Perceived responsibility for change as an outcome predictor in cognitive‐behavioural group therapy

Delsignore, Aba; Carraro, G.; Mathier, Fabienne; Znoj, Hansjörg; Schnyder, Ulrich

doi:10.1348/014466508x279486

Cited by 30 publications

(16 citation statements)

References 27 publications

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“…In the context of SAD, social self-efficacy (Gaudiano & Herbert, 2007) and therapy-specific self-efficacy (Delsignore et al, 2008) have been identified as predictors of CBT outcome. The present study is the first to identify CR-SE as one important mediator of I-CBT.…”

Section: Discussionmentioning

confidence: 99%

Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder.

Goldin

Ziv

Jazaieri

et al. 2012

Journal of Consulting and Clinical Psychology

258

162

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Objective To examine whether changes in cognitive reappraisal self-efficacy (CR-SE) mediate the effects of individually-administered Cognitive-Behavioral Therapy (I-CBT) for social anxiety disorder (SAD) on severity of social anxiety symptoms. Method A randomized controlled trial in which 75 adult patients (21–55 years of age; 53% male; 57% Caucasian) with a principal diagnosis of generalized SAD were randomly assigned to 16 sessions of I-CBT (n = 38) or a waitlist control (WL) group (n = 37). All patients completed self-report inventories measuring cognitive reappraisal self-efficacy (CR-SE) and social anxiety symptoms at baseline and post-I-CBT/post-WL, and I-CBT completers were also assessed at 1-year post-treatment. Results Compared to WL, I-CBT resulted in greater increases in CR-SE and greater decreases in social anxiety. Increases in CR-SE during I-CBT mediated the effect of I-CBT on social anxiety. Gains achieved by patients receiving I-CBT were maintained 1-year post-treatment, and I-CBT-related increases in CR-SE were also associated with reduction in social anxiety at the 1-year follow-up. Conclusions Increasing CR-SE may be an important mechanism by which I-CBT for SAD produces both immediate and long-term reductions in social anxiety.

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Section: Discussionmentioning

confidence: 99%

Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder.

Goldin

Ziv

Jazaieri

et al. 2012

Journal of Consulting and Clinical Psychology

258

162

View full text Add to dashboard Cite

show abstract

“…However, placebo effects are linked to expectations (Kirsch, 2004), and several studies have demonstrated that patients' expectations are powerful predictors of outcome in psychotherapy (Chambless, Tran, & Glass, 1997;Kirsch, 1999;Meyer et al, 2002;Safren, Heimberg, & Juster, 1997;Sotsky et al, 1991;Weinberger & Eig, 1999). Delsignore, Carraro, Mathier, Znoj, and Schnyder (2008) found high expectations of the therapist powerfulness to be the strongest predictor for clinical improvement. The age of onset of social phobia has seldom been included as a predictor in studies of predictors, but when reported, it has usually shown that early onset predicted poorer outcome (Mersch, Emmelkamp, & Lips, 1991) and lower recovery rates (Davidson, Hughes, George, & Blazer, 1993;DeWit, Ogborne, Offord, & MacDonald, 1999).…”

Section: Introductionmentioning

confidence: 99%

Predictors of outcome in residential cognitive and interpersonal treatment for social phobia: Do cognitive and social dysfunction moderate treatment outcome?

Borge¹,

Hoffart²,

Sexton³

2010

Journal of Behavior Therapy and Experimental Psychiatry

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“…The active and direct involvement of users in their own treatment increases the feeling of personal responsibility for changes in the course of treatment and can lead to better therapeutic outcomes including increased self-esteem and coping potential (Delsignore et al 2008;Kent andRead 1998, citing Farina andFisher 1982;Garber and Seligman 1980;Greenfield et al 1985;Schwarzer 1992;Nelson and Borkovec 1989;Lefley 1990;Soffe et al 2004). Sometimes just the opportunity to talk, combined with the experience of being heard, can be a relief for users (Lewis 2004).…”

Section: Introductionmentioning

confidence: 99%

User and Carer Involvement in Child and Adolescent Mental Health Services: A Norwegian Staff Perspective

Richter

Halliday

Grømer

et al. 2009

Adm Policy Ment Health

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It has been suggested that user involvement in heath care leads to improved services. The aim of the study was to explore attitudes towards user involvement of staff employed in Norwegian Child and Adolescent Mental Health Services (CAMHS). Most of the investigated mental health service staff expressed the opinion that users should be involved in the planning of their own treatment and generally have a positive attitude towards user involvement. Skepticism was related to some aspects of involvement and does not contradict their generally positive attitude towards user involvement.

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Perceived responsibility for change as an outcome predictor in cognitive‐behavioural group therapy

Abstract: Findings confirm that therapy-related control beliefs predict psychotherapy process (patient engagement and therapy-specific self-efficacy) and outcome in cognitive-behavioural group therapy for SAD. Implications for clinicians and for future research are discussed.

Cited by 30 publications

References 27 publications

Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder.

Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder.

Predictors of outcome in residential cognitive and interpersonal treatment for social phobia: Do cognitive and social dysfunction moderate treatment outcome?

User and Carer Involvement in Child and Adolescent Mental Health Services: A Norwegian Staff Perspective

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