Intensive group cognitive treatment and individual cognitive therapy vs. treatment as usual in social phobia: a randomized controlled trial
Open accessAbstract
Objective: To compare the effects of an intensive group cognitive treatment (IGCT) to individual cognitive therapy (ICT) and treatment as usual (TAU) in social phobia (DSM‐IV). Method: Hundred patients were randomized to: IGCT involving 16 group sessions spread over three weeks; ICT involving 16 shorter weekly sessions in 4 months and; TAU involving an indicated selective serotonin reuptake inhibitor (SSRI) with therapy sessions as required for 1 year. The main outcome measure was a Social Phobia Composite that combined several standardized self‐report measures. Diagnostic assessment was repeated at 1‐year follow‐up. Results: Significant improvements were observed with all treatments. ICT was superior to IGCT and TAU, which did not differ in overall effectiveness. Conclusion: The study confirms and extends previously reported findings that ICT is more effective than group cognitive treatment and treatment with SSRIs. IGCT lasts only 3 weeks, and is as effective as more protracted TAU.
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The average change on the LSAS in studies of individual CBT for social anxiety disorder in people without severe mental illness ranged between 29.6 and 52.7.
“The average change on the LSAS in these studies ranged between 29.6 and 52.7.”
From Cognitive behavioural therapy for social anxiety disorder in people with bipolar disorder: a case series (2024) · cites this paper as Mörtberg et al. 2007
Table 2 (shown under Discussion; page not provided) reports LSAS means of 81.8 before individual cognitive therapy and 51.3, 49.1, and 44.2 at 4, 8, and 12 months. Those are mean reductions of 30.5–37.6 points, within the claimed range, but this paper does not establish the stated 29.6–52.7 range across studies. (LLM, conf=0.86)
Experimental — accuracy not yet measuredRandomized controlled trials in Western countries have consistently indicated that individual CBT alone is effective for treating PD.
“Notably, randomized controlled trials in Western countries have consistently indicated that individual CBT alone is effective for treating PD [11–13].”
Individually administered CBT appears to be more effective than group therapy.
“Furthermore, individually administered CBT appears to be more effective than group therapy [13].”
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References 45 · Cited by 213
Research works printed but not linked: 5
- Davidson R, Foa E, Huppert J et al. Fluoxetine, compre- hensive cognitive behavioral therapy, and placebo in generalised social phobia. Arch Gen Psychiatry 2004;61:1005-1013.
- Liebowitz MR, Heimberg RG, Schneier FR et al. Cognitive- behavioral group therapy versus phenelzine in social pho- bia: long-term outcome. Depress Anxiety 1999;10:89-98.
- Rodebaugh T, Holaway R, Heimberg R. The treatment of social anxiety disorders. Clin Psychol Rev 2004;24:883- 908.
- First BM, Spitzer RL, Gibbon M, Williams JBW. Users guide for the Structured Clinical Interview for DSM-IV Axis I Disorders: SCID-I Clinician Version. Washington, DC: American Psychiatric Press, 1995.
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- Authors
- Mörtberg, E., Clark, D. M., Sundin, Ö., & Åberg Wistedt, A.
- Affiliations
- Karolinska Institutet (SE)
- King's College London (GB)
- Corresponding author
- Mörtberg, E.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2006-06-15
- Volume
- 115
- Issue
- 2
- Pages
- 142-154
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2003807428
- Cited by
- 213
- References
- 45
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 8 · 2023: 4 · 2022: 9 · 2021: 12 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 11 · 2016: 17 · 2015: 7 · 2014: 20 · 2013: 21 · 2012: 13
- FWCI
- 15.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Wellcome Trust (069777)
- Stockholms Läns Landsting
- 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 therapy, selective serotonin reuptake inhibitors, usual care, treatment effectiveness, brief psychotherapy
- MeSH terms
- Adult, Cognition Disorders, Demography, Depression, Disability Evaluation, Female, Humans, Male, Mass Screening, Phobic Disorders, Psychotherapy, Group, Surveys and Questionnaires, Social Perception, Cognitive Behavioral Therapy, Treatment Outcome
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