Impact of depression on treatment effectiveness and gains maintenance in social phobia: a naturalistic study of cognitive behavior group therapy
Abstract
Background The impact of depression on cognitive behavioral group therapy (CBGT) for social phobia (SP) in a naturalistic outpatient setting was examined after treatment termination and at 1-year follow-up. Methods Consecutive SP outpatients (N=219) were diagnosed using a structured interview. CBGT was provided in 18 1.5-hr weekly sessions. At pretreatment and posttreatment questionnaires and clinician ratings were administered. Self-report measures were obtained at 1-year follow-up. The main outcome measure was the Liebowitz Social Anxiety Scale. Results CBGT was found to be effective in reducing both social anxiety (effect size=1.23) as well as depression (effect size=0.94). Individuals with generalized social phobia (GSP) and individuals with specific social phobia (SSP) differed in their presenting psychopathology and in their response to CBGT. Among treatment completers, 44% GSPs and 37% SSPs achieved at least 50% improvement, and 44% GSPs and 87% SSPs reported distress and functioning within the normal range at the end of treatment. Among SPs diagnosed with major depressive disorder (MDD) at the onset of treatment, SP symptoms aggravated during the follow-up period, whereas SPs not diagnosed with MDD experienced a further alleviation of SP symptoms during follow-up. CBGT provided in a public clinic to non-selected, mostly unmedicated and comorbid patients, is an effective treatment for the majority of SP sufferers. Conclusions MDD at the onset of CBGT was not associated…
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Other studies found that despite higher depression and SAD severity at pre- and post-treatment, rates of improvement did not differ.
“However, other studies have found that despite higher depression and SAD severity at pre- and post-treatment, rates of improvement have not differed (e.g., Erwin, Heimberg, Juster, & Mindlin, 2002; Marom, Gilboa-Schechtman, Aderka, Wiezman, & Hermesh, 2009; Smits, Minhajuddin, & Jarrett, 2009).”
From An Integrated, Acceptance-Based Behavioral Approach for Depression With Social Anxiety: Preliminary Results (2014) · cites this paper as Marom, Gilboa-Schechtman, Aderka, Wiezman, & Hermesh, 2009
In a 1-year follow-up after treatment termination, patients with SAD and comorbid depression experienced an increase in SAD symptom severity, whereas patients without comorbid depression experienced further alleviation in SAD symptoms.
“Marom and colleagues (2009) continued to follow patients for 1 year after treatment termination and found that patients with SAD and comorbid depression experienced an increase in SAD symptom severity over the follow-up period, whereas patients without comorbid depression experienced further alleviation in SAD symptoms.”
From An Integrated, Acceptance-Based Behavioral Approach for Depression With Social Anxiety: Preliminary Results (2014) · cites this paper as Marom et al., 2009
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References 69 · Cited by 55
- Authors
- Marom, S., Gilboa-Schechtman, E., Aderka, I. M., Weizman, A., & Hermesh, H.
- Affiliations
- Tel Aviv University (IL)
- Bar-Ilan University (IL)
- Corresponding author
- Marom, Sofi
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2009-03
- Volume
- 26
- Issue
- 3
- Pages
- 289-300
- ISSN
- 1091-4269 (ISSN-L)
- 1520-6394
- OpenAlex
- W2021391734
- Cited by
- 55
- References
- 69
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 3 · 2017: 4 · 2016: 3 · 2015: 1 · 2014: 5 · 2013: 5 · 2012: 9
- FWCI
- 9.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- social anxiety disorder, depression, group cognitive behavioral therapy, treatment response, maintenance of treatment gains, major depressive disorder, generalized social phobia, social anxiety, comorbidities, outpatient care
- MeSH terms
- Adult, Major Depressive Disorder, Disability Evaluation, Female, Humans, Male, Phobic Disorders, Psychotherapy, Group, Surveys and Questionnaires, Severity of Illness Index, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome
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