Teensad@change: uma proposta de investigação à eficácia de diferentes terapias à perturbação de ansiedade social na adolescência = Teensad@change: A proposal for investigating the efficacy of different therapies for social anxiety disorder in adolescence

A ansiedade social tem expressao evidente na adolescencia. Pode escalar para perturbacao de ansiedade social (PAS) que, na ausencia de ajuda especializada, frequentemente se mantem ate a idade adulta. Assim, importa uma intervencao precoce e baseada em evidencias que permita alterar o curso da PAS na adolescencia. Sera recrutada uma amostra de adolescentes com PAS (n ᵙ 85), que serao distribuidos por quatro condicoes (i.e., lista de espera, terapia cognitiva, terapia focada na compaixao e terapia focada na aceitacao e compromisso); todos serao avaliados por instrumentos de autorrelato sobre constructos centrais a cada uma das terapias em quatro momentos (i.e., pre-intervencao, pos-intervencao, follow-up a 12 semanas e follow-up a 24 semanas). Espera-se que todas as terapias promovam melhoria sintomatologica mais evidente do que a manifesta no grupo em lista de espera. Espera-se que, para cada terapia, a mudanca na ansiedade social do pre- ao pos-intervencao seja mediada por constructos que lhe sao centrais. Analisar-se-a, por fim, o papel de moderadores de mudanca (e.g., sexo, nivel inicial de sintomatologia) para determinar que terapia funciona melhor com quem. Esta investigacao permitira obter informacao sobre qual terapia podera constituir o tratamento de eleicao na PAS, e ao lidar com diversas vulnerabilidades especificas, contribuindo para a investigacao sobre terapias empiricamente validadas, com um foco especifico na adolescencia. Social anxiety is evident in adolescence. It can escalate to social anxiety disorder (SAD) which, in the absence of specialized help, often lasts into adulthood. Thus, an early and evidence-based intervention is needed to change the course of SAD in adolescence. A sample of adolescents with PAS (n ᵙ 85) will be recruited and will be distributed across four conditions (i.e., waiting list, cognitive therapy, compassion-focused therapy and acceptance and commitment therapy); all will be evaluated by self-report instruments on central constructs to each of the therapies in four moments (i.e., pre-intervention, post-intervention, follow-up at 12 weeks and follow-up at 24 weeks). All therapies are expected to promote symptom improvement more evident than that manifested in the waiting list group. It is expected that, for each therapy, the change in social anxiety from pre- to post-intervention will be mediated by constructs that are central to it. Finally, the role of moderators of change (e.g., sex, initial level of symptomatology) will be analyzed to determine which therapy works best with whom. This investigation will provide information on which therapy may constitute the treatment of choice in PAS, and when dealing with several specific vulnerabilities, contributing to the investigation of empirically validated therapies, with a specific focus on adolescence. Palavras-chave / Keywords: Perturbacao de ansiedade social, Adolescencia, Terapia cognitiva, Terapia focada na compaixao, Terapia focada na aceitacao e compromisso. Social anxiety disorder, Adolescence, Cognitive therapy, Therapy focused on compassion, Therapy focused on acceptance and commitment.