Social Skills Problems in Neurotic Outpatients

Stravynski, Ariel

doi:10.1001/archpsyc.1982.04290120014003

Cited by 131 publications

(35 citation statements)

References 34 publications

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“…A dismantling study [12], comparing CBT in group with exposure found the two methods superior to a waiting list, with some advantage of exposure over CBT. This was in line with the controlled trial by Stravinsky et al [13], but at variance with two controlled studies which reported some advantage of combining cognitive therapy (CT) with exposure over exposure alone [2, 14]. …”

Section: Introductionsupporting

confidence: 87%

Cognitive Behavior Therapy versus Supportive Therapy in Social Phobia: A Randomized Controlled Trial

Cottraux

Note²,

Albuisson³

et al. 2000

Psychother Psychosom

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Background: The efficacy of cognitive behaviour therapy (CBT) in social phobia has been demonstrated in several controlled trials and meta-analyses, but no comparison of CBT with supportive therapy (ST) can be found in the literature. Method: The aim of the trial was to study the effectiveness of CBT versus ST carried out ‘as usual’. Sixty-seven DSM-4 social phobic patients (89% generalized subtype, most with avoidant personality) were randomly allocated into two groups. Group 1 (CBT) received 8 1-hour sessions of individual cognitive therapy (CT) for 6 weeks, followed by 6 2-hour sessions of social skills training (SST) in group weekly. Group 2 received ST for 12 weeks (6 half-hour sessions), then the patients were switched to CBT. All patients agreed not to take any medication during the whole trial. In group 1, 29 patients reached week 6, 27 reached week 12, and 24 weeks 36 and 60 (endpoint). In group 2, 29 patients reached week 6, 28 reached weeks 12 and 18, 26 week 24, and 23 reached weeks 48 and 72 (endpoint). Results: At week 6, after CT, group 1 was better than group 2 on the main social phobia measure. At week 12, after SST, group 1 was better than group 2 on most of the measures and demonstrated a significantly higher rate of responders. This finding was replicated after switching group 2 to CBT. Sustained improvement was observed in both groups at follow-up. Compliance with abstinence from medication increased over time. Conclusions: CBT was more effective than ST and demonstrated long-lasting effects. This may suggest that social phobia management requires more than a simple and inexpensive psychological intervention.

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Section: Introductionsupporting

confidence: 87%

Cognitive Behavior Therapy versus Supportive Therapy in Social Phobia: A Randomized Controlled Trial

Cottraux

Note²,

Albuisson³

et al. 2000

Psychother Psychosom

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“…Consistent with what one might expect, a comparison of exposure alone, rational-emotive therapy, and selfinstructional training revealed that only the two cognitive treatments (RET and SIT) resulted in change on the IBT (Emmelkamp et al, 1985). However, three studies found exposure and social skills training both showed similar improvements on the IBT whether or not they included a cognitive component (Mattick & Peters, 1988;Mattick, Peters, & Clarke, 1989;Stravynski, Marks, & Yule, 1982). Mersch, Emmelkamp, Bögels, and van der Sleen (1989) obtained similar results using the RBI.…”

Section: Beliefssupporting

confidence: 68%

“…In Turner, Beidel, and Jacob (1994), flooding produced modest change on the FNE at post-treatment, and additional change was evident at six-month follow-up. Social skills training for SAD also led to changes in fear of negative evaluation in Stravynski et al (1982). Additionally, BFNE scores significantly decreased during interpersonal therapy for SAD in Borge et al (2008) and Lipsitz et al (2008); however, there were no differences from CT and psychodynamic supportive therapy, respectively.…”

Section: Fear Of Negative Evaluationmentioning

confidence: 89%

“…Butler et al's (1984) combination of exposure and anxiety management (relaxation, rational selftalk, and distraction) yielded larger reductions in fear of negative evaluation than the wait-list control. Combining rational restructuring with social skills training (Stravynski et al, 1982) was also effective in reducing fear of negative evaluation. Similarly, Newman et al (1994) reported that a combination of exposure and skills training for individuals with public speaking fears produced reductions on the FNE.…”

Section: Fear Of Negative Evaluationmentioning

confidence: 98%

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Treatment of Adult Social Anxiety Disorder: A Treatments-by-Dimensions Review

Anderson

Hope

2014

Social Anxiety

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“…The follow-up results indicate that improvement continues after termination, regardless of the treatment orientation applied. The interpersonal social skills training (ISST) is found to be significantly effective for Cluster C patients [22,33,34], and is superior to intimacy focus and to gradual exposure conditions at the 3-month follow-up [22]. ISST combined with cognitive modification does not improve its treatment outcomes at the end of therapy; however, the outcome is significantly enhanced at the 6-month follow-up, when compared to ISST alone [33].…”

Section: Treatment Orientationsmentioning

confidence: 99%

Follow-up psychotherapy outcome of patients with dependent, avoidant and obsessive-compulsive personality disorders: A meta-analytic review

Simon

2009

International Journal of Psychiatry in Clinical Practice

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Assessing the number of patients who maintain their gains after the completion of therapy has been of interest to psychotherapy outcome researchers. The current study examines evidence related to the maintenance of treatment gains in individuals diagnosed with Cluster C personality disorders. Fifteen studies, published between 1982 and 2006, met the criteria for inclusion. The effect size standardized mean difference statistic was applied. In the majority of cases, most of the improvement occurred between pretreatment and posttreatment. However, social skills training often produced effect sizes that were larger for posttreatment follow-up. The study indicates that therapy gains are usually maintained at follow-up for Cluster C clients treated with cognitive-behavioral and psychodynamic approaches as well as social skills training. Uncertainty remains whether DPD, AVPD or OCPD patients benefited most from therapy.

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Social Skills Problems in Neurotic Outpatients

Cited by 131 publications

References 34 publications

Cognitive Behavior Therapy versus Supportive Therapy in Social Phobia: A Randomized Controlled Trial

Cognitive Behavior Therapy versus Supportive Therapy in Social Phobia: A Randomized Controlled Trial

Treatment of Adult Social Anxiety Disorder: A Treatments-by-Dimensions Review

Follow-up psychotherapy outcome of patients with dependent, avoidant and obsessive-compulsive personality disorders: A meta-analytic review

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