Testing the Efficacy of Theoretically Derived Improvements in the Treatment of Social Phobia

Autor/inn/en	Rapee, Ronald M.; Gaston, Jonathan E.; Abbott, Maree J.
Titel	Testing the Efficacy of Theoretically Derived Improvements in the Treatment of Social Phobia
Quelle	In: Journal of Consulting and Clinical Psychology, 77 (2009) 2, S.317-327 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0014800
Schlagwörter	Feedback (Response); Stress Management; Models; Cognitive Restructuring; Severity (of Disability); Anxiety; Clinical Diagnosis; Speeches; Self Evaluation (Individuals); Outcomes of Treatment + Suchen Sie Ihr Suchwort? Stressmanagement; Stressbewältigung; Analogiemodell; Schweregrad; Angst
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. (Contains 1 footnote, 3 tables and 1 figure.) (As Provided).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10