Exposure with and without cognitive therapy for generalized social phobia: Effects of individual and group treatment

Scholing, Agnes; Emmelkamp, P.M.G.

doi:10.1016/0005-7967(93)90120-j

Cited by 107 publications

(52 citation statements)

References 13 publications

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“…Moreover, studies by Clark and his colleagues have found individual CBT to be more efficacious than a group version of the same therapy (Stangier et al, 2003), as well as a 41-hour intensive group treatment program (Mörtberg, Clark, Sundin, Wisted & Åberg, 2006). There are, however, also examples in the literature of group therapy outperforming individual therapy (e.g., Scholling & Emmelkamp, 1993). A meta-analysis by Federoff and Taylor (2001) concluded a tie between the two treatment formats based on cross-study analyses of effect sizes.…”

Section: Case Studies and Evidence-based Practicementioning

confidence: 99%

Further Reflections on the Therapy Training Program in Aarhus, and the Role of Case Studies in Psychotherapy Research

Hougaard¹

2008

PCSP

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This paper responds to commentaries by Edwards (2008) and Huppert, Carmeli and Gilon (2008) on the case study of a special format of intensive, group cognitive-behavioral therapy for social phobia in an Anxiety Clinic run by the Department of Psychology of the University of Aarhus in Denmark . My response addresses the following topics: 1) case studies and evidence-based practice; 2) the evidence-basis of the Aarhus treatment program; 3) mechanisms of change in psychotherapy; 4) the Aarhus clients and their treatment in the program; 5) the Aarhus trainees and their learning; and 6) differences between the training program of Huppert et al. in Jerusalem and our Aarhus program.

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Section: Case Studies and Evidence-based Practicementioning

confidence: 99%

Further Reflections on the Therapy Training Program in Aarhus, and the Role of Case Studies in Psychotherapy Research

Hougaard¹

2008

PCSP

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“…From the high anxious participants 38 % fell within the clinical range (FQ > 19; Scholing & Emmelkamp, 1993). In return for participation they received course credits or 5 Euro.…”

Section: Emotion-induced Ab and Social Anxietymentioning

confidence: 99%

Angry facial expressions hamper subsequent target identification.

Jong¹,

Koster²,

Wees³

et al. 2010

Emotion

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Emotion-induced AB and social anxiety 2 AbstractThere is considerable evidence indicating that people are primed to monitor social signals of disapproval. Thus far studies on selective attention have concentrated predominantly on the spatial domain, whereas the temporal consequences of identifying socially threatening information have received only scant attention. Therefore, this study focused on temporal attention costs and examined how the presentation of emotional expressions affects subsequent identification of task-relevant information. High (n =30) and low (n =31) socially anxious women were exposed to a dual target Rapid Serial Visual Presentation (RSVP) paradigm.Emotional faces (neutral, happy, angry) were presented as the first target (T1), and neutral letter stimuli (p, q, d, b) as the second target (T2). Irrespective of social anxiety, the attentional blink was larger for angry compared with happy faces were presented as T1. This apparent prioritized processing of angry faces is consistent with evolutionary models stressing the importance of being especially attentive to potential signals of social threat.

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“…Em relação à TCog, não houve consenso sobre a eficácia de sua associação com estratégias comportamentais devido à grande variedade de resultados contraditórios encontrados 5,[10][11][12][13][14][15][16]18,19 , o que não invalida a utilização desse modelo na prática clínica.…”

Section: Discussionunclassified

“…Ainda existem poucas pesquisas na literatura avaliando o valor dos experimentos comportamentais isoladamente 22,23 , enquanto muitos ensaios 5,11,12,15,16,18,20,23 têm avaliado a terapia cognitiva em vez de detalhar suas estratégias específicas. Embora a maioria das intervenções realizadas nesses ensaios tenha sido grupal, os melhores resultados foram encontrados com o tratamento individual 30,31 .…”

Section: Discussionunclassified

Terapias cognitivo-comportamentais, terapias cognitivas e técnicas comportamentais para o transtorno de ansiedade social

Mululo¹,

Menezes²,

Fontenelle³

et al. 2009

Rev. psiquiatr. clín.

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ResumoContexto: Pacientes com transtorno de ansiedade social respondem de forma distinta a diferentes tipos de terapias cognitivas e/ou comportamentais, o que motiva a avaliação das melhores técnicas para o tratamento desse transtorno. Objetivo: Realizar uma revisão sistemática de estudos controlados que avaliaram a eficácia das técnicas cognitivo e/ ou comportamentais na redução do transtorno de ansiedade social. Método: Análise sistemática de ensaios clínicos randomizados indexados nas seguintes bases de dados: PubMed/MedLine, PsycINFO, Registro Cochrane de Ensaios Controlados, LILACS, ISI/Web of Science e em artigos relacionados. Resultados: Não se encontrou consenso sobre a eficácia da associação da terapia cognitiva com técnicas comportamentais. Novas técnicas (tratamento por realidade virtual, tarefa de casa via computador e autoterapia com assistência terapêutica) demonstraram ser tão eficazes quanto aquelas utilizadas na terapia cognitivo-comportamental (TCC) padrão. A associação da TCC com evitação de comportamentos de segurança e com o treino de habilidades sociais apresentou vantagem adicional em relação ao modelo convencional. Entre as técnicas comportamentais, o treino em tarefa de concentração e a exposição foram as estratégias mais eficazes. O tratamento individual foi mais efetivo do que em grupo e o modelo de sessões semanais foi mais eficaz do que sessões no mínimo quinzenais. Conclusão: Os estudos avaliados confirmaram que tanto técnicas cognitivas quanto comportamentais (convencionais e inovadoras) são eficazes no tratamento do transtorno de ansiedade social.Mululo SCC, et al. / Rev Psiq Clín. 2009;36(6):221-8 Palavras-chave: Transtorno de ansiedade social, terapias cognitivo-comportamentais, terapias cognitivas, ensaios clínicos controlados, revisão sistemática. AbstractBackground: Patients with social anxiety disorder (SAD) exhibit distinctive patterns of response to different types of cognitive and/or behavioral treatment. Therefore, it is imperative to assess the best techniques used for the treatment of this disorder. Objective: The aim of this paper is to perform a systematic review of controlled studies that evaluated the efficacy of cognitive and/or behavioral techniques on the treatment of SAD. Method: A systematic analysis of randomized clinical trials indexed in the following databases was made: PubMed/MedLine, PsycINFO, Cochrane Controlled Trials Register, LILACS, ISI Web of Science, and related articles. Results: No consensus on the efficacy of associating cognitive and behavioral therapies was found. Novel techniques (such as virtual reality, bycomputer homework, and self therapy with therapeutic assistance) were found to be as effective as standard cognitivebehavioral therapy (CBT). The association of CBT with the avoidance of safety behaviors, as well as with social skills training was associated with an additional advantage. As for behavioral therapy, focus training and exposure therapy were considered to be the most effective techniques. Further, individual treatment was ...

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Exposure with and without cognitive therapy for generalized social phobia: Effects of individual and group treatment

Cited by 107 publications

References 13 publications

Further Reflections on the Therapy Training Program in Aarhus, and the Role of Case Studies in Psychotherapy Research

Further Reflections on the Therapy Training Program in Aarhus, and the Role of Case Studies in Psychotherapy Research

Angry facial expressions hamper subsequent target identification.

Terapias cognitivo-comportamentais, terapias cognitivas e técnicas comportamentais para o transtorno de ansiedade social

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