Testing the efficacy of theoretically derived improvements in the treatment of social phobia

Tipo de publicación (Type of publication): Artículo de Revista (Journal Article)
Autor (Author): Rapee, Ronald M.; Gaston, Jonathan E.; Abbott, Maree J.
Título traducido (Translated Title): N.E (N.S)

Descripción (Description):
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Title:Testing the efficacy of theoretically derived improvements in the treatment of social phobia..
Authors:Rapee, Ronald M., Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia, Ron.Rapee@mq.edu.au
Gaston, Jonathan E., Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia
Abbott, Maree J., Department of Psychology, University of Sydney, Sydney, NSW, Australia.
Address:Rapee, Ronald M., Department of Psychology, Macquarie University, Sydney, NSW, Australia, 2109, Ron.Rapee@mq.edu.au.
Source:Journal of Consulting and Clinical Psychology, Vol 77(2), Apr, 2009. pp. 317-327.
Publisher:US: American Psychological Association.
Other Journal Titles:Journal of Consulting Psychology.
Other Publishers:US: American Association for Applied Psychology
US: Dentan Printing Company
US: Science Press Printing Company.
ISSN:0022-006X (Print)
1939-2117 (Electronic).
Language:English.
Keywords:social phobia; treatment; cognitive processes.
Abstract:Recent theoretical models of social phobia suggest that targeting several specific cognitive factors in treatment should enhance treatment efficacy over that of more traditional skills-based treatment programs. In the current study, 195 people with social phobia were randomly allocated to 1 of 3 treatments: standard cognitive restructuring plus in vivo exposure, an “enhanced” treatment that augmented the standard program with several additional treatment techniques (e.g., performance feedback, attention retraining), and a nonspecific (stress management) treatment. The enhanced treatment demonstrated significantly greater effects on diagnoses, diagnostic severity, and anxiety during a speech. The specific treatments failed to differ significantly on self-report measures of social anxiety symptoms and life interference, although they were both significantly better than the nonspecific treatment. The enhanced treatment also showed significantly greater effects than standard treatment on 2 putative process measures: cost of negative evaluation and negative views of one's skills and appearance. Changes on these process variables mediated differences between the treatments on changes in diagnostic severity. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (from the journal abstract).
Subjects:*Cognitive Processes; *Social Phobia; *Treatment.
Classification:Psychotherapy & Psychotherapeutic Counseling (3310).
Population:Human (10)
Male (30)
Female (40).
Location:Australia.
Age Group:Adulthood (18 yrs & older) (300).
Tests & Measures:Anxiety Disorders Interview Schedule for DSM–IV
Social Interaction Anxiety Scale
Social Phobia Scale
Albany Panic and Phobia Scale—Social Phobia subscale
Life Interference Scale
Subtle Avoidance Frequency Examination
Working Alliance Inventory
Group Attitude Scale.
Grant Information:This research was supported by National Health and Medical Research Council Grant 192107 to Ronald M. Rapee..
Methodology:Empirical Study; Quantitative Study; Treatment Outcome/Clinical Trial.
Format Availablability:Electronic; Print.
Format Covered:Electronic.
Publication Type:Journal; Peer Reviewed Journal.
Document Type:Journal Article.
Publication History:Accepted Date: Nov 26, 2008; Revised Date: Nov 24, 2008; First Submitted Date: Feb 22, 2008.
Release Date:20090323.
Copyright:American Psychological Association. 2009..
Digital Object Identifier:10.1037/a0014800.
PsycINFO AN:2009-03774-011.
Accession Number:ccp-77-2-317.
Number of Citations in Source:60.
Database: PsycARTICLES.

Palabras Clave (Keywords): social phobia; treatment; cognitive processes.
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