scholarly journals Change processes in cognitive therapy for social anxiety disorder delivered in routine clinical practice

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Graham R. Thew ◽  
Anke Ehlers ◽  
Nick Grey ◽  
Jennifer Wild ◽  
Emma Warnock-Parkes ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Cognitive Therapy ◽  
Social Anxiety Disorder ◽  
Routine Clinical Practice ◽  
Social Cognitions ◽  
Processes Of Change ◽  
Total N ◽  
Two Samples

Background Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings. Method To assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models. Results Significant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. ‘Reversed’ relationships, where social anxiety predicted subsequent process variable scores, were also supported. Conclusion The findings suggest the processes of change in this treatment may be similar between research trials and routine care.

scholarly journals Cognitive Therapy for Social Anxiety Disorder in Adolescents: A Development Case Series

2015 ◽  
Vol 44 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Eleanor Leigh ◽  
David M. Clark
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Young People ◽  
Cognitive Therapy ◽  
Social Anxiety Disorder ◽  
Case Series ◽  
Process Measures ◽  
General Anxiety ◽  
Differential Effectiveness ◽  
End Of Treatment

Background: Social anxiety disorder is common and typically starts in childhood or adolescence. Cognitive Therapy for Social Anxiety Disorder (CT-SAD) in adults is a well-established treatment that shows strong evidence of differential effectiveness when compared to other active treatments. In contrast, CBT approaches to social anxiety in young people have yet to demonstrate differential effectiveness and there is some evidence that young people with social anxiety disorder respond less well than those with other anxiety disorders. Aims: To adapt CT-SAD for use with adolescents and conduct a pilot case series. Method: Five adolescents, aged 11–17 years, with a primary DSM-5 diagnosis of social anxiety disorder received a course of CT-SAD adapted for adolescents. Standardized clinical interview and questionnaire assessments were conducted at pre and posttreatment, and 2 to 3-month follow-up. Results: All five participants reported severe social anxiety at baseline and achieved remission by the end of treatment. Significant improvements were also observed in general anxiety, depression, concentration in the classroom, and putative process measures (social anxiety related thoughts, beliefs and safety behaviours). Conclusions: An adapted form of CT-SAD shows promise as a treatment for adolescents.

scholarly journals Internet-Delivered Cognitive Therapy for Social Anxiety Disorder: A Development Pilot Series

2013 ◽  
Vol 41 (4) ◽  
pp. 383-397 ◽  
Author(s):  
Richard Stott ◽  
Jennifer Wild ◽  
Nick Grey ◽  
Sheena Liness ◽  
Emma Warnock-Parkes ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Randomized Controlled Trials ◽  
Cognitive Therapy ◽  
Social Anxiety Disorder ◽  
Controlled Trials ◽  
Secure Messaging ◽  
Face To Face ◽  
Randomized Controlled ◽  
The Face

Background: Randomized controlled trials have established that individual cognitive therapy based on the Clark and Wells (1995) model is an effective treatment for social anxiety disorder that is superior to a range of alternative psychological and pharmacological interventions. Normally the treatment involves up to 14 weekly face-to-face therapy sessions. Aim: To develop an internet based version of the treatment that requires less therapist time. Method: An internet-delivered version of cognitive therapy (iCT) for social anxiety disorder is described. The internet-version implements all key features of the face-to-face treatment; including video feedback, attention training, behavioural experiments, and memory focused techniques. Therapist support is via a built-in secure messaging system and by brief telephone calls. A cohort of 11 patients meeting DSM-IV criteria for social anxiety disorder worked through the programme and were assessed at pretreatment and posttreatment. Results: No patients dropped out. Improvements in social anxiety and related process variables were within the range of those observed in randomized controlled trials of face-to-face CT. Nine patients (82%) were classified as treatment responders and seven (64%) achieved remission status. Therapist time per patient was only 20% of that in face-to-face CT. Conclusions: iCT shows promise as a way of reducing therapist time without compromising efficacy. Further evaluation of iCT is ongoing.

scholarly journals Long-Term Effectiveness of Cognitive Therapy for Refractory Social Anxiety Disorder: One-Year Follow-Up of a Randomized Controlled Trial

2019 ◽  
Vol 88 (4) ◽  
pp. 244-246 ◽  
Author(s):  
Naoki Yoshinaga ◽  
Kazumi Kubota ◽  
Kensuke Yoshimura ◽  
Rieko Takanashi ◽  
Yasushi Ishida ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Cognitive Therapy ◽  
Social Anxiety Disorder ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
One Year

The Effectiveness of Mindfulness-based Cognitive Therapy on Sleep Quality of Students with Social Anxiety Disorder

2020 ◽  
Author(s):  
Saeed Mohammadi ◽  
Mahboobeh Maleki ◽  
Mojtaba Tashkeh ◽  
Aliakbar Foroughi ◽  
Golfam Goodarz
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Sleep Quality ◽  
Sleep Disorders ◽  
Cognitive Therapy ◽  
Social Anxiety Disorder ◽  
Sleep Problems ◽  
Sleeping Problems ◽  
Post Test ◽  
Social Interaction Anxiety Scale

Background and Objective: Anxiety disorders are usually accompanied with sleep disorders. Since limited studies have focused on the effectiveness of mindfulness-based cognitive therapy (MBCT) on anxiety-related problems such as sleep disorders, the current research was conducted to investigate the effectiveness of this intervention on sleep problems. Materials and Methods: This study was a clinical trial with control and treatment groups. The sample consisted of 24 university students diagnosed with social anxiety disorder (SAD). Social Interaction Anxiety Scale (SIAS) and Pitts-burgh Sleep Quality Index (PSQI) were used to assess the dependent variables. There were measurements during pre-test, post-test, and follow-up stages. Results: The treatment could significantly improve the anxiety and sleeping problems in patients with social anxiety. Assessing the aspects of sleep quality showed that the intervention could improve the subjective aspects, latency, dis-turbance, and daily dysfunctions of sleep effectively; however, there was no significant effect on the duration of sleep, taking sleep medications, or sleep efficiency. Conclusion: Mindfulness treatment could be used for improving sleep quality in patients with social anxiety. This treatment could also improve the aspects of sleep quality which are related to sleep threshold.

scholarly journals Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder

2012 ◽  
Vol 50 (12) ◽  
pp. 747-752 ◽  
Author(s):  
Denise M. Ginzburg ◽  
Christiane Bohn ◽  
Volkmar Höfling ◽  
Florian Weck ◽  
David M. Clark ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Social Anxiety ◽  
Cognitive Therapy ◽  
Social Anxiety Disorder
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