Change processes in cognitive therapy for social anxiety disorder delivered in routine clinical practice

Abstract

Background Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings. Method To assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models. Results Significant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. ‘Reversed’ relationships, where social anxiety predicted subsequent process variable scores, were also supported. Conclusion The findings suggest the processes of change in this treatment may be similar between research trials and routine care.

Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomized controlled trial

“…Significant reverse mediation was also shown for all but one (SCQ belief) of these variables, and strong mediation effects were observed in this direction, suggesting a cyclical relationship. These findings are consistent with those of a recent study examining processes of change in CT-SAD delivered face-to-face ( Thew et al, 2020 ). Although baseline scores on the mediator and outcome variables were accounted for in these models, it is possible that the strength of the present mediation effects may be underestimated given that much of the overall change on these variables occurred prior to the midpoint assessment.…”

Terapi kognitif untuk menurunkan kecemasan mendapat penilaian negatif pada individu dewasa

“…Hasil ini mendukung penelitian sebelumnya, yang menemukan bahwa terapi kognitif dapat mengubah kecemasan yang disebabkan pemikiran-pemikiran negatif pada wanita yang mengalami premenopouse (Afradipta, 2021). Berbagai penelitian juga menunjukkan hasil positif dalam pemberian terapi kognitif dalam mengatasi kecemasan terkait situasi sosial (Stangier et al, 2003) (Thew et al, 2020;Warnock-Parkes et al, 2020).…”

“…Selain itu, intervensi dengan pendekatan kognitif menunjukkan hasil yang lebih baik (Warnock-Parkes et al, 2020). Berbagai penelitian menunjukkan terapi kognitif yang diberikan secara individual kepada subjek dapat efektif untuk mengatasi kecemasan terkait situasi sosial (Stangier et al, 2003;Thew et al, 2020;Warnock-Parkes et al, 2020). Terapi kognitif juga menunjukan keefektifan dalam mengatasi kecemasan sosial pada remaja (Leigh & Clark, 2016).…”

New Developments in Emotion-Focused Therapy for Social Anxiety Disorder

“…Thus, the main goal in Clark’s cognitive model is helping patients to develop awareness of biased cognitive processes and to correct them. There is indeed a small but growing number of process studies in CBT for SAD, and most of them found that improvements in negative cognitions, threat appraisals, self-focused attention, anticipatory processing, post-event rumination, and avoidance were associated with improved outcomes [ 97 ].…”