Psychological treatment of social anxiety disorder: a meta-analysis

Acartürk, Ceren; Cuijpers, Pim; Straten, Annemieke van; Graaf, Ron de

doi:10.1017/s0033291708003590

Cited by 288 publications

(209 citation statements)

References 59 publications

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“…Literature has shown that the intervention for social anxiety is mainly focused on psychological approaches (Acarturk et al, 2009;Heimberg & Barlow, 1988;Yang et al, 2013). Previous studies proposed effective intervention techniques based on various theories, of which cognitive behavior modification (CBM) had been demonstrated the strongest evidence (Evans et al, 2008;Salovey & Singer, 1991;Chang & Chien, 2009).…”

Section: Introductionmentioning

confidence: 99%

Effect of Cognitive Behavior Modification on Social Anxiety for High School Students

Chen¹,

Du²,

Wang³

et al. 2017

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The authors of this study adopted an approach from cognitive behavior modification to design a SMART strategy, and applied the intervention to high school students. This study used a multiple baseline across-subject design to measure the degree of social anxiety among three high school students for the duration of 3 to 5 weeks, and then used the SMART strategy to intervene and document their mastering of strategies and changes of social anxiety for 15 weeks. Their anxiety level was measured and recorded 4 weeks after the intervention. The results showed that: 1) the SMART strategy can be effectively applied to high school students to address their social anxiety; 2) after the SMART strategy intervention, the students' social anxiety reduced instantly and significantly; 3) four weeks after the SMART strategy intervention, the intervention effect remained.

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Section: Introductionmentioning

confidence: 99%

Effect of Cognitive Behavior Modification on Social Anxiety for High School Students

Chen¹,

Du²,

Wang³

et al. 2017

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“…A total of 70% of cases are categorized as severe or moderate. 2 Cognitive behavioral therapy (CBT) has been shown to be effective in SAD, 3 but 40 to 50% of patients show little or no improvement after treatment. 4 Although CBT has recently been refined to target more specific cognitive processes believed to maintain and exacerbate symptomatology, 5,6 leading to greater reductions in selfreported social anxiety symptoms than earlier protocols, newer cognitive behavioral strategies are still needed to maximize treatment efficacy.…”

Section: Introductionmentioning

confidence: 99%

Changing core beliefs with trial-based cognitive therapy may improve quality of life in social phobia: a randomized study

Powell

Oliveira

Seixas

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To determine whether there are differences in quality of life (QoL) improvement after treatment with the trial-based thought record (TBTR) versus conventional cognitive therapy (CCT) in patients with social anxiety disorder (SAD). Method: A randomized trial comparing TBTR with a set of CCT techniques, which included the standard 7-column dysfunctional thought record (DTR) and the positive data log (PDL) in patients with SAD, generalized type. Results: Repeated measures analysis of variance (ANOVA) revealed a significant time effect in the general health, vitality, social functioning, and mental health domains of the Short Form 36. It also indicated significant treatment effects on the bodily pain, social functioning, role-emotional, and mental health domains, with higher scores in the TBTR group. One-way analysis of covariance (ANCOVA), using pretreatment values as covariates, showed that TBTR was associated with significantly better QoL post-treatment (bodily pain, social functioning and role-emotional) and at follow-up (role-emotional). A significant treatment effect on the role-emotional domain at 12-month follow-up denoted a sustained effect of TBTR relative to CCT. Conclusion: This study provided preliminary evidence that TBTR is at least as effective as CCT in improving several domains of QoL in SAD, specifically when the standard 7-column DTR and the PDL are used.

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“…Tais achados são confi rmados por Acarturk et al 52 em estudo meta-analítico recente que afi rmou também que essa efi cácia tende a se manter e, em alguns casos, até melhorar nas medidas de follow-up. Contudo, na análise entre os subgrupos que incluíam RC, EXP, THS e relaxamento aplicado, não foram encontrados altos effect sizes, pois a maioria dos ensaios avaliados misturava essas técnicas e outros poucos as examinaram isoladamente.…”

Section: Discussionunclassified

Eficácia do tratamento cognitivo e/ou comportamental para o transtorno de ansiedade social

Mululo

Menezes

Fontenelle

et al. 2009

Rev. psiquiatr. Rio Gd. Sul

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ResumoObjetivo: Avaliar a efi cácia do tratamento cognitivo e/ou comportamental no transtorno de ansiedade social quando comparado a outras intervenções terapêuticas, incluindo farmacoterapia. Método: Realizamos análise sistemática de todos os ensaios clínicos controlados randomizados envolvendo terapia cognitiva e/ou comportamental versus outras formas de tratamento, publicados até março de 2009, indexados nas seguintes bases de dados: MEDLINE, PsycINFO, Registro Cochrane de Ensaios Controlados, LILACS e ISI/Web of Science. Resultados: Os estudos avaliados não demonstraram diferenças signifi cativas entre a terapia cognitiva e/ou comportamental e a farmacoterapia. Esses tratamentos combinados não apresentaram maior efi cácia do que as intervenções isoladamente. Quando comparada ao grupo controle, a terapia cognitiva e/ou comportamental é efi caz na redução dos sintomas de ansiedade social, tanto no seu formato padrão quanto nas novas formas de intervenção. A exceção foi o treino em habilidades sociais, que, isoladamente, não se mostrou efi caz. A terapia cognitiva e/ou comportamental também demonstrou ser superior aos outros tipos de psicoterapias. Conclusão: A terapia cognitiva e/ou comportamental mostrou-se efi caz na redução da ansiedade social em pacientes com transtorno de ansiedade social. No entanto, a heterogeneidade dos estudos avaliados, seja no que diz respeito a aspectos envolvendo o tratamento (duração do tratamento e protocolos utilizados) ou os pacientes avaliados (gravidade e forma de recrutamento), difi cultaram a comparação dos resultados. Novos estudos de tratamento cognitivo e/ou comportamental e novas revisões envolvendo essas abordagens são necessários para melhor avaliação de nossos achados. Descritores: Fobia social, terapia cognitiva, terapia comportamental, transtorno de ansiedade social, revisão. AbstractObjective: To ascertain whether cognitive and/or behavioral treatment of patients with social anxiety disorder is superior in terms of effi cacy than other types of therapeutic interventions, including pharmacotherapy. Method: Systematic analysis of all randomized clinical trials on cognitive and/or behavioral therapy vs. other forms of treatment, published until March 2009, indexed in the following databases: MEDLINE, PsycINFO, Cochrane Controlled Trials Register, LILACS and ISI Web of Science. Results: The reported results do not suggest signifi cant differences in the effi cacy of cognitive and/or behavioral therapy and pharmacotherapy. Such treatments combined did not show higher effi cacy than interventions alone. Compared with the control group, cognitive and/or behavioral therapy was superior in reducing social anxiety disorder, either in the classic model or in the newest propositions. The only exception was the social skills training, which was not effective for patients with social anxiety disorder. Cognitive and/or behavioral therapy was also superior to other psychotherapeutic interventions. Conclusion: Cognitive and/or behavioral therapy is an effective treatment for pati...

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Psychological treatment of social anxiety disorder: a meta-analysis

Cited by 288 publications

References 59 publications

Effect of Cognitive Behavior Modification on Social Anxiety for High School Students

Effect of Cognitive Behavior Modification on Social Anxiety for High School Students

Changing core beliefs with trial-based cognitive therapy may improve quality of life in social phobia: a randomized study

Eficácia do tratamento cognitivo e/ou comportamental para o transtorno de ansiedade social

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