Cognitive mediation of treatment change in social phobia
Open accessAbstract
Ninety individuals with social phobia (social anxiety disorder) participated in a randomized controlled trial and completed cognitive-behavioral group therapy, exposure group therapy without explicit cognitive interventions, or a wait-list control condition. Both treatments were superior to the wait-list group in reducing social anxiety but did not differ from one another at posttest. Changes in estimated social cost mediated treatment changes in both treatment conditions from pre- to posttest. However, only participants who received cognitive-behavioral therapy showed continued improvement from posttest to 6-month follow-up, which was associated with a reduction of estimated social cost from pretest to posttest. These results suggest that cognitive intervention leads to better maintenance of treatment gains, which is mediated through changes in estimated social cost.
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Hofmann (2004) found that reduction in social cost ratings from pre- to post-treatment predicted symptom reduction.
“In support of this purported mediator, Hofmann (2004) found that reduction in social cost ratings (patient ratings of “How bad would it be?” if a feared social outcome occurred) from pre- to post-treatment predicted symptom reduction.”
From Cognitive mediators of treatment for social anxiety disorder: comparing acceptance and commitment therapy and cognitive-behavioral therapy. (2014) · cites this paper as Hofmann (2004)
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References 48 · Cited by 348
- Authors
- Hofmann, S. G.
- Affiliations
- Boston University (US)
- Corresponding author
- Hofmann, Stefan G.
- ORCID
- Hofmann, Stefan G.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2004-06
- Volume
- 72
- Issue
- 3
- Pages
- 392-399
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC1475946
- OpenAlex
- W2074673841
- Cited by
- 348
- References
- 48
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 9 · 2023: 5 · 2022: 13 · 2021: 13 · 2020: 7 · 2019: 13 · 2018: 15 · 2017: 13 · 2016: 18 · 2015: 20 · 2014: 30 · 2013: 29 · 2012: 27
- FWCI
- 20.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH-57326, R29MH057326)
- 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, cognitive behavioral therapy, exposure therapy, treatment modification, maintenance of treatment gains, mediation, group therapy
- MeSH terms
- Adult, Female, Humans, Male, Phobic Disorders, Cognitive Behavioral Therapy
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