Treatment of SAD appears to be moving toward individual CBT, partly because of high attrition rates and underutilization of group dynamics in group CBT. However, group therapy has unique therapeutic ingredients, and it may be too early to give up on group treatment altogether. Discussion of these findings included future directions with this treatment modality, especially whether these two types of group treatment could be combined and whether such combination might serve to decrease attrition, enhance efficacy, and facilitate dissemination.

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This study did not replicate a 1981 finding by Burker, et al. that opposite-sex siblings have a positive effect on women's opposite-sex friendships and a negative effect on men's opposite-sex friendships; extrapolation of their finding to romantic relationships was also not supported. The present study also investigated effects of sex-of-sibling on same-sex friendships; data for 71 women and 49 men ( M age = 18.8 yr.) showed that effects of sex-of-sibling were not specific to friendships with members of one sex. Finally, while Burker, et al.'s results are consistent with a process of sibling deidentification, the current study, in suggesting a positive effect of sisters on same-sex friendships, is consistent with a process of sibling identification.