Treatment of social approach processes in adults with social anxiety disorder

Journal of Consulting and Clinical Psychology
Lynn E AldenM Leili Plasencia

Abstract

Despite the social impairment associated with social anxiety disorder (SAD), little research has examined the impact of treatment on positive relational functioning. Accordingly, the authors conducted a treatment outcome study to evaluate a cognitive behavior therapy (CBT) regimen augmented by a relational focus (CBT-R) relative to a graduated exposure-applied relaxation (GEAR) regimen and wait list (WL) control. To examine the mechanism(s) that underlies treatment effects, they used structural equation modeling (SEM) to evaluate two potential mediators, change in judgment biases and in safety behaviors. Treatment-seeking adults who met SAD diagnostic criteria (n = 100; 50% women; mean age = 32.9 years.; 36% ethnic minority) were randomly assigned to CBT-R, GEAR, or WL. CBT-R and GEAR participants received 14 group treatment sessions. Social initiation, relationship satisfaction, and a SAD symptom composite were assessed at pre- and postassessment, and 6- and 12-month follow-ups. Intent-to-treat multilevel modeling analyses indicated that the CBT-R regimen resulted in significantly greater improvement relative to GEAR on relationship satisfaction and SAD symptoms. SEM results revealed that change in safety behaviors partially m...Continue Reading

Citations

Sep 16, 2018·Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater·Petra Sackl-PammerTürkan Akkaya-Kalayci
Jan 22, 2019·Journal of Personality·Eva Gilboa-SchechtmanRoy Azoulay
Apr 30, 2020·PloS One·Mădălina Elena CostacheTomas Furmark
Sep 16, 2020·Journal of Clinical Medicine·Ben Shahar
Oct 1, 2019·Clinical Psychological Science : a Journal of the Association for Psychological Science·Sarah L PearlsteinMurray B Stein
May 30, 2020·Journal of Behavior Therapy and Experimental Psychiatry·Marisol J VonckenJeffrey Roelofs
Aug 7, 2021·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Marisol J VonckenKim P C Kuypers

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