Transportability of imagery-enhanced CBT for social anxiety disorder
| Autor: | Kevin C. Barber, David A. Moscovitch, Peter M. McEvoy, David M. Erceg-Hurn, Jessica R. Dupasquier |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Imagery Psychotherapy Adolescent Experimental and Cognitive Psychology Young Adult 03 medical and health sciences 0302 clinical medicine Primary outcome Intervention (counseling) medicine Humans 0501 psychology and cognitive sciences Protocol (science) Cognitive Behavioral Therapy business.industry 05 social sciences Social anxiety Phobia Social Cognitive behaviour therapy Social relation 030227 psychiatry Psychiatry and Mental health Clinical Psychology Treatment Outcome Physical therapy Anxiety Female Principal diagnosis medicine.symptom business |
| Zdroj: | Behaviour Research and Therapy. 106:86-94 |
| ISSN: | 0005-7967 |
| DOI: | 10.1016/j.brat.2018.05.007 |
| Popis: | Pilot and open trials suggest that imagery-enhanced group cognitive behaviour therapy (CBT) is highly effective for social anxiety disorder (SAD). However, before being considered reliable and generalisable, the effects of the intervention need to be replicated by clinicians in a setting that is independent of the protocol developers. The current study compared outcomes from clients with a principal diagnosis of SAD at the Australian clinic where the protocol was developed (n = 123) to those from an independent Canadian clinic (n = 46) to investigate whether the large effects would generalise. Trainee clinicians from the independent clinic ran the groups using the treatment protocol without any input from its developers. The treatment involved 12 2-h group sessions plus a one-month follow-up. Treatment retention was comparable across both clinics (74% vs. 78%, ≥9/12 sessions) and the between-site effect size was very small and non-significant on the primary outcome (social interaction anxiety, d = 0.09, p = .752). Within-group effect sizes were very large in both settings (ds = 2.05 vs. 2.19), and a substantial minority (41%–44%) achieved clinically significant improvement at follow-up. Replication of treatment effects within an independent clinic and with trainee clinicians increases confidence that outcomes are generalisable. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect