The pattern of subjective anxiety during in-session exposures over the course of cognitive-behavioral therapy for clients with social anxiety disorder.

Behavior Therapy
Sarah A HayesR G Heimberg

Abstract

Exposure-based therapies are efficacious treatments for social anxiety disorder (i.e., Gould et al., 1997). Much of the theory behind these treatments is derived from Foa and colleagues' (Foa, Huppert, & Cahill, 2005; Foa & Kozak, 1986) work on emotional processing. However, there has been little research examining individual differences in emotional processing patterns within and between treatment sessions among clients with social anxiety disorder. This study utilized longitudinal data analytic methods to examine changes in subjective anxiety during the first 3 exposure sessions in group and individual cognitive-behavioral therapy for social anxiety disorder. The results of this study provide preliminary evidence that, although anxiety generally decreases across exposures, some individuals experience considerable fluctuations in anxiety during a single exposure. Although anxiety during the first exposure was not significantly related to outcome, the relationship between anxiety during exposure and outcome became stronger during subsequent exposures. Overall, this study highlights the need to conduct more fine-grained analyses to better understand the mechanisms underlying exposure-based therapies for social anxiety disorder.

References

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Jul 1, 1995·Behaviour Research and Therapy·D A HopeM A Bruch
Jan 4, 1998·Journal of Anxiety Disorders·J G BeckB J Zebb
Dec 23, 1998·Archives of General Psychiatry·R G HeimbergD F Klein
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Oct 27, 2004·Clinical Psychology Review·Thomas L RodebaughRichard G Heimberg
Mar 3, 2007·Clinical Psychology Review·Jean-Philippe LaurenceauGreg C Feldman

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Citations

Oct 15, 2013·Journal of Anxiety Disorders·Angela FangStefan G Hofmann
Jun 1, 2010·Clinical Psychology : a Publication of the Division of Clinical Psychology of the American Psychological Association·Michael W OttoKathleen M Kantak
Jul 24, 2014·Journal of Abnormal Child Psychology·Katharina Kircanski, Tara S Peris
Jun 30, 2016·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Jeremy S PetermanPhilip C Kendall
Jun 13, 2020·Cognition & Emotion·Gabriella T Ponzini, Shari A Steinman
Nov 18, 2018·Frontiers in Human Neuroscience·Aleksandra LandowskaAlan Barrett
Oct 31, 2020·Anxiety, Stress, and Coping·Pam V ShawMartin M Antony

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