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Cited by 5Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsDigital Mental Health Interventions

Do depressive symptoms affect the outcome of treatments for SAD? A meta analysis of randomized controlled trials

Rozen, Naama, Aderka, Idan M.·2020·Clinical Psychology Review
DOI 10.1016/j.cpr.2020.101874
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Abstract

Individuals with social anxiety disorder (SAD) typically have elevated depressive symptoms. In the present meta-analysis, we reviewed the treatment outcome literature in SAD and examined whether depressive symptoms predict treatment outcome. We focused on randomized controlled trials of cognitive behavior therapy (individual face-to-face, group format, and internet-delivered format) and randomized controlled trials of pharmacotherapy. After implementing exclusion criteria, 108 studies with 133 treatment conditions (n = 12,913 participants) were included in the meta-analysis. Our findings indicated that treatments for SAD were efficacious and significantly reduced social anxiety symptoms across all treatment modalities. Exclusion of individuals with MDD or high levels of depression did not affect outcome at post-treatment or at follow-up. However, we found that elevated depressive symptoms were associated with greater reductions in social anxiety symptoms from pre-treatment to post-treatment. Importantly, this effect was above and beyond pre-treatment levels of social anxiety. Finally, analyzing treatment modalities separately, we found that depressive symptoms were associated with better post-treatment outcomes in individual face-to-face CBT but not in other modalities. Clinical and research implications of these findings are discussed.

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  • Recent meta-analyses suggested that depressive symptoms or a depressive disorder diagnosis do not adversely affect outcomes of treatments for social anxiety disorder.

    “recent meta-analyses suggested that depressive symptoms or a depressive disorder diagnosis do not adversely affect outcomes of treatments for social anxiety disorder”

    From Cognitive behavioural therapy for social anxiety disorder in people with bipolar disorder: a case series (2024) · cites this paper as Rozen and Aderka 2020

  • Our finding that individual CBT is effective in treating social anxiety in people with bipolar disorder is in line with previous findings on treatments for social anxiety disorder in people with unipolar depression.

    “Our finding that individual CBT is effective in treating social anxiety in people with bipolar disorder is in line with previous findings on treatments for social anxiety disorder in people with unipolar depression”

    From Cognitive behavioural therapy for social anxiety disorder in people with bipolar disorder: a case series (2024) · cites this paper as Rozen and Aderka 2020

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Authors
Rozen, N., & Aderka, I. M.
Affiliations
University of Haifa (IL)
Corresponding author
Aderka, Idan M.
ORCID
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2020-08
Volume
80
Pages
101874
ISSN
0272-7358 (ISSN-L)
DOI
10.1016/j.cpr.2020.101874
OpenAlex
W3033778489
Cited by
5
References
227
Citations by year
2024: 1 · 2023: 2 · 2021: 2
FWCI
0.15
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
Funders
University of Haifa
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 › Applied Psychology › Digital Mental Health Interventions
Keywords
social anxiety disorder, depressive symptoms, treatment outcomes, cognitive behavioral therapy, group cognitive behavioral therapy, pharmacotherapy, major depressive disorder, comorbidities, treatment response
MeSH terms
Phobia, Social, Adult, Depression, Female, Humans, Male, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome

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