Ninety individuals with social phobia (social anxiety disorder) participated in a randomized controlled trial and completed cognitive-behavioral group therapy, exposure group therapy without explicit cognitive interventions, or a wait-list control condition. Both treatments were superior to the wait-list group in reducing social anxiety but did not differ from one another at posttest. Changes in estimated social cost mediated treatment changes in both treatment conditions from pre-to posttest. However, only participants who received cognitive-behavioral therapy showed continued improvement from posttest to 6-month follow-up, which was associated with a reduction of estimated social cost from pretest to posttest. These results suggest that cognitive intervention leads to better maintenance of treatment gains, which is mediated through changes in estimated social cost.Social phobia is the most common type of anxiety disorder and the third most common mental disorder in the U.S. population (Kessler et al., 1994). Numerous studies have demonstrated the efficacy of psychological treatments for social phobia, especially cognitive-behavioral therapy and exposure therapy (e.g., Clark et al., 2003;Feske & Chambless, 1995;Heimberg et al., 1998;Taylor, 1996). It has been argued that social phobia treatments involving explicit cognitive strategies should be superior to pure exposure therapy because cognitive interventions are directly aimed at changing dysfunctional thinking (Butler, 1985;Butler, Cullington, Munby, Amies, & Gelder, 1984;Stopa & Clark, 1993). This assumption, however, is not clearly supported by the empirical data. There are eight controlled clinical studies in the literature in which investigators directly compared cognitive-behavioral therapy with exposure therapy without explicit cognitive interventions (Butler et al., 1984;Emmelkamp, Mersch, Vissia, & van der Helm, 1985;Gelernter et al., 1991;Hope, Heimberg, & Bruch, 1995;Mattick & Peters, 1988;Mattick, Peters, & Clark, 1989;Scholing & Emmelkamp, 1993a, 1993b. In only two of the trials did the effects of cognitive-behavioral therapy exceed those of exposure alone at posttreatment (Butler et al., 1984;Mattick & Peters, 1988). Furthermore, a number of meta-analyses suggested that both cognitive-behavioral therapy and exposure therapy produce very similar dropouts and pre/post and pre/follow-up effects for self-report measures of social phobia, cognitive symptoms, and depressed-anxious mood (Feske & Chambless, 1995;Gould, Buckminster, Pollack, Otto, & Yap, 1997;Taylor, 1996). Finally, the results of a dismantling study conducted by Hope, Heimberg, and Bruch (1995) suggest that exposure alone is at least as effective as exposure plus cognitive intervention in the treatment of social phobia.These findings raise important questions about the mechanism of treatment changes and the variables that are involved in this change process (i.e., the mediators of change). The cognitive model of social phobia posits that certain beliefs about the social situation...