Top

Gepubliceerd in:

25-07-2018 | Brief Report

Long-Term Improvements in Probability and Cost Biases Following Brief Cognitive Behavioral Therapy for Social Anxiety Disorder

Auteurs: Amanda A. Benbow, Page L. Anderson

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2019

Abstract

This study examines whether improvements in probability and cost biases following cognitive behavioral therapy for social anxiety disorder endure over the long-term. Participants (N = 65) diagnosed with social anxiety disorder were randomly assigned and completed eight sessions of either exposure group therapy or virtual reality exposure therapy delivered according to a treatment manual. 24 participants completed standardized self-report measures of probability and cost biases at pre-treatment, post-treatment, and 5½ years, on average, after completing active treatment (range 2.5–6.5 years). Analyses of variance show that, relative to wait list, participants who completed an active treatment reported greater decline in probability and cost biases at post-treatment. Further, relative to pre-treatment, all treated participants reported significant improvements in probability and cost biases at post-treatment and at long-term follow-up. Cognitive-behavioral therapy may lead to long-lasting reductions in cognitive biases.

vorige artikel Hope Above Racial Discrimination and Social Support in Accounting for Positive and Negative Psychological Adjustment in African American Adults: Is “Knowing You Can Do It” as Important as “Knowing How You Can”?

volgende artikel Incidental Emotion Regulation Deficits in Public Speaking Anxiety

Anderson, P. L., Edwards, S. M., & Goodnight, J. R. (2017). Virtual reality and exposure group therapy for social anxiety disorder: Results from a 4–6 year follow-up. Cognitive Therapy and Research, 41(2), 230–236. https://doi.org/10.1007/s10608-016-9820-y.CrossRef

Anderson, P. L., Price, M., Edwards, S. M., Obasaju, M. A., Schmertz, S. K., Zimand, E., & Calamaras, M. R. (2013). Virtual reality exposure therapy for social anxiety disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 81(5), 751–760. https://doi.org/10.1037/a0033559751.CrossRefPubMed

Anderson, P. L., Zimand, E., Hodges, L. F., & Rothbaum, B. O. (2005). Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure. Depression and Anxiety, 22, 156–158. https://doi.org/10.1002/da.20090.CrossRefPubMed

Boden, M. T., John, O. P., Goldin, P. R., Werner, K., Heimberg, R. G., & Gross, J. J. (2012). The role of maladaptive beliefs in cognitive-behavioral therapy: Evidence from social anxiety disorder. Behaviour Research and Therapy, 50(5), 287–291. https://doi.org/10.1016/j.brat.2012.02.007.CrossRefPubMedPubMedCentral

Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety. Advances in Behaviour Research and Therapy, 5(1), 51–62. https://doi.org/10.1016/0146-6402(83)90015-2.CrossRef

Calamaras, M. R., Tully, E. C., Tone, E. B., Price, M., & Anderson, P. L. (2015). Evaluating changes in judgmental biases as mechanisms of cognitive-behavioral therapy for social anxiety disorder. Behaviour Research and Therapy, 71, 139–149. https://doi.org/10.1016/j.brat.2015.06.006.CrossRefPubMedPubMedCentral

Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York: Guilford Press.

Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.

Cohen, C. C. (1977). Comparison of self-report and overt-behavioral procedures for assessing acrophobia. Behavior Therapy, 8(1), 17–23. https://doi.org/10.1016/S0005-7894(77)80116-0.CrossRef

Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5–27. https://doi.org/10.1016/j.brat.2007.10.003.CrossRefPubMed

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1994). Structured Clinical Interview for Axis I DSM-IV Disorders—Research Edition. New York: Biometrics Research Department.

Foa, E. B., Franklin, M. E., Perry, K. J., & Herbert, J. D. (1996). Cognitive biases in generalized social phobia. Journal of Abnormal Psychology, 105(3), 433–439. https://doi.org/10.1037/0021-843X.105.3.433.CrossRefPubMed

Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20–35. https://doi.org/10.1037/0033-2909.99.1.20.CrossRefPubMed

Goldin, P. R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., & Gross, J. J. (2016). Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 84(5), 427–437. https://doi.org/10.1037/ccp0000092.CrossRefPubMedPubMedCentral

Hedman, E., Furmark, T., Carlbring, P., Ljótsson, B., Rück, C., Lindefors, N., & Andersson, G. (2011). A 5-year follow-up of internet-based cognitive behavior therapy for social anxiety disorder. Journal of Medical Internet Research, 13(2), e39. https://doi.org/10.2196/jmir.1776.CrossRefPubMedPubMedCentral

Heimberg, R. G. (1989). Cognitive and behavioral treatments for social phobia: A critical analysis. Clinical Psychology Review, 9(1), 107–128. https://doi.org/10.1016/0272-7358(89)90050-0.CrossRef

Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2010). A cognitive behavioral model of social anxiety disorder: Update and extension. In S. G. Hofmann & P. M. DiBartolo (Eds.), Social anxiety, second edition: Clinical, developmental, and social perspectives (pp. 395–422). San Diego: Elsevier Academic Press. https://doi.org/10.1016/B978-0-12-375096-9.00015-8.CrossRef

Heimberg, R. G., Salzman, D. G., Holt, C. S., & Blendell, K. A. (1993). Cognitive—Behavioral group treatment for social phobia: Effectiveness at five-year followup. Cognitive Therapy and Research, 17(4), 325–339. https://doi.org/10.1007/BF01177658.CrossRef

Hoffart, A., Borge, F., Sexton, H., & Clark, D. (2009). Change processes in residential cognitive and interpersonal psychotherapy for social phobia: A process-outcome study. Behavior Therapy, 40, 10–22. https://doi.org/10.1016/j.beth.2007.12.003.CrossRefPubMed

Hofmann, S. (2004). Cognitive mediation of treatment change in social phobia. Journal of Consulting and Clinical Psychology, 72, 392–399. https://doi.org/10.1037/0022-006X.72.3.392.CrossRefPubMed

Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36, 193–209.CrossRefPubMedPubMedCentral

Lucock, M. P., & Salkovskis, P. M. (1988). Cognitive factors in social anxiety and its treatment. Behaviour Research and Therapy, 26(4), 297–302. https://doi.org/10.1016/0005-7967(88)90081-2.CrossRefPubMed

Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109(4), 602–615. https://doi.org/10.1037/0021-843X.109.4.602.CrossRefPubMed

McManus, F., Clark, D., & Hackmann, A. (2000). Specificity of cognitive biases in social phobia and their role in recovery. Behavioural and Cognitive Psychotherapy, 28, 201–209. https://doi.org/10.1017/S1352465800003015.CrossRef

Mörtberg, E., Clark, D. M., & Bejerot, S. (2011). Intensive group cognitive therapy and individual cognitive therapy for social phobia: Sustained improvement at 5-year follow-up. Journal of Anxiety Disorders, 25(8), 994–1000. https://doi.org/10.1016/j.janxdis.2011.06.007.CrossRefPubMed

Poulton, R. G., & Andrews, G. (1996). Change in danger cognitions in agoraphobia and social phobia during treatment. Behaviour Research and Therapy, 34(5–6), 413–421. https://doi.org/10.1016/0005-7967(96)00009-5.CrossRefPubMed

Rapee, R. M., Gaston, J. E., & Abbott, M. J. (2009). Testing the efficacy of theoretically derived improvements in the treatment of social phobia. Journal of Consulting and Clinical Psychology, 77, 317–327. https://doi.org/10.1037/a0014800.CrossRefPubMed

Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756. https://doi.org/10.1016/S0005-7967(97)00022-3.CrossRefPubMed

Seivewright, H., Tyrer, P., & Johnson, T. (1998). Prediction of outcome in neurotic disorder: A 5-year prospective study. Psychological Medicine, 28(5), 1149–1157. https://doi.org/10.1017/S0033291798007119.CrossRefPubMed

Smits, J. A., Julian, K., Rosenfield, D., & Powers, M. B. (2012). Threat reappraisal as a mediator of symptom change in cognitive-behavioral treatment of anxiety disorders: A systematic review. Journal of Consulting and Clinical Psychology, 80(4), 624–635. https://doi.org/10.1037/a0028957.CrossRefPubMedPubMedCentral

Smits, J. A. J., Rosenfield, D., McDonald, R., & Telch, M. J. (2006). Cognitive mechanisms of social anxiety reduction: An examination of specificity and temporality. Journal of Consulting and Clinical Psychology, 74(6), 1203–1212. https://doi.org/10.1037/0022-006x.74.6.1203.CrossRefPubMed

Taylor, C., & Alden, L. (2008). Self-related and interpersonal judgment biases in social anxiety disorder: Changes during treatment and relationship to outcome. International Journal of Cognitive Therapy, 1, 125–137. https://doi.org/10.1521/ijct.2008.1.2.125.CrossRef

Uren, T. H., Szabó, M., & Lovibond, P. F. (2004). Probability and cost estimates for social and physical outcomes in social phobia and panic disorder. Journal of Anxiety Disorders, 18(4), 481–498. https://doi.org/10.1016/S0887-6185(03)00028-8.CrossRefPubMed

Willutzki, U., Teismann, T., & Schulte, D. (2012). Psychotherapy for social anxiety disorder: Long-term effectiveness of resource-oriented cognitive-behavioral therapy and cognitive therapy in social anxiety disorder. Journal of Clinical Psychology, 68(6), 581–591. https://doi.org/10.1002/jclp.21842.CrossRefPubMed

Titel: Long-Term Improvements in Probability and Cost Biases Following Brief Cognitive Behavioral Therapy for Social Anxiety Disorder
Auteurs: Amanda A. Benbow
Page L. Anderson
Publicatiedatum: 25-07-2018
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-018-9947-0

Andere artikelen Uitgave 2/2019

Ambivalence over Expression of Anger and Sadness Mediates Gender Differences in Depressive Symptoms

Open Access
Original Article

Reducing Aggressive Children’s Hostile Attributions: A Cognitive Bias Modification Procedure

Open Access
Original Article

Pre-treatment CBT-Mindedness Predicts CBT Outcome

Original Article

Hope Above Racial Discrimination and Social Support in Accounting for Positive and Negative Psychological Adjustment in African American Adults: Is “Knowing You Can Do It” as Important as “Knowing How You Can”?

Original Article

Beliefs About the Malleability of Anxiety and General Emotions and Their Relation to Treatment Outcomes in Acute Psychiatric Treatment

Original Article

The Structure of Suicidal Beliefs: A Bifactor Analysis of the Suicide Cognitions Scale

Original Article

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Long-Term Improvements in Probability and Cost Biases Following Brief Cognitive Behavioral Therapy for Social Anxiety Disorder

Abstract

Andere artikelen Uitgave 2/2019

Ambivalence over Expression of Anger and Sadness Mediates Gender Differences in Depressive Symptoms

Reducing Aggressive Children’s Hostile Attributions: A Cognitive Bias Modification Procedure

Pre-treatment CBT-Mindedness Predicts CBT Outcome

Hope Above Racial Discrimination and Social Support in Accounting for Positive and Negative Psychological Adjustment in African American Adults: Is “Knowing You Can Do It” as Important as “Knowing How You Can”?

Beliefs About the Malleability of Anxiety and General Emotions and Their Relation to Treatment Outcomes in Acute Psychiatric Treatment

The Structure of Suicidal Beliefs: A Bifactor Analysis of the Suicide Cognitions Scale

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Ambivalence over Expression of Anger and Sadness Mediates Gender Differences in Depressive Symptoms

Reducing Aggressive Children’s Hostile Attributions: A Cognitive Bias Modification Procedure

Pre-treatment CBT-Mindedness Predicts CBT Outcome

Hope Above Racial Discrimination and Social Support in Accounting for Positive and Negative Psychological Adjustment in African American Adults: Is “Knowing You Can Do It” as Important as “Knowing How You Can”?

Beliefs About the Malleability of Anxiety and General Emotions and Their Relation to Treatment Outcomes in Acute Psychiatric Treatment

The Structure of Suicidal Beliefs: A Bifactor Analysis of the Suicide Cognitions Scale