Treatment of social approach processes in adults with social anxiety disorder
Abstract
OBJECTIVE: Despite the social impairment associated with social anxiety disorder (SAD), little research has examined the impact of treatment on positive relational functioning. Accordingly, the authors conducted a treatment outcome study to evaluate a cognitive behavior therapy (CBT) regimen augmented by a relational focus (CBT-R) relative to a graduated exposure-applied relaxation (GEAR) regimen and wait list (WL) control. To examine the mechanism(s) that underlies treatment effects, they used structural equation modeling (SEM) to evaluate two potential mediators, change in judgment biases and in safety behaviors. METHOD: Treatment-seeking adults who met SAD diagnostic criteria (n = 100; 50% women; mean age = 32.9 years.; 36% ethnic minority) were randomly assigned to CBT-R, GEAR, or WL. CBT-R and GEAR participants received 14 group treatment sessions. Social initiation, relationship satisfaction, and a SAD symptom composite were assessed at pre- and postassessment, and 6- and 12-month follow-ups. RESULTS: Intent-to-treat multilevel modeling analyses indicated that the CBT-R regimen resulted in significantly greater improvement relative to GEAR on relationship satisfaction and SAD symptoms. SEM results revealed that change in safety behaviors partially mediated the superior performance of CBT-R on both variables with confidence intervals set at .90. CONCLUSIONS: These findings indicate that CBT-based regimens can improve social approach processes in individuals with SAD and that safety behavior reduction contributes to positive outcomes. (PsycINFO Database Record
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Different types of evidence indicate that when people with SAD attend to positive affiliative signals, this leads to a range of positive outcomes.
“Different types of evidence indicate that when people with SAD attend to positive affiliative signals, this leads to a range of positive outcomes (72–74), suggesting that shifts in felt social safety, along with attendant shifts in the functioning of the social engagement system could mediate changes in social anxiety symptoms.”
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Cognitive Behavioral Therapy for Kleptomania: A Case Study
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Використання позитивної психотерапії в роботі з акцентуйованими рисами характеру людей зрілого віку
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- Authors
- Alden, L. E., Buhr, K., Robichaud, M., Trew, J. L., & Plasencia, M. L.
- Affiliations
- University of British Columbia (CA)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2018-06
- Volume
- 86
- Issue
- 6
- Pages
- 505-517
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2803508734
- Cited by
- 48
- References
- 71
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1 · 2023: 11 · 2022: 5 · 2021: 11 · 2020: 10 · 2019: 4 · 2018: 1
- FWCI
- 8.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Social Sciences and Humanities Research Council of Canada (435-2012-0350)
- 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, safety behavior, decision bias, relationship satisfaction, social initiation, treatment outcomes, mediation
- MeSH terms
- Phobia, Social, Adult, Anxiety, Fear, Female, Humans, Interpersonal Relations, Male, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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