Impact of depression on treatment effectiveness and gains maintenance in social phobia: a naturalistic study of cognitive behavior group therapy

Marom, Sofi; Gilboa–Schechtman, Eva; Aderka, Idan M.; Weizman, Abraham; Hermesh, Haggai

doi:10.1002/da.20390

Cited by 44 publications

(27 citation statements)

References 58 publications

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“…Participants who met criteria for severe fear in only 1 or 2 situations (public speaking, eating or drinking in front of others, or writing in from of others) were designated as the non-generalized subtype (NGSP). The designation of individuals with severe, but limited social fears as a comparative group is consistent with prior research (e.g., Boone et al, 1999; Heimberg et al, 1990; Turner et al 1992; Marom et al, 2009). In this investigation, 95% of the NGSP group had public speaking fears only, whereas the other 5% expressed severe fear when speaking and eating/drinking in front of others (i.e., informal settings).…”

Section: Methodssupporting

confidence: 71%

Social skills and social phobia: An investigation of DSM-IV subtypes

Beidel

Rao

Scharfstein

et al. 2010

Behaviour Research and Therapy

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Social phobia is characterized as pervasive social timidity in social settings. Although much is known about this disorder, aspects of its clinical presentation remain unexplored, in particular characteristics that distinguish the generalized and non-generalized subtypes. For example, it remains unclear whether patients with the non-generalized subtype display social skills deficits in social interactions, and if so, are these deficits clinically, as well as statistically, significant? In this study, adults with either the non-generalized (NGSP; n=60) or generalized (GSP; n=119) subtype of social phobia and adults with no psychological disorder (n=200) completed an extensive behavioral assessment of social skill and social anxiety. As expected, adults with NGSP and GSP reported equal distress and displayed similar rates of avoidance during an impromptu speech task when compared to adults with no disorder. In contrast, the three groups were distinctly different when interacting with another person in various social situations. Adults with NGSP displayed social skill deficits when compared to individuals with no disorder, but they had fewer deficits than the GSP subtype. However, the identified skill deficits were clinically as well as statistically significant only for the GSP subtype. The results are discussed in terms of the contribution of skill deficits to the conceptualization and treatment of social phobia. Keywords social phobia; social skills; social anxiety disorder; behavioral assessment of social skill

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Section: Methodssupporting

confidence: 71%

Social skills and social phobia: An investigation of DSM-IV subtypes

Beidel

Rao

Scharfstein

et al. 2010

Behaviour Research and Therapy

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show abstract

“…Epidemiological and treatment-seeking samples (e.g., Ohayon & Schatzberg, 2010; Regier et al, 1998; Schatzberg, Samson, Rothschild, Bond, & Regier, 1998) indicate that a percentage of patients with a primary SP diagnosis also have comorbid depression. Because depression can affect social behavior, including social competence (Bellack, Hersen, & Himmelhoch, 1981; Lewisohn, 1974; Marom, Gilhoa-Schechtman, Aderka, Weizman, & Hermesh, 2009), and is associated with QOL (Rapaport et al, 2005) we eliminated SP patients who had comorbid depression and reanalyzed the QOL data. In this study, statistically significant group differences on overall QOL remained the same even though none of the participants had a secondary diagnosis of depressive disorder.…”

Section: Discussionmentioning

confidence: 99%

Quality of life impairments among adults with social phobia: The impact of subtype

Wong

Sarver

Beidel

2012

Journal of Anxiety Disorders

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Social phobia is characterized by extreme fear in social or performance situations in which the individual may be exposed to embarrassment or scrutiny by others, which creates occupational, social and academic impairment. To date, there are few data examining the relationship of social phobia impairments to quality of life. In this investigation, we examined how demographic characteristics, comorbidity, and social competence are related to quality of life among patients with social phobia and normal controls. In addition, we examined the impact of social phobia subtype. Results indicated that individuals with generalized social phobia had significantly impaired quality of life when compared to individuals with no disorder or individuals with nongeneralized social phobia. Comorbid disorders decreased quality of life only for patients with nongeneralized social phobia. Hierarchical linear regression revealed that a diagnosis of social phobia and observer ratings of social effectiveness exerted strong and independent effects on quality of life scores. Results are discussed in terms of the role of social anxiety, social competence, and comorbidity on the quality of life for adults with social phobia.

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“…However, other studies did not find the type of social fears to differentiate between the two subtypes (e.g., Stein et al, 2000), supporting a dimensional structure (Furmark, Tillfors, Stattin, Ekselius, & Fredrikson, 2000;Kollman, Brown, Liverant, & Hofmann, 2006). Finally, some studies found the generalized subtype to be less responsive to treatment compared to the nongeneralized subtype (Brown et al, 1995), whereas others found it to be more responsive (Marom, Gilboa-Schechtman, Aderka, Weizman, & Hermesh, 2009) and still others have found no differences (Stein, Stein, Goodwin, Kumar, & Hunter, 2001; for a comprehensive review, see Hofmann et al, 2004).…”

Section: Introductionmentioning

confidence: 90%

Admixture analysis of the diagnostic subtypes of social anxiety disorder: Implications for the DSM-V

Aderka

Nickerson

Hofmann

2012

Journal of Behavior Therapy and Experimental Psychiatry

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Impact of depression on treatment effectiveness and gains maintenance in social phobia: a naturalistic study of cognitive behavior group therapy

Abstract: MDD at the onset of CBGT was not associated with poorer treatment response, but predicted exacerbation of SP symptoms following treatment termination. Depressed SPs may need additional intervention to maintain CBGT gains. SSPs may benefit from less intensive CBGT than GSPs.

Cited by 44 publications

References 58 publications

Social skills and social phobia: An investigation of DSM-IV subtypes

Social skills and social phobia: An investigation of DSM-IV subtypes

Quality of life impairments among adults with social phobia: The impact of subtype

Admixture analysis of the diagnostic subtypes of social anxiety disorder: Implications for the DSM-V

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