The Nature and Treatment of Social Anxiety

Carpenter, Joseph K.; Curtiss, Joshua; Hofmann, Stefan G.

doi:10.1002/9781118877142.ch5

Cited by 5 publications

(2 citation statements)

References 110 publications

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“…Among the mental health conditions, social anxiety disorder (SAD), also known as social phobia, is one of the most prevalent mental disorders in Western countries (Bandelow and Michaelis, 2015). It has an early onset, follows a chronic course if not treated, and is associated with a significant impairment in quality of life (Carpenter et al, 2017). Although the prevalence of SAD in China (0.2-0.7% current prevalence, and 4.11% lifetime prevalence; Guo et al, 2016;Shen et al, 2006) is lower than in many Western countries (0.6-8% 12-month prevalence and 2.8-13% lifetime prevalence; Bandelow and Michaelis, 2015), it still translates into an enormous number of people based on the large population in China.…”

Section: Introductionmentioning

confidence: 99%

Predictors of treatment outcomes and adherence in internet-based cognitive behavioral therapy for social anxiety in China

Chen

Rodriguez

Qian

et al. 2020

Behav. Cogn. Psychother.

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Background:Although internet-based cognitive behaviour therapy (ICBT) is an effective treatment for social anxiety disorder (SAD), a substantial proportion of patients do not achieve clinically significant improvement. More research is needed to identify which factors predict treatment adherence and outcomes.Aims:The aims of this study were to (1) identify demographic and clinical factors associated with treatment adherence and outcomes in ICBT for social anxiety in China, and (2) explore whether low-intensity therapist support results in improved treatment adherence or outcomes.Method:Participants were assigned to either therapist-guided (N = 183) or self-guided ICBT (N = 72). Level of social anxiety was measured at both pre- and post-treatment. Treatment adherence and outcomes were analysed using a two-step linear and logistic regression approach. Clinical and demographic characteristics were examined.Results:No significant group differences were found for treatment adherence or outcomes between the therapist-guided and self-guided conditions. Participants diagnosed with SAD were significantly less likely to drop out (OR 0.531, p = .03) compared with subclinical participants with social anxiety symptoms. Older participants (B = 0.17, SE = 0.04, p = .008) and participants with a diagnosis of SAD (B = 0.16, SE = 0.44, p = .01) tended to complete more modules. Participants who completed more modules (B = 0.24, SE = 0.03, p = .01) and participants who identified as female (B = –0.20, SE = 0.18, p = .04) reported greater reductions in SAD symptoms.Conclusions:Understanding of factors related to adherence and outcome is necessary to prevent drop-out and optimize outcome.

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Section: Introductionmentioning

confidence: 99%

Predictors of treatment outcomes and adherence in internet-based cognitive behavioral therapy for social anxiety in China

Chen

Rodriguez

Qian

et al. 2020

Behav. Cogn. Psychother.

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“…Interestingly, the effect of the human-human bond was not associated with reduced social anxiety until the end of the study period, whereas alliance with the platform's tasks and goals consistently moderated decreases in social anxiety at each follow-up time point. In line with cognitive-behavioural models of social anxiety (Carpenter et al, 2017), it is possible that early formation of a safe, positive bond with an online therapist has a cumulative and exposure-like effect over time that reduces social anxiety. Although it was not feasible to track the specific therapy content accessed by users, it is possible that higher level of agreement with the platform's task and goals might increase the likelihood that users regularly log onto the platform to engage with material that explicitly focuses on managing social anxiety and/or foster positive social interactions with peers in the community.…”

Section: Discussionmentioning

confidence: 96%

The effect of the alliance on social recovery outcomes and usage in a moderated online social therapy for first‐episode psychosis

Stiles,

Halverson,

Stone

et al. 2024

Psychol Psychother

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ObjectivesWe investigated the effect of the therapeutic alliance on both change in social recovery outcomes and usage of a moderated online social therapy platform for first‐episode psychosis (FEP), Horyzons.DesignSecondary analysis of a single group pilot trial.MethodsClients completed an alliance measure adapted for guided digital interventions at mid‐treatment. A series of multi‐level models evaluated change in outcomes by mid‐ and post‐treatment assessments (relative to baseline) as a function of the overall alliance. Quasi‐Poisson models evaluated the effect of the overall alliance on aggregated counts of platform usage. Exploratory analyses repeated these models in terms of the bond (human–human) or the task/goal (human–program) alliance.ResultsStronger overall alliance at mid‐treatment predicted lower loneliness at mid‐treatment and lower social anxiety at mid‐ and post‐treatment. It was also associated with higher completion of therapy activities and authoring of comments and reactions. A strong bond with an online therapist was associated with lower loneliness and higher perceived social support at mid‐treatment, lower social anxiety at post‐treatment as well as a higher number of reactions made on the social network. Stronger alliance with the platform's tasks and goals facilitated lower social anxiety at both follow‐up assessments and was further associated with higher completion of therapy activities and reactions in the social network.ConclusionsThe alliance may impact aspects of social recovery and usage in digital interventions for FEP. Specific aspects of the alliance (human–human and human–program relationships) should be considered in future research.

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Physiological sensation word usage in social anxiety disorder with and without comorbid depression

Shaffer

Kim

Yoon

2021

Journal of Behavior Therapy and Experimental Psychiatry

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The Nature and Treatment of Social Anxiety

Cited by 5 publications

References 110 publications

Predictors of treatment outcomes and adherence in internet-based cognitive behavioral therapy for social anxiety in China

Predictors of treatment outcomes and adherence in internet-based cognitive behavioral therapy for social anxiety in China

The effect of the alliance on social recovery outcomes and usage in a moderated online social therapy for first‐episode psychosis

Physiological sensation word usage in social anxiety disorder with and without comorbid depression

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