Fear of Negative Evaluation and Rapid Response to Treatment During Cognitive Behaviour Therapy for Social Anxiety Disorder

AbstractCognitive behaviour therapy (CBT) is widely regarded as an effective treatment for social anxiety disorder (SAD) in Europe and North America. The theoretical orientations underlying CBT models and treatment interventions developed in Western cultures were typically constrained by Western conceptualizations of SAD. This case study reports on the use of CBT for Japanese SAD, demonstrating the successful implementation of cognitive techniques grounded in the Clark & Wells model. The patient was a Japanese female with excessively high standards for workplace social performance. Therapy mainly comprised case formulation, behavioural experiments, and opinion surveying based on the Clark & Wells model. These techniques allowed the patient to reduce the strength of maladaptive cognitions and lower her excessively high standards for social performance. CBT treatment using the Clark & Wells model was effective and suitable for Japanese SAD, at least in the present case. We also discuss the cross-cultural differences of SAD and adaptation of CBT.

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Structural but not functional neuroplasticity one year after effective cognitive behaviour therapy for social anxiety disorder

Behavioural Brain Research ◽

10.1016/j.bbr.2016.11.018 ◽

2017 ◽

Vol 318 ◽

pp. 45-51 ◽

Cited By ~ 17

Author(s):

Kristoffer N.T. Månsson ◽

Alireza Salami ◽

Per Carlbring ◽

C.-J. Boraxbekk ◽

Gerhard Andersson ◽

...

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Social Anxiety Disorder ◽

Cognitive Behaviour Therapy ◽

Behaviour Therapy ◽

Cognitive Behaviour ◽

One Year ◽

Functional Neuroplasticity

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Identifying mediators of Cognitive Behaviour Therapy and Exposure Therapy for social anxiety disorder (SAD) using repeated measures

Journal of Affective Disorders Reports ◽

10.1016/j.jadr.2021.100194 ◽

2021 ◽

pp. 100194

Author(s):

Systla Rukmini ◽

Paulomi M. Sudhir ◽

Adhin Bhaskar ◽

Shyam Sundar Armugham

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Social Anxiety Disorder ◽

Repeated Measures ◽

Cognitive Behaviour Therapy ◽

Exposure Therapy ◽

Behaviour Therapy ◽

Cognitive Behaviour

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A Novel Application of the Schema Therapy Mode Model for Social Anxiety Disorder: A Naturalistic Case Study

Clinical Case Studies ◽

10.1177/15346501211027866 ◽

2021 ◽

pp. 153465012110278

Author(s):

Erika S. Penney ◽

Alice R. Norton

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Social Anxiety Disorder ◽

Negative Evaluation ◽

Schema Therapy ◽

Social Avoidance ◽

Behaviour Therapy ◽

Socially Anxious ◽

Cognitive Behaviour

Social Anxiety Disorder (SAD) is a condition defined by an excessive and persistent fear of negative evaluation in social or performance situations. Whilst Cognitive Behaviour Therapy (CBT) is the gold standard treatment, not all individuals with SAD respond to CBT. The Schema Therapy Mode Model is frequently applied to chronic and hard-to-treat conditions and therefore may be applicable for SAD individuals who are non-responders to CBT. This case study describes how the Mode Model was successfully used to treat a woman in her 20s who presented with excessive fears of negative evaluation and pervasive social avoidance. Experiential techniques, such as chair dialogues and imagery rescripting, resulted in cognitive modification of negative core beliefs, reduced experiential discomfort and increased engagement in social and relational activities. This case offers a preliminary indication that the Schema Therapy Mode Model may be an effective treatment for socially anxious individuals and that further theoretical and empirical study in this area is warranted.

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Effectiveness of Acceptance Commitment Therapy (ACT) in Social Anxiety Disorder: Application of a Longitudinal Method for Evaluation of Mediation Role of Acceptance, Cognitive Fusion and Values

Basic and Clinical Neuroscience Journal ◽

10.32598/bcn.2021.2785.1 ◽

2021 ◽

Author(s):

Esmail Soltani ◽

◽

Seyed Abdolmajid Bahrainian ◽

Ali Farhoudian ◽

Abbas Masjedi Arani ◽

...

Keyword(s):

Quality Of Life ◽

Anxiety Disorder ◽

Social Anxiety ◽

Social Anxiety Disorder ◽

Negative Evaluation ◽

Fear Of Negative Evaluation ◽

Analysis Of Covariance ◽

Cognitive Fusion

Objectives: The purpose of the current study was to examine the effectiveness of ACT on symptom severity, fear about negative evaluation, quality of life and mediation role of acceptance, cognitive fusion and value among patients with Social Anxiety Disorder (SAD). Methods: Thirty patients diagnosed with SAD were randomized in the intervention (n=15) or waiting list groups (n=15). The Social Phobia and Anxiety Inventory (SPAI), Brief Fear of Negative Evaluation Scale (BFNE), WHO Quality of Life (WHOQOL), Social Anxiety - Acceptance and Action Questionnaire (SA-AAQ), Cognitive Fusion Questionnaire (CFQ) and Valued Living Questionnaire (VLQ) were administered before, immediately after, and at one month follow up. Repeated measurement design was used in the intervention group to investigate the changes of mediation and outcomes variables in the pretest, during, and post- therapy. Twenty-four patients completed the study. One-way analysis of covariance, Multivariate analysis of covariance and repeated measures was used for analysis. Results: Results showed that there were differences between the intervention and waiting list groups on the severity of symptoms (p=0.001), fear of negative evaluation (p=0.002), and quality of life (p=0.03), as well as in terms of specific measures of SA-AAQ(p=0.001), cognitive fusion (p=0.001), and important section of VLQ(p=0.001). Repeated measurement result showed that acceptance and action of social anxiety and cognitive fusion had a mediating role in the severity of anxiety, fear about negative evaluation, and quality of life. Discussion: Results of the study indicate the effectiveness of ACT for SAD and highlighted mediator contribution acceptance and action and cognitive fusion in severity of social anxiety.

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Modifiability of Neuroticism, Extraversion, and Agreeableness by Group Cognitive Behaviour Therapy for Social Anxiety Disorder

Behaviour Change ◽

10.1375/bech.27.1.42 ◽

2010 ◽

Vol 27 (1) ◽

pp. 42-52 ◽

Cited By ~ 15

Author(s):

Krystyna Glinski ◽

Andrew C. Page

Keyword(s):

Anxiety Disorder ◽

Social Anxiety ◽

Social Anxiety Disorder ◽

Group Treatment ◽

Repeated Measures ◽

Five Factor Model ◽

Personality Pathology ◽

Behaviour Therapy ◽

Repeated Measures Design ◽

Cognitive Behaviour

AbstractThe study investigated if the degree of personality pathology among people with clinical levels of social anxiety disorder was similar to those with personality disorders more generally, if the degree of avoidant personality pathology was correlated positively with Neuroticism and negatively with Extraversion and facets of Agreeableness (particularly Trust), and finally if scores on the relevant personality dimensions improve from pre- to post-treatment. Changes in Neuroticism, Extraversion, and Agreeableness were examined following group treatment for social anxiety disorder. The current study employed a within-subjects repeated-measures design (N= 25) to investigate whether these traits can be changed by group treatment for social anxiety disorder. A measure of personality disorder pathology was found to correlate positively with Neuroticism and negatively with Agreeableness in the absence of significant relationships with other Five-Factor Model traits. Treatment was associated with significant reductions in Neuroticism and there was significant improvement of the Trust facet of Agreeableness. These results are discussed in terms of the way that group treatment for Social Anxiety Disorder may be enhanced.

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