Reduction of depersonalization during social stress through cognitive therapy for social anxiety disorder: A randomized controlled trial

Schweden, Tabea L.K.; Pittig, Andre; Bräuer, David; Klumbies, Elisabeth; Kirschbaum, Clemens; Hoyer, Jana

doi:10.1016/j.janxdis.2016.09.005

Cited by 14 publications

(5 citation statements)

References 30 publications

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“…These included group and individual formats, single and multiple session interventions, and in-person and asynchronous online interventions tested for PTSD, social- or test-related anxiety, and DPD. 72 , 73 , 75 , 76 DBT and Systems Training for Emotional Predictability and Problem Solving (STEPPS) both equally improved dissociative symptoms in BPD, 71 but Mindfulness-based CBT (MCBT) did not, 74 despite very similar, moderately severe baseline DES scores (26.02[SD = 14.13] vs 25.0[SD = 20.2]). Dissociation was a secondary objective in all but two studies: one focused on DPD, 72 and the other on depersonalization induced by test anxiety in university students.…”

Section: Resultsmentioning

confidence: 99%

Survival, Attachment, and Healing: An Evolutionary Lens on Interventions for Trauma-Related Dissociation

Burback,

Forner,

Winkler

et al. 2024

PRBM

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Section: Resultsmentioning

confidence: 99%

Survival, Attachment, and Healing: An Evolutionary Lens on Interventions for Trauma-Related Dissociation

Burback,

Forner,

Winkler

et al. 2024

PRBM

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“…Other studies in this field show that e.g. taiji [ 24 ], cognitive therapy [ 25 ], or psychotherapy all successfully reduced the stress response[ 26 ]. The increase in saliva cortisol seen in our study is no different than that obtained by the best treatment responders within these studies when compared to healthy controls.…”

Section: Discussionmentioning

confidence: 99%

Effects of single-point acupuncture (HT7) in the prevention of test anxiety: Results of a RCT

2018

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BackgroundThe number of students using neuro enhancement to improve their performance and to prevent test anxiety is increasing. The acupuncture point Heart 7 (HT7) has been described as being prominent in reducing states of anxiety.MethodsWe conducted a randomized placebo-controlled, two-armed pilot trial to investigate the efficacy of a single-point acupuncture treatment at bilateral HT7 compared to sham laser acupuncture on test anxiety. Test anxiety was induced applying the standardised protocol of the Trier Social Stress Test. Outcome measures included saliva samples analysed for cortisol and amylase, anxiety questionnaires and heart rate variability.ResultsTwenty-five male subjects (age 28 ± 5 years) were allocated to either verum acupuncture (n = 12) or sham laser acupuncture (n = 13). Cortisol peaked 20 min after the stress test (2-fold, 18.11 ± 2 nmol/l) and amylase 10 min after (2-fold, 259 ± 49 U/ml) with no difference between groups. There were no differences between groups regarding either anxiety questionnaires or physiological parameters. Compared to reference data (3-fold increase in cortisol), increase in stress hormones and heart rate seemed somewhat reduced.ConclusionsAcupuncture may be a possible approach for the treatment of anxiety. Due to the lack of a no control treatment group, we cannot determine the magnitude of possible specific needle effects at HT7 to promote specific effects in the neuroendocrine system. Finally this study only examines the efficacy of a single time treatment.

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“…Our data argue for an integration of depersonalization treatments into the therapeutic concepts for those individuals with test anxiety who are impacted by depersonalization in examinations. In social anxiety disorder, depersonalization can be significantly reduced through cognitive therapy [55]. Especially clients whose fears are predominantly centered on the consequences of depersonalization may benefit from information about the natural course and function of this phenomenon and correct previously held catastrophic interpretations of this common symptom.…”

Section: Discussionmentioning

confidence: 99%

Depersonalization Under Academic Stress: Frequency, Predictors, and Consequences

Schweden¹,

Wolfradt²,

Jahnke³

et al. 2018

Psychopathology

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Background: Based on the assumptions that depersonalization symptoms are relevant for test anxiety maintenance, we examined their frequency, psychological predictors, association with anxiety symptoms, and association with test performance. Sampling and Methods: In Study 1, 203 students rated their test anxiety severity and depersonalization in their last oral examination. In Study 2, we assessed test anxiety 1 week before an oral examination, depersonalization, safety behaviors, self-focused attention, and negative appraisals of depersonalization directly after the examination, and post-event processing 1 week later among 67 students. Results: In Study 1, 47.3% reported at least one moderate depersonalization symptom. In Study 2, test anxiety and negative appraisals of depersonalization significantly predicted depersonalization. Depersonalization was linked to a higher intensity of safety behaviors and post-event processing but not to self-focused attention. It was not related to performance. Conclusion: Results are limited by the non-random sampling and the small sample size of Study 2. However, by showing that depersonalization contributes to the processes the maintenance of test anxiety, the findings confirm that depersonalization – normally understood as an adaptive mechanism to cope with stressful events – can become maladaptive.

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Reduction of depersonalization during social stress through cognitive therapy for social anxiety disorder: A randomized controlled trial

Cited by 14 publications

References 30 publications

Survival, Attachment, and Healing: An Evolutionary Lens on Interventions for Trauma-Related Dissociation

Survival, Attachment, and Healing: An Evolutionary Lens on Interventions for Trauma-Related Dissociation

Effects of single-point acupuncture (HT7) in the prevention of test anxiety: Results of a RCT

Depersonalization Under Academic Stress: Frequency, Predictors, and Consequences

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