Sudden gains in cognitive therapy and interpersonal therapy for social anxiety disorder.

Bohn, Christiane; Aderka, Idan M.; Schreiber, Franziska; Stangier, Ulrich; Hofmann, S.

doi:10.1037/a0031198

Cited by 51 publications

(61 citation statements)

References 19 publications

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“…Although there is some support for this assumption coming from treatment studies for depression (e.g. Tang & DeRubeis, 1999; Tang et al, 2005), cognitive change was not predictive of SGs in studies examining behavioural activation (Hunnicutt-Ferguson, Hoxha, & Gollan, 2012) or supportive-expressive therapy for depression (Andrusyna, Luborsky, Pham, & Tang, 2006) or CBT for social anxiety disorder (Hofmann, Schulz, Meuret, Moscovitch, & Suvak, 2006; Bohn, Aderka, Schreiber, Stangier, & Hofmann, 2013). It is possible that SGs are more likely to emerge as treatment mediators in interventions that place a relatively great focus on modifying maladaptive beliefs, such as CBT for depression as compared to other treatments, such as those that are focused on an exposure-extinction paradigm.…”

Section: Discussionmentioning

confidence: 99%

Sudden gains in internet-based cognitive behaviour therapy for severe health anxiety

Hedman

Lekander

Ljótsson

et al. 2014

Behaviour Research and Therapy

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Objective A sudden gain is defined as a large and stable individual improvement occurring between two consecutive treatment sessions. Sudden gains have been shown to predict better long-term improvement in several treatment studies, including cognitive behavioural therapy for depression and anxiety disorders, but have not been studied in the treatment of health anxiety or any form of internet-based cognitive behavioural therapy. The aim of this study was to investigate the role of sudden gains in internet-based cognitive behavioural therapy for severe health anxiety. Method We examined the occurrence and significance of sudden gains in measures of health anxiety in 81 participants receiving internet-based cognitive behavioural therapy. We compared patients with sudden gains, patients without sudden gains, and patients with gradual gains. Results Thirteen participants (16%) experienced one sudden gain in health anxiety with individual sudden gains distributed across the treatment. As expected, patients with a sudden gain showed larger improvements than patients without a sudden gain at post-treatment (d = 1.04) and at one-year follow-up (d = 0.91) on measures of health anxiety. Conclusions Consistent with previous studies, sudden gains in internet-based cognitive behavioural therapy are associated with significantly larger and stable treatment effects up to one-year follow-up.

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Section: Discussionmentioning

confidence: 99%

Sudden gains in internet-based cognitive behaviour therapy for severe health anxiety

Hedman

Lekander

Ljótsson

et al. 2014

Behaviour Research and Therapy

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“…Tang and DeRubeis () were the first to quantitatively define positive discontinuous symptom changes throughout the course of treatment and found that sudden gains were associated with better treatment outcome at termination and follow‐up. Following research confirmed these results and showed that sudden gains are a frequent phenomenon among patients with different disorders like depression (Hardy et al, ; Lutz et al, ; Tang, DeRubeis, Beberman, & Pham, ), social anxiety disorder (Bohn, Aderka, Schreiber, Stangier, & Hofmann, ; Hofmann, Schulz, Meuret, Moscovitch, & Suvak, ), generalized anxiety disorder (Deschênes & Dugas, ), posttraumatic stress disorder (Aderka, Appelbaum‐Namdar, Shafran, & Gilboa‐Schechtman, ; Doane, Feeny, & Zoellner, ; Krüger et al, ), or obsessive‐compulsive disorder (Aderka, Nickerson, Bøe, & Hofmann, ). A meta‐analysis also showed that the occurrence of sudden gains within a therapy predicts significantly better outcomes at the end of therapy (Aderka et al, ).…”

Section: Introductionmentioning

confidence: 74%

An exploratory study of patients’ sudden losses during outpatient CBT and therapists’ experience of difficulties

et al. 2019

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Objective Patients’ sudden deterioration in symptomatology, also called sudden losses, is a rarely explored phenomenon. Method Psychological distress of 1,763 patients treated by 140 therapists was monitored after every therapy session. Patient‐reported outcome measures and patients’ therapy satisfaction was assessed. Therapists rated their experience of difficulties for every patient repeatedly over the course of therapy. Results More than one‐quarter of patients (26.5%) experienced at least one sudden loss during therapy. Patients with sudden losses did not differ significantly in psychotherapy outcome and therapy satisfaction from patients without sudden shifts. Therapists did not experience professional self‐doubt more often when working with sudden loss patients. Conclusion Sudden losses were not necessarily harmful for the outcome of psychotherapy and patients’ global therapy satisfaction. The results suggest that sudden losses can be compensated over the course of treatment.

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“…However, participants in individual cognitive therapy reported more improvement than those in intensive group cognitive therapy or TAU (Mortberg et al, 2007). In addition, in a study of sudden gains in cognitive therapy and interpersonal therapy for SAD, participants who experienced a sudden gain during either treatment reported significant decreases in the frequency and strength of their negative thoughts following the gain (Bohn, Aderka, Schreiber, Stangier, & Hofmann, 2013).…”

Section: Self-statementsmentioning

confidence: 97%

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

Anderson

Hope

2014

Social Anxiety

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Sudden gains in cognitive therapy and interpersonal therapy for social anxiety disorder.

Abstract: Sudden gains in CT and IPT for SAD are predictive of long-term outcome. In addition, the effect of sudden gains may be greater in CT compared to IPT.

Cited by 51 publications

References 19 publications

Sudden gains in internet-based cognitive behaviour therapy for severe health anxiety

Sudden gains in internet-based cognitive behaviour therapy for severe health anxiety

An exploratory study of patients’ sudden losses during outpatient CBT and therapists’ experience of difficulties

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

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