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Cited by 17Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsPsychotherapy Techniques and Applications

Transportability of imagery-enhanced CBT for social anxiety disorder

McEvoy, Peter M., Erceg-Hurn, David M., Barber, Kevin C., Dupasquier, Jessica R., Moscovitch, David A.·2018·Behaviour Research and Therapy
DOI 10.1016/j.brat.2018.05.007
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Abstract

Pilot and open trials suggest that imagery-enhanced group cognitive behaviour therapy (CBT) is highly effective for social anxiety disorder (SAD). However, before being considered reliable and generalisable, the effects of the intervention need to be replicated by clinicians in a setting that is independent of the protocol developers. The current study compared outcomes from clients with a principal diagnosis of SAD at the Australian clinic where the protocol was developed (n = 123) to those from an independent Canadian clinic (n = 46) to investigate whether the large effects would generalise. Trainee clinicians from the independent clinic ran the groups using the treatment protocol without any input from its developers. The treatment involved 12 2-h group sessions plus a one-month follow-up. Treatment retention was comparable across both clinics (74% vs. 78%, ≥9/12 sessions) and the between-site effect size was very small and non-significant on the primary outcome (social interaction anxiety, d = 0.09, p = .752). Within-group effect sizes were very large in both settings (ds = 2.05 vs. 2.19), and a substantial minority (41%-44%) achieved clinically significant improvement at follow-up. Replication of treatment effects within an independent clinic and with trainee clinicians increases confidence that outcomes are generalisable.

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  • Mental imagery has been shown to be a transdiagnostic process that explains the appearance and maintenance of a range of clinical conditions, including SAD; however, there is a dearth of studies on this crucial construct.

    “An example of this is mental imagery, which has been shown to be a transdiagnostic process that explains the appearance and maintenance of a range of clinical conditions, including SAD [94]; however, there is a dearth of studies on this crucial construct.”

    From Studies of Social Anxiety Using Ambulatory Assessment: Systematic Review (2024) · cites this paper as [94]

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Authors
McEvoy, P. M., Erceg-Hurn, D. M., Barber, K. C., Dupasquier, J. R., & Moscovitch, D. A.
Affiliations
  • Curtin University (AU)
  • University of Waterloo (CA)
Corresponding author
McEvoy, Peter M.
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2018-07
Volume
106
Pages
86-94
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2018.05.007
OpenAlex
W2803799633
Cited by
17
References
31
Citations by year
2026: 2 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1
FWCI
1.96
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)
  • eSpace (Curtin University) (submittedVersion)
  • OSF Preprints (OSF Preprints) (submittedVersion)
Funders
National Health and Medical Research Council (APP1104007)
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, group cognitive behavioral therapy, replication, generalizability, social interaction anxiety, treatment retention
MeSH terms
Phobia, Social, Adolescent, Adult, Female, Humans, Male, Cognitive Behavioral Therapy, Treatment Outcome, Imagery, Psychotherapy, Young Adult

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