled trial of phenelzine, cognitive behavioral group therapy, and their combination for social anxiety disorder
AU  - Blanco C, Heimberg RG, Schneier FR, et al
Y1  - 2010/03/01
N1  - 10.1001/archgenpsychiatry.2010.11
JO  - Archives of General Psychiatry
SP  - 286
EP  - 295
VL  - 67
IS  - 3
N2  - Context 
    Medication and cognitive behavioral treatment are the best-established treatments for social anxiety disorder, yet many individuals remain symptomatic after treatment.Objective 
    To determine whether combined medication and cognitive behavioral treatment is superior to either monotherapy or pill placebo.Design 
    Randomized, double-blind, placebo-controlled trial.Setting 
    Research clinics at Columbia University and Temple University.Participants 
    One hundred twenty-eight individuals with a primary DSM-IV diagnosis of social anxiety disorder.Interventions 
    Cognitive behavioral group therapy (CBGT), phenelzine sulfate, pill placebo, and combined CBGT plus phenelzine.Main Outcome Measures 
    Liebowitz Social Anxiety Scale and Clinical Global Impression (CGI) scale scores at weeks 12 and 24.Results 
    Linear mixed-effects models showed a specific order of effects, with steepest reductions in Liebowitz Social Anxiety Scale scores for the combined group, followed by the monotherapies, and the least reduction in the placebo group (Williams test = 4.97, P < .01). The CGI response rates in the intention-to-treat sample at week 12 were 9 of 27 (33.3%) (placebo), 16 of 34 (47.1%) (CBGT), 19 of 35 (54.3%) (phenelzine), and 23 of 32 (71.9%) (combined treatment) (χ21 = 8.76, P < .01). Corresponding remission rates (CGI = 1) were 2 of 27 (7.4%), 3 of 34 (8.8%), 8 of 35 (22.9%), and 15 of 32 (46.9%) (χ21 = 15.92, P < .01). At week 24, response rates were 9 of 27 (33.3%), 18 of 34 (52.9%), 17 of 35 (48.6%), and 25 of 32 (78.1%) (χ21 = 12.02, P = .001). Remission rates were 4 of 27 (14.8%), 8 of 34 (23.5%), 9 of 35 (25.7%), and 17 of 32 (53.1%) (χ21 = 10.72, P = .001).Conclusion 
    Combined phenelzine and CBGT treatment is superior to either treatment alone and to placebo on dimensional measures and on rates of response and remission.
SN  - 0003-990X
M3  - doi: 10.1001/archgenpsychiatry.2010.11
UR  - http://dx.doi.org/10.1001/archgenpsychiatry.2010.11
ER  -