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Cited by 34Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsPsychotherapy Techniques and Applications

Influence of expressed emotion and perceived criticism on cognitive-behavioral therapy for social phobia

Fogler, Jason M., Tompson, Martha C., Steketee, Gail, Hofmann, Stefan G.·2007·Behaviour Research and Therapy
DOI 10.1016/j.brat.2006.03.002
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Abstract

This study examined significant others' expressed emotion (EE) and a closely related construct, perceived criticism, as predictors of cognitive-behavioral therapy outcome in a sample of 40 patients with social phobia (social anxiety disorder). Patients enrolled in group therapy for social phobia completed pre- and post-treatment questionnaire measures of perceived criticism and anxious and depressive symptoms. Designated significant others were assessed for the components of high EE (criticism, hostility and emotional overinvolvement) using the Camberwell Family Interview. It was hypothesized that these high-EE components and patients' perceived criticism would be associated with poorer treatment outcome, and results ran counter to these expectations. Controlling for initial social phobia severity, lower levels of perceived criticism predicted treatment dropout. There was also a nonsignificant trend for participants with a significant other rated as high in emotional overinvolvement to show less change on a composite symptom measure. Findings from this study suggest that close relationships impact the outcome of cognitive-behavioral interventions for social phobia.

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Authors
Fogler, J. M., Tompson, M. C., Steketee, G., & Hofmann, S. G.
Affiliations
Boston University (US)
Corresponding author
Fogler, Jason M.
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2007-02
Volume
45
Issue
2
Pages
235-249
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2006.03.002
OpenAlex
W2018128275
Cited by
34
References
69
Citations by year
2023: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 3 · 2013: 1 · 2012: 2
FWCI
5.03
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (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, expressed emotion, perceived criticism, cognitive behavioral therapy, group therapy, treatment outcomes, treatment discontinuation, significant others, family relationships, emotional overinvolvement, hostility, Camberwell Family Interview
MeSH terms
Adolescent, Adult, Anxiety Disorders, Major Depressive Disorder, Family, Hostility, Humans, Interpersonal Relations, Middle Aged, Patient Dropouts, Phobic Disorders, Psychiatric Status Rating Scales, Psychotherapy, Group, Cognitive Behavioral Therapy, Treatment Outcome, Expressed Emotion, Dysthymic Disorder

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