Comorbid social anxiety disorder in clients with depressive disorders: Predicting changes in depressive symptoms, therapeutic relationships, and focus of attention in group treatment

2011 ◽  
Vol 49 (12) ◽  
pp. 875-884 ◽  
Author(s):  
Todd B. Kashdan ◽  
John E. Roberts
Keyword(s):  
Depressive Symptoms ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Group Treatment ◽  
Depressive Disorders ◽  
Focus Of Attention ◽  
Therapeutic Relationships

Effectiveness of Group Cognitive Therapy for Social Anxiety Disorder in Routine Care

2020 ◽  
pp. 1-13
Author(s):  
Helen Colhoun ◽  
Lee Kannis-Dymand ◽  
Marion Rudge ◽  
Dianne Le Compte ◽  
Sarah J. O'Flaherty ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Phobia ◽  
Cognitive Therapy ◽  
Social Anxiety Disorder ◽  
Social Adjustment ◽  
Group Treatment ◽  
Effect Sizes ◽  
Focused Attention

Abstract Social anxiety disorder (SAD) is a prevalent chronic condition with a large demand for treatment. This community outpatient study examined the effectiveness of a group intervention version of the established one-to-one cognitive therapy derived from the Clark and Wells model for SAD. Questionnaires were completed pre-treatment and post-treatment for SAD symptoms (Social Phobia Scale, Social Interaction Anxiety Scale), depressive symptoms (BDI-II), self-focused attention, safety behaviours (Social Phobia Weekly Summary Scale and Subtle Avoidance Frequency Examination), and impaired functioning (Work and Social Adjustment Scale). From an initial sample of 159 participants, 101 completed at least seven of the nine weekly group sessions (Mage = 34.1 years, SDage = 10.8 years, 53% female). Significant improvements were demonstrated on all measures. Large effect sizes were found for social anxiety symptoms and safety behaviour use. Self-focused attention, depressive symptoms, and impaired functioning had moderate effect sizes. Effect sizes for anxiety (d = 1.00 and 1.32) and mood measures (d = 0.71) were as high, or in some cases, higher than previous group treatment studies. Results suggest group cognitive therapy for SAD based on the Clark and Wells model is effective in a clinical setting for individuals with moderate/severe and treatment-resistant social anxiety.

scholarly journals Distinct Risk Profiles in Social Anxiety Disorder

2020 ◽  
Vol 8 (3) ◽  
pp. 477-490
Author(s):  
Esther S. Tung ◽  
Timothy A. Brown
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Social Anxiety Disorder ◽  
Depressive Disorders ◽  
Clinical Expression ◽  
Risk Profiles ◽  
Factor Mixture Model ◽  
Class 1 ◽  
Severity Class ◽  
Initial Support

Using a factor mixture model (FMM) approach, we examined whether social anxiety disorder (SAD) could be subtyped by distinct risk profiles and whether these subtypes predicted different manifestations of the disorder. We derived risk profiles from neurotic temperament (NT), positive temperament (PT), and autonomic arousability (AA), which are hypothesized to be important in the maintenance of anxiety disorders such as SAD. In our sample of 758 SAD outpatients, a two-class FMM solution fit the data best. Class 1 was characterized by very low PT, whereas PT in Class 2 was substantially higher. The two classes differed to a lesser extent on NT but were virtually equivalent on AA. Class 1 had significantly more men and individuals with depressive disorders, generalized SAD, and higher SAD severity. Class 2 had more individuals with performance subtype SAD. These findings provide initial support for distinct risk profiles within SAD that may be predictive of its clinical expression.

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

2010 ◽  
Vol 27 (1) ◽  
pp. 42-52 ◽  
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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