Treatment of Social Phobia: Potential Mediators and Moderators

Hofmann, S.

doi:10.1093/clipsy/7.1.3

Cited by 29 publications

(24 citation statements)

References 121 publications

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“…These results are consistent with past empirical examinations (Meuret et al, 2010) and theoretical discussions (Hofmann, 2000) of the role of perceived control as a potential mechanism of change of CBT for anxiety disorders, although our use of concurrent assessments of perceived control and the anxiety disorder outcomes precludes definitive conclusions about whether perceived control functioned as a mechanism of change of CBT in the present study. The strengths of the present study include the use of a large and diverse clinical sample and the use of assessment procedures that involved both self-report and clinician-rated measures of anxiety.…”

Section: Discussionsupporting

confidence: 92%

“…Although these results provide promising evidence that perceived control may be an important mediator of recovery from anxiety disorders, the findings are limited to panic disorder. The extent to which perceived control mediates the effects of CBT for other anxiety disorders (e.g., social phobia; Hofmann, 2000) remains uncertain, despite theories that posit it to be a transdiagnostic contributor to anxiety disorders.…”

mentioning

confidence: 99%

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Perceived Control is a Transdiagnostic Predictor of Cognitive–Behavior Therapy Outcome for Anxiety Disorders

2013

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Perceived control has been proposed to be a general psychological vulnerability factor that confers an elevated risk for developing anxiety disorders, but there is limited research examining perceived control during cognitive-behavioral therapies (CBT). The present study examined whether treatment resulted in improvements in perceived control, and the indirect effects of CBT on changes in symptoms of obsessive-compulsive disorder, social phobia, generalized anxiety disorder, and panic disorder via changes in perceived control. Participants (n = 606) were a large clinical sample presenting for treatment at an outpatient anxiety disorders clinic. Participants completed a series of self-report questionnaires and a structured clinical interview at an intake evaluation and at two follow-up assessments 12 and 24 months later, with the majority of participants initiating CBT between the first two assessments. Results of latent growth curve models indicated that individuals initiating CBT subsequently reported large increases in perceived control and significant indirect effects of treatment on intraindividual changes in each of the four anxiety disorders examined via intraindividual changes in perceived control. These results suggest that the promotion of more adaptive perceptions of control is associated with recovery from anxiety disorders. Furthermore, the consistent finding of indirect effects across the four anxiety disorders examined underscores the transdiagnostic importance of perceived control in predicting CBT outcomes.

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

Perceived Control is a Transdiagnostic Predictor of Cognitive–Behavior Therapy Outcome for Anxiety Disorders

2013

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“…[21] Recent literature on CBT for social anxiety provides evidence for effectiveness of video-feedback in modifying negative self-image. [4041424344] Self-consciousness is considered to be a general marker for maladaptive beliefs and cognitive processes. [45] In this study, patients were helped to understand and identify the content of self-consciousness and were instructed to shift focus of attention to external processing and video feedback was used to bring about cognitive change.…”

Section: Resultsmentioning

confidence: 99%

Brief Cognitive Behavior Therapy in Patients with Social Anxiety Disorder: A Preliminary Investigation

Pinjarkar

Sudhir²,

Math

2015

Indian Journal of Psychological Medicine

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Context:Cognitive behavior therapy (CBT) is the treatment of choice in anxiety disorders. However, there is little evidence for the effectiveness brief CBT in social anxiety.Aims:We examined the effectiveness of a brief CBT of six sessions in patients with social anxiety disorder.Settings and Design:A single case design study baseline; post and 1 month follow-up was adopted.Materials and Methods:Seven patients with a DSM IV diagnosis of social anxiety underwent 6 weekly sessions of brief CBT. Their diagnosis was confirmed using structured diagnostic interviews. They were assessed at baseline, post and 1-month follow-up on CGI- Severity, Leibowitz Social Anxiety Scale (LSAS), Social Phobia Rating Scale, Brief Fear of Negative Evaluation, and Beck's Depression Inventory.Statistical Analysis:Data were analyzed using the method of clinical significance.Results:Results indicated that brief CBT was effective in reducing social anxiety in all patients. Brief CBT was also effective in reducing social avoidance and self consciousness. However, brief CBT was not effective in reducing fear of negative evaluation in all patients, suggesting the need for longer duration for cognitive changes in some dysfunctional beliefs.Conclusions:This preliminary case series indicates that brief CBT may be a promising and a cost and time effective approach to managing for social anxiety.

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“…Consistent with the notion that clients with SAD overestimate the social costs associated with social mishaps, high estimated social costs have been proposed to be an important mediator of treatment change (Hofmann, 2000b). This hypothesis has been subjected to empirical testing, and substantiated in a treatment outcome study that compared cognitive-behavioral group therapy, exposure therapy (without explicit cognitive intervention), and a wait-list control group (Hofmann, 2004).…”

Section: Social Mishap Exposuresmentioning

confidence: 98%

Social Mishap Exposures for Social Anxiety Disorder: An Important Treatment Ingredient

Fang

Sawyer

Asnaani

et al. 2013

Cognitive and Behavioral Practice

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Conventional cognitive-behavioral therapy for social anxiety disorder, which is closely based on the treatment for depression, has been shown to be effective in numerous randomized placebo-controlled trials. Although this intervention is more effective than waitlist control group and placebo conditions, a considerable number of clients do not respond to this approach. Newer approaches include techniques specifically tailored to this particular population. One of these techniques, social mishap exposure practice, is associated with significant improvement in treatment gains. We will describe here the theoretical framework for social mishap exposures that addresses the client's exaggerated estimation of social cost. We will then present clinical observations and outcome data of a client who underwent treatment that included such social mishap exposures. Findings are discussed in the context of treatment implications and directions for future research.

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Treatment of Social Phobia: Potential Mediators and Moderators

Cited by 29 publications

References 121 publications

Perceived Control is a Transdiagnostic Predictor of Cognitive–Behavior Therapy Outcome for Anxiety Disorders

Perceived Control is a Transdiagnostic Predictor of Cognitive–Behavior Therapy Outcome for Anxiety Disorders

Brief Cognitive Behavior Therapy in Patients with Social Anxiety Disorder: A Preliminary Investigation

Social Mishap Exposures for Social Anxiety Disorder: An Important Treatment Ingredient

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