Group social skills training or cognitive group therapy as the clinical treatment of choice for generalized social phobia?
Abstract
This study focused on determining whether group social skills training (SST) or cognitive-behavioral group therapy (CBT) works best to treat social anxiety in psychiatric patients. Participants were psychiatric outpatients with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnosis of generalized social phobia (GSP). A matching procedure was used to obtain two equivalent samples in both conditions (N = 48). It was shown that both SST and CBT were effective in reducing social and general anxiety, decreasing the severity of psychopathology and increasing social skills and self-control. As for differential effects, patients participating in SST experienced a significantly greater reduction of social anxiety and a greater increase in social skills than those in CBT. Moreover, it was shown that social anxiety and social skills scores of the SST group at follow-up reached the level of a normal reference group, whereas those of the CBT participants improved only to that of nonsocially anxious patients with anxiety disorders. Finally, it was revealed that commitment to and satisfaction with treatment of participants in both conditions did not differ. Keeping in mind that this was a quasiexperimental study, the authors concluded that in a clinical setting, group SST may be the best way to treat psychiatric patients with GSP, where comorbidity is the rule rather than the exception.
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Across different mental disorders, studies suggest that strengthening individuals' social skills can help reduce symptoms.
“Across different mental disorders, studies suggest that strengthening individuals´ social skills can help to reduce symptoms [3,11,12].”
From Blended care in in-patient acute psychiatric care. The example of a group training for social competences in adults—A pretest–posttest feasibility study (2021) · cites this paper as [11]
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- Authors
- van Dam-Baggen, R., & Kraaimaat, F.
- Affiliations
- Radboud University Nijmegen (NL)
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2000-09
- Volume
- 14
- Issue
- 5
- Pages
- 437-451
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2055420710
- Cited by
- 78
- References
- 44
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 9 · 2013: 3 · 2012: 6
- FWCI
- 4.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- 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 phobia, social anxiety, group social skills training, group cognitive behavioral therapy, psychiatric outpatients, social skills, treatment satisfaction, treatment commitment, comorbidities, anxiety disorders
- MeSH terms
- Adult, Analysis of Variance, Behavior Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Netherlands, Phobic Disorders, Psychotherapy, Group, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome, Self Efficacy
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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.
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