Cognitive-behavioral group therapy for social phobia in female adolescents: results of a pilot study
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OBJECTIVES: To examine the efficacy of cognitive-behavioral group therapy for adolescents (CBGT-A) in females with social phobia and the effect of this treatment on the risk for major depression. METHOD: Female adolescents with social phobia (N = 35) were randomly assigned to treatment (n = 12) or no treatment (n = 23) groups. Assessments were conducted at baseline, after treatment, and at a 1-year follow-up. RESULTS: Eleven subjects completed treatment. Sixteen weeks of treatment produced a significant improvement in interference and reduction in symptoms of social anxiety. There was a significant reduction in the number of subjects meeting DSM-IV criteria for social phobia in the CBGT-A versus the untreated group; however, at the 1-year follow-up there were no significant differences by treatment condition. There was also suggestive evidence that treatment of social phobia lowers the risk for relapse of major depression among those with a history of major depression. Combining social phobia and major depression as the outcome produced more robust treatment effects in the 1-year follow-up. CONCLUSIONS: This pilot study provides evidence for a moderate short-term effect of CBGT-A for treating female adolescents suffering from social phobia and indicates that treatment of social phobia may result in a reduction of major depression.
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SSRIs improve functioning in youth with SAD, but CBT increases social skills and social competence to a greater extent.
“SSRIs also improve functioning in youth with SAD (Beidel et al., 2007), however, CBT increases social skills and social competence to a greater extent (Hayward et al., 2000).”
From Gaining insight into adolescent vulnerability for social anxiety from developmental cognitive neuroscience (2014) · cites this paper as Hayward et al., 2000
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- Authors
- HAYWARD, C., VARADY, S., ALBANO, A. M., THIENEMANN, M., HENDERSON, L., & SCHATZBERG, A. F.
- Affiliations
- George Mason University (US)
- Corresponding author
- HAYWARD, CHRIS
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-06
- Volume
- 39
- Issue
- 6
- Pages
- 721-726
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2083414722
- Cited by
- 217
- References
- 30
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 2 · 2020: 3 · 2019: 10 · 2018: 5 · 2017: 8 · 2016: 6 · 2015: 15 · 2014: 8 · 2013: 12 · 2012: 7
- FWCI
- 18.33
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
- 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 › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- group cognitive behavioral therapy, social anxiety disorder, adolescent girls, social anxiety, major depressive disorder, depression relapse, treatment efficacy, long-term follow-up
- MeSH terms
- Adolescent, Major Depressive Disorder, Female, Follow-Up Studies, Humans, Phobic Disorders, Pilot Projects, Psychiatric Status Rating Scales, Psychotherapy, Group, Recurrence, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome
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