Domains of life satisfaction in social anxiety disorder: relation to symptoms and response to cognitive-behavioral therapy
Abstract
A general sense of satisfaction with life has been shown to be discriminable from symptom levels and disability in clinical populations. The current study focused on the utility of identifying domains of life satisfaction in social anxiety disorder and differential changes in these domains following cognitive-behavioral group therapy (CBGT). An exploratory principal axis factor analysis of the items of the Quality of Life Inventory in clients with a principal diagnosis of social anxiety disorder (N=138) yielded four domains of life satisfaction: (1) Achievement, (2) Social Functioning, (3) Personal Growth, and (4) Surroundings. Prior to treatment, clients reported dissatisfaction in the Achievement and Social Functioning domains. Further, levels of satisfaction in these domains were significantly related to severity of social anxiety and depressive symptoms. Finally, analyses of a subsample of clients completing 12-weeks of cognitive-behavioral group therapy revealed significant improvements in the Achievement and Social Functioning factors. These findings provide further support for the assertion that social anxiety disorder has important implications for clients' quality of life and that CBGT can successfully impact several domains of satisfaction.
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Evidence-based treatments for anxiety and depression produce only modest improvements in social connectedness.
“Contemporary treatments for anxiety and depression improve facets of social connectedness; however, improvements tend to be modest and do not match the much larger changes typically observed for symptoms (Eng, Coles, Heimberg, & Safren, 2005; Hofmann, Wu, & Boettcher, 2014; McKnight & Kashdan, 2009).”
From Enhancing social connectedness in anxiety and depression through amplification of positivity: Preliminary treatment outcomes and process of change (2020) · cites this paper as Eng, Coles, Heimberg, & Safren, 2005
Cognitive behavioral therapy for SAD reduces symptoms of anxiety but produces less robust effects on measures of social relationship satisfaction.
“although contemporary empirically supported treatments (e.g., cognitive behavioral therapy) for SAD reduce symptoms of anxiety, they produce less robust effects on measures of social relationship satisfaction (Eng, Coles, Heimberg, & Safren, 2005).”
From The affective tie that binds: Examining the contribution of positive emotions and anxiety to relationship formation in social anxiety disorder (2017) · cites this paper as Eng, Coles, Heimberg, & Safren, 2005
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“For example, psychosocial treatment is effective for social anxiety symptoms (5,20), but it is often less effective for occupational and other functional deficits associated with the disorder (18,19).”
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“To consider mentioned symptoms, social anxiety disorder is associated with some impairment in social function (Eng et al. 2005) and significant interference to different domains of life especially in the career, academic and interpersonal functioning (X10 node) (Hofmann and Barlow 2002).”
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- Authors
- Eng, W., Coles, M. E., Heimberg, R. G., & Safren, S. A.
- Affiliations
- College of Staten Island (US)
- Binghamton University (US)
- Adult Anxiety Clinic of Temple (US)
- Harvard University (US)
- Corresponding author
- Heimberg, Richard G.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2005
- Volume
- 19
- Issue
- 2
- Pages
- 143-156
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W1975359390
- Cited by
- 168
- References
- 37
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 8 · 2023: 4 · 2022: 7 · 2021: 11 · 2020: 11 · 2019: 7 · 2018: 8 · 2017: 6 · 2016: 10 · 2015: 9 · 2014: 20 · 2013: 12 · 2012: 8
- FWCI
- 6.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (44119)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- social anxiety disorder, life satisfaction, quality of life, group cognitive behavioral therapy, treatment response, achievement, social functioning, personal growth, depressive symptoms, Quality of Life Inventory
- MeSH terms
- Achievement, Adult, Depression, Factor Analysis, Statistical, Female, Humans, Interpersonal Relations, Male, Personal Satisfaction, Phobic Disorders, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Social Behavior, Cognitive Behavioral Therapy, Treatment Outcome, Diagnostic and Statistical Manual of Mental Disorders
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