Comparing Cognitive Behavioral Therapy and Systemic Therapy for Social Anxiety Disorder: Randomized Controlled Pilot Trial (<scp>SOPHO</scp>‐<scp>CBT</scp>/<scp>ST</scp>)

Hunger, Christina; Hilzinger, Rebecca; Klewinghaus, Laura; Sander, Anja; Mander, Johannes; Bents, Hinrich; Ditzen, Beate; Schweitzer, Jochen

doi:10.1111/famp.12492

Cited by 16 publications

(25 citation statements)

References 56 publications

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“…The sample for data collection is based on a sub-sample of the German randomized controlled trial (RCT) “Comparing Cognitive Behavioral Therapy and Systemic Therapy for Social Anxiety Disorder” (SOPHO CBT/ST) [ 27 ]. As such, it is to some extent a qualitative follow-up study that relates to a subgroup of SOPHO CBT/ST.…”

Section: Methodsmentioning

confidence: 99%

“…All the therapies that went into this study were monitored courses of systemic therapy for social anxiety disorder as defined by Schweitzer, Hunger, Hilzinger & Lieb [ 28 ]. This newly developed manual [ 28 ] originated in the context of an RCT [ 27 ] comparing cognitive behavioural therapy and systemic therapy for social anxiety disorder. All therapists underwent advanced training and received regular supervision, and extensive checks were carried out to ensure that they adhered to the manual [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

“…The manual is structured into four therapy phases [ 27 ]: “(a) generation of a joint understanding of the function of the presented symptoms and the communication patterns that stimulate the development and maintenance of these symptoms; (b) experimentation with changes: symptom prescription, paradoxical intention, exploration of social fear systems, externalization, deconstruction of shared belief systems, enactment of socially anxious interactions; (c) relapse prevention; and (d) refreshment and consolidation” (p. 4). The therapy mainly took place in individual sessions, some with significant others (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…We used criterion sampling [ 39 ], selecting participants in the RCT [ 27 ]. Inclusion criteria required participants (1) to have already completed systemic therapy for social anxiety disorder (SOPHO CBT/ST) and (2) to agree to participate in the study.…”

Section: Methodsmentioning

confidence: 99%

“…Throughout the interview, both the patient and the therapist were encouraged to share anything they felt had been relevant for them or for the change process and describe PLOS ONE specific events that had occurred during the therapy as examples of their reflections. (2) Selection of the sample based on the participants in the RCT [27], following criterion sampling [39], and meeting the criteria of homogeneity. (3) Conduction of the interviews by two of the authors.…”

Section: Analysis Proceduresmentioning

confidence: 99%

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Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

et al. 2021

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There is evidence that systemic therapy is effective, but there is little evidence about meaningful moments in systemic therapy in general, and none at all in systemic therapy for social anxiety disorders. Meaningful moments are one of the relevant research objects in change process research, as they contribute to a better understanding of therapeutic change. Objective The objective of this study is to characterize and describe meaningful moments in the context of systemic psychotherapy, from the point of view of patients and their therapists, after the end of therapy. The therapy studied is a manualized, monitored systemic therapy for social anxiety disorder. Method Semi-structured follow-up interviews were conducted separately with five patients and their therapists (N = 10). Methodological triangulation was used: Grounded theory was used to code the transcripts as described by Charmaz. Then the passages of the selected code “meaningful moment” were evaluated using thematic comparison, in line with Meuser & Nagel. Findings Three categories involving meaningful moments were identified: (1) meeting other patients in group therapy session, (2) therapeutic resource orientation and (3) recognizing oneself in a diagnosis or pattern of behaviour. These categories emerged as contexts related to the occurrence of meaningful moments from a subjective perspective. Discussion Meaningful moments seem to be consistently related to the therapist input and to specific interventions or settings, both from the perspective of the patients and the therapists. Two tandems each described a coincident moment. One central aspect of all 14 moments is that the patients and therapists described patients being able to acquire another outlook on themselves.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Analysis Proceduresmentioning

confidence: 99%

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Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

et al. 2021

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Associations between patient personality, symptomatic change and therapy dropout

Immel

Dagnino

Hunger-Schoppe

2021

Clin Psychology and Psychoth

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Background Studies show that 16% to 77% of psychotherapy patients abandon therapy within the first sessions. The aim of this study is to examine how patient personality variables, specifically the patients' structural integration and the personality traits dependency and self‐criticism, are associated with symptomatic change and therapy dropout. Method We analysed data from 96 patients (age: M = 30.56, SD = 11.39; 78.5% women; 44.6% students, 28.3% employees). A hierarchical logistic regression analysis was carried out to determine whether patients' structural integration (assessed via the OPD‐SQ) and their level of dependency and self‐criticism (DEQ) can predict therapy dropout. In addition, a multiple regression was used to analyse how these variables affect symptomatic change (OQ‐45.2 symptom subscale). Results The interaction of structural integration level and dependency best predicts therapy dropout. For the prediction of symptomatic change, both structural integration and dependency were significant. However, their interaction showed no significant results. Discussion The patient's structural integration was associated to both symptomatic change and dropout. Therapists' training should include techniques addressing patients' structural integration and degree of dependency to prevent patient dropout from therapy.

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Prozessmodelle und Ratingskalen

Hunger-Schoppe,

Immel,

Boyde

et al. 2024

Psychotherapie: Praxis

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Comparing Cognitive Behavioral Therapy and Systemic Therapy for Social Anxiety Disorder: Randomized Controlled Pilot Trial (SOPHO‐CBT/ST)

Cited by 16 publications

References 56 publications

Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

Associations between patient personality, symptomatic change and therapy dropout

Prozessmodelle und Ratingskalen

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