Treatment of social approach processes in adults with social anxiety disorder
| Autor: | M. Leili Plasencia, Jennifer L. Trew, Lynn E. Alden, Kristin Buhr, Melisa Robichaud |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_treatment Anxiety Social identity approach behavioral disciplines and activities law.invention 03 medical and health sciences Interpersonal relationship Young Adult 0302 clinical medicine Randomized controlled trial law mental disorders medicine Safety behaviors Humans 0501 psychology and cognitive sciences Interpersonal Relations Cognitive Behavioral Therapy 05 social sciences Social anxiety Cognition Phobia Social Fear 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Regimen Treatment Outcome Female Psychology Clinical psychology |
| Zdroj: | Journal of consulting and clinical psychology. 86(6) |
| ISSN: | 1939-2117 |
| Popis: | Objective 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. Method 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. Results 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 mediated the superior performance of CBT-R on both variables with confidence intervals set at .90. Conclusions These findings indicate that CBT-based regimens can improve social approach processes in individuals with SAD and that safety behavior reduction contributes to positive outcomes. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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