Relational treatment strategies increase social approach behaviors in patients with Generalized Social Anxiety Disorder
Abstract
We incorporated strategies based on relational and interpersonal circumplex research within a standard cognitive-behavioral regimen for Generalized Social Anxiety Disorder (GSAD, Generalized Social Phobia) to determine whether these techniques increased the social approach behaviors that facilitate relationship development. Individuals seeking treatment for GSAD were randomly assigned to either the integrated interpersonal cognitive-behavioral group treatment (ICBT) or a wait list condition (WL). Results revealed that the interpersonal techniques were readily implemented by the majority of patients. ICBT produced significant increases in frequency of social approach behaviors and relationship satisfaction, in addition to GSAD symptom reductions comparable to other group CBT regimens. The current research highlights the feasibility and potential benefit of incorporating strategies based on relational and circumplex theories into cognitive-behavioral regimens for GSAD.
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People with SAD can be trained to attend more to rewards and thereby navigate their social world in a more approach-oriented way.
“people with SAD can be trained to be more attentive to rewards and in turn, approach-oriented in how they navigate their social world”
From Commitment to a purpose in life: An antidote to the suffering by individuals with social anxiety disorder. (2013) · cites this paper as Alden & Taylor, 2011
The deficient approach motivation or promotion system in SAD is changeable.
“prior research suggests that the deficient approach motivation or promotion system of people with SAD is malleable.”
From Commitment to a purpose in life: An antidote to the suffering by individuals with social anxiety disorder. (2013) · cites this paper as Alden & Taylor, 2011
Recent interventions have shown that people with SAD can be trained to shift attention away from threats and become more approach-oriented, with short-term effects on social interactions.
“Recent interventions have shown that people with SAD can be trained to direct their attention away from threats and become more approach oriented in their attention and social behavior, with evidence that these changes extend at least in the short-term to subsequent social interactions (Alden & Taylor, 2011; Schmidt et al., 2009; Taylor & Amir, 2012).”
From Commitment to a purpose in life: An antidote to the suffering by individuals with social anxiety disorder. (2013) · cites this paper as Alden & Taylor, 2011
Anxiety- and avoidance-focused symptom measures are empirically distinct from measures of social approach behavior and positive social functioning.
“anxiety- and avoidance-focused symptom measures are empirically distinct from measures of social approach behavior and positive social functioning (Alden & Taylor, 2011).”
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 Alden & Taylor, 2011
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- Authors
- Alden, L. E., & Taylor, C. T.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Alden, Lynn E.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 25
- Issue
- 3
- Pages
- 309-318
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2094223820
- Cited by
- 77
- References
- 87
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 10 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 4 · 2014: 4 · 2013: 7 · 2012: 5
- FWCI
- 5.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (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
- generalized social anxiety disorder, social approach behavior, interpersonal circumplex, relational theory, group cognitive behavioral therapy, relationship satisfaction
- MeSH terms
- Adult, Analysis of Variance, Female, Humans, Interpersonal Relations, Male, Phobic Disorders, Social Behavior, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome, Intention to Treat Analysis
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