Motivational interviewing prior to cognitive behavioural treatment for social anxiety disorder: A randomised controlled trial
Abstract
Background We examined whether providing three sessions of treatment based on motivational interviewing (MI) prior to Cognitive Behavioral Therapy (CBT) for Social Anxiety Disorder (SAD) improved outcomes. Methods Participants diagnosed with SAD (N = 186) were randomly allocated to receive three sessions of MI (MI+CBT; n = 85) or supportive counselling (SC+CBT; n = 101) prior to a 12-week group CBT program. Assessments occurred at baseline, after preparatory treatment, after CBT, and at 6-months follow-up. Outcomes were expectations for change, number of CBT sessions attended, self- and clinician-rated CBT homework completion, and self- and clinician-rated social anxiety severity. Results Conditions did not differ significantly on expectations for change, number of CBT sessions attended, or clinician-rated homework completion. Self-rated homework completion was greater in MI+CBT than in SC+CBT. Change over time in social anxiety severity did not differ between conditions overall, however, this outcome was significantly moderated by two variables; those in MI+CBT, as compared to SC+CBT, showed significantly poorer outcomes on self-reported social anxiety severity if they were higher in change readiness and significantly better outcomes on clinician-rated social anxiety severity if they were higher in functional impairment. Limitations Although therapists in MI sessions were rated as behaving more consistently with MI than therapists in SC sessions, some MI consistent behaviors…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Session attendance and clinician-rated homework completion did not differ between motivational interviewing and supportive counseling.
“However, session attendance and clinician-rated homework completion did not differ.”
From A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety. (2022) · cites this paper as Peters et al., 2019
Motivational interviewing led to increased self-reported CBT homework completion, and for participants with higher functional impairment, superior improvements to SAD symptoms.
“MI led to increased self-reported CBT homework completion, and for participants with higher functional impairment, superior improvements to SAD symptoms.”
From A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety. (2022) · cites this paper as Peters et al., 2019
There was some evidence that motivational interviewing has a detrimental impact on self-reported SAD symptom severity for those already high in change readiness.
“Further, there was some evidence that MI has a detrimental impact on self-reported SAD symptom severity for those already high in change readiness.”
From A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety. (2022) · cites this paper as Peters et al., 2019
A recent large randomized controlled trial comparing pretreatment motivational interviewing versus supportive counseling for adults presenting at a clinic for SAD treatment showed mixed results.
“a recent large (N = 186) RCT comparing pretreatment MI (prior to CBT) versus supportive counseling for adults presenting at a clinic for SAD treatment showed mixed results (Peters et al., 2019).”
From A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety. (2022) · cites this paper as Peters et al., 2019
Motivational interventions are perhaps best matched to getting socially anxious individuals to seek treatment, and after they have committed to treatment, to individuals with more functional impairment.
“Motivational interventions are perhaps best matched to getting socially anxious individuals to seek treatment (per the present study and Buckner & Schmidt, 2009) and after they have committed to treatment, to individuals with more functional impairment (per Peters et al., 2019).”
From A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety. (2022) · cites this paper as Peters et al., 2019
In Peters et al. (2019), MI facilitated SAD symptom improvement among those higher in functional impairment but dampened improvement among those higher in change readiness.
“Still, we highlight their findings that MI facilitated SAD symptom improvement amongst those higher in functional impairment but dampened improvement amongst those higher in change readiness.”
From A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety. (2022) · cites this paper as Peters et al., 2019
Cites
Credibility of analogue therapy rationales
Borkovec, T. D., & Nau, S. D. (1972) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(72)90045-6 · Cited by 1,553 · see citing works
Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J. A. J., & Hofmann, S. G. (2018) · Depression and Anxiety · doi:10.1002/da.22728 · Cited by 846 · see citing works
Social fears and social phobia in the USA: results from the National Comorbidity survey replication
Ruscio, A. M., Brown, T. A., Chiu, W. T., Sareen, J., Stein, M. B., & Kessler, R. C. (2008) · Psychological Medicine · doi:10.1017/s0033291707001699 · Cited by 835 · see citing works
Mayo-Wilson, E., Dias, S., Mavranezouli, I., Kew, K., Clark, D. M., Ades, A. E., & Pilling, S. (2014) · The Lancet Psychiatry · doi:10.1016/s2215-0366(14)70329-3 · Cited by 680 · see citing works
Psychological treatment of social anxiety disorder: a meta-analysis
Acarturk, C., Cuijpers, P., van Straten, A., & de Graaf, R. (2009) · Psychological Medicine · doi:10.1017/s0033291708003590 · Cited by 333 · see citing works
Westra, H. A., Arkowitz, H., & Dozois, D. J. A. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2009.07.014 · Cited by 283 · see citing works
Westra, H. A., & Dozois, D. J. A. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9016-y · Cited by 282 · see citing works
Westra, H. A., Constantino, M. J., & Antony, M. M. (2016) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000098 · Cited by 255 · see citing works
Predictors of Response to Cognitive-Behavioral Group Therapy for Social Phobia
Chambless, D. L., Tran, G. Q., & Glass, C. R. (1997) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(97)00008-x · Cited by 228 · see citing works
Testing the efficacy of theoretically derived improvements in the treatment of social phobia.
Rapee, R. M., Gaston, J. E., & Abbott, M. J. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0014800 · Cited by 221 · see citing works
Self-citationPretreatment attrition and dropout in an outpatient clinic for anxiety disorders
Issakidis, C., & Andrews, G. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00264.x · Cited by 149 · see citing works
Buckner, J. D., & Schmidt, N. B. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.04.009 · Cited by 122 · see citing works
Marker, I., & Norton, P. J. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.04.004 · Cited by 112 · see citing works
Aviram, A., & Alice Westra, H. (2011) · Psychotherapy Research · doi:10.1080/10503307.2011.610832 · Cited by 109 · see citing works
DSM-IV and DSM-5 social anxiety disorder in the Australian community
Crome, E., Grove, R., Baillie, A. J., Sunderland, M., Teesson, M., & Slade, T. (2015) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867414546699 · Cited by 100 · see citing works
Self-citationPrice, M., & Anderson, P. L. (2012) · Psychotherapy · doi:10.1037/a0024734 · Cited by 99 · see citing works
Titov, N., Andrews, G., Schwencke, G., Robinson, E., Peters, L., & Spence, J. (2010) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048674.2010.493859 · Cited by 98 · see citing works
Self-citationSteinert, C., Hofmann, M., Leichsenring, F., & Kruse, J. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.08.002 · Cited by 88 · see citing works
A talking control for use in evaluating the effectiveness of cognitive-behavioral therapy
Serfaty, M., Csipke, E., Haworth, D., Murad, S., & King, M. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.05.005 · Cited by 30 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Almansour, M., AlQurmalah, S. I., & Abdul Razack, H. I. (2023) · Journal of Taibah University Medical Sciences · doi:10.1016/j.jtumed.2023.03.011 · Cited by 29 · see citing works
A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety.
Tobias, M. R., Landy, L. N., Levin, M. E., & Arch, J. J. (2022) · Behavior Modification · doi:10.1177/01454455211040051 · Cited by 10 · see citing works
“Further, a recent large ( N = 186) RCT comparing pretreatment MI (prior to CBT) versus supportive counseling for adults presenting at a clinic for SAD treatment showed mixed results (Peters et al., 2019).”
- Authors
- Peters, L., Romano, M., Byrow, Y., Gregory, B., McLellan, L. F., Brockveld, K., Baillie, A., Gaston, J., & Rapee, R. M.
- Affiliations
- Macquarie University (AU)
- Corresponding author
- Peters, Lorna
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 256
- Pages
- 70-78
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2945508438
- Cited by
- 23
- References
- 19
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 7 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 2
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- motivational interviewing, social anxiety disorder, cognitive behavioral therapy, supportive counseling, homework completion, readiness to change, functional disability
- MeSH terms
- Phobia, Social, Adult, Cognition, Counseling, Female, Humans, Male, Middle Aged, Psychotherapy, Group, Cognitive Behavioral Therapy, Treatment Outcome, Self Report, Motivational Interviewing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
