The effects of self-administered cognitive therapy on social-evaluative anxiety

Abstract

Investigated the effecacy of self‐administered cognitive therapy (RET) in the treatment of high and chornic social anxiety. Forty‐five socially anxious volunteer students, who scored in the upper 15% of 570 students prescreened with the Social Avodance and Distress Scale, were mathced on SAD scores and randomly assigned to self‐administered cognitive therapy (RET), a self‐administered attention placebo condition. (Logo‐therapy), or a no‐treatment control condition. Pretest and pssttest measures included the Social Avoidance and Distress Scale (SAD), Fear of Negative Evaulation Scale (ENF), State‐Trit Anxiety Inventory, and Rotter's Internal‐External Locus of Control Scale. Results indicated that self‐administered cognitive therapy significantly decresed social anxiety and fear of negative evaluation and also suggested a generalization of effects as trait anxiety significantly decreased. Comparisons of mean change scores with therapist adminsitered studies lend support to the conclusion that self‐administered cognitivae restructuring is an suggest that paritcipants may have attanied therapeutic beneifts as a consistent trend toward decreased anxiety across variables.

Bibliotherapy for mental health service users Part 1: a systematic review

“… 13 Bright, Baker & Neimeyer, 14 Landreville & Bissonette, 15 McNamee et al. 16 Rosner, Beutler & Daldrup, 17 Schelver & Gutsch, 18 Tyrer et al. 19 and White 20 …”

Why is self-help neglected in the treatment of emotional disorders? A meta-analysis

“…Concealment procedure of treatment allocation was only reported in one study (Tyrer et al 1993). Three studies did not adequately report baseline data (Schelver & Gutsch, 1983 ;Selmi et al 1990;Wollersheim & Wilson, 1991). All were active treatment conditions, which are almost impossible to blind for patient and caregiver.…”

“…One study (Tyrer et al 1993) scored the highest possible score for active intervention trials (7 out of 9 items of the Delphi list). Three studies (Schelver & Gutsch, 1983 ;Selmi et al 1990;Wollersheim & Wilson, 1991) scored low (2 or 3 items of the Delphi list), insufficiently describing baseline similarity of the samples of the compared conditions, in contrast with the remaining studies which achieved moderate scores (4 or 5 items of the Delphi list).…”

“…We examined differences in the estimated mean effect sizes for self v. rater-assessed measures by analysing all studies (n=6) using self and rater-assessed measures. Five studies (Schelver & Gutsch, 1983;Scogin et al 1987Scogin et al , 1989Selmi et al 1990;Al-Kubaisy et al 1992) reported a post-treatment self-help v. control conditions comparison and two (Al-Kubaisy et al 1992 ;Bright et al 1999) a post-treatment self-help v. contrast treatment conditions comparison. We recalculated outcomes for post-treatment self-help v. waiting list (or placebo) conditions.…”

Cognitive-behavioral and pharmacological treatment for social phobia: A meta-analysis.

“…1995; van Vliet, den Boer, & Westerberg, 1994), as well as cognitive-behavioral interventions like Heimberg's cognitive-behavioral group treatment (CBGT; Heimberg, Becker, Goldfinger, & Vermilyea, 1985;Heimberg, Dodge et al, 1990;Hope, Heimberg, & Bruch, 1995), situational exposure alone (Alden, 1989;Butler, Cullington, Munby, Amies, & Gelder, 1984;Mattick, Peters, & Clarke, 1989), and rational emotive therapy (Schelver & Gutsch, 1983).…”