Predictors of Response to Cognitive-Behavioral Group Therapy for Social Phobia
Abstract
Response to cognitive-behavioral group therapy for social phobia was assessed at posttest and 6-month follow-up in a sample of 62 clients (41 generalized subtype, 21 nongeneralized). Predictors assessed were depression, expectancy, personality disorder traits, clinician-rated breadth and severity of impairment, and frequency of negative thoughts during social interactions. Outcome measures included self-report questionnaires and behavioral tests of dyadic interaction and a public speech. Although no predictor was related to outcome across all domains of measurement, higher depression, more avoidant personality traits, and lower treatment expectancy were each related to poorer treatment response on one or more outcome criteria. Cognitive change was consistently associated with change on self-report symptom measures, but, contrary to expectation, lower rates of negative thinking at posttest did not predict better maintenance of treatment gains at follow-up.
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It was previously found that comorbid depression led to greater improvement in ACT and for CBT, depression either led to poorer outcome or had no association with outcome.
“It was previously found that comorbid depression led to greater improvement in ACT (Wolitzky-Taylor et al., 2012) and for CBT, depression either led to poorer outcome (Chambless, Tran, & Glass, 1997; Steketee, Chambless, & Tran, 2001) or had no association with outcome (Kampman, Keijsers, Hoogduin, & Hendriks, 2008; Schuurmans et al., 2009).”
From Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: Outcomes and moderators (2014) · cites this paper as Chambless, Tran, & Glass, 1997
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“…suggest that CT for depression is flexible enough to treat the depressive symptoms of patients with MDD but also suffer from social phobia, and thus may indeed be an appropriate choice early on in the treatment of patients with this comorbidity profile (Chambless et al., 1997; Ledley et al., 2005).”
BackgroundBrief strategic therapy in patients with social phobia with or without personality disorder
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- Authors
- Chambless, D. L., Tran, G. Q., & Glass, C. R.
- Affiliations
- American University (US)
- Catholic University of America (US)
- Corresponding author
- Chambless, Dianne L.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 1997-05
- Volume
- 11
- Issue
- 3
- Pages
- 221-240
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2013644842
- Cited by
- 228
- References
- 57
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 1 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 11 · 2016: 10 · 2015: 11 · 2014: 15 · 2013: 17 · 2012: 13
- FWCI
- 5.73
- 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
- social anxiety disorder, group cognitive behavioral therapy, predictors of treatment response, generalized social phobia, depression, treatment expectancy, avoidant personality traits, negative automatic thoughts, maintenance of treatment effects, dyadic interaction
- MeSH terms
- Adult, Attitude to Health, Depression, Factor Analysis, Statistical, Female, Follow-Up Studies, Humans, Male, Personality Disorders, Phobic Disorders, Prospective Studies, Regression Analysis, Self-Assessment, Social Behavior Disorders, Cognitive Behavioral Therapy, Causality, Treatment Outcome
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