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Cited by 75Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsPsychotherapy Techniques and Applications

Cognitive Behavior Therapy versus Supportive Therapy in Social Phobia: A Randomized Controlled Trial

Cottraux, Jean, Note, Ivan, Albuisson, Eliane, Yao, Saï Nan, Note, Brigitte, Mollard, Evelyne, Bonasse, Françoise, Jalenques, Isabelle +2 more·2000·Psychotherapy and Psychosomatics
DOI 10.1159/000012382
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Abstract

Background: The efficacy of cognitive behaviour therapy (CBT) in social phobia has been demonstrated in several controlled trials and meta-analyses, but no comparison of CBT with supportive therapy (ST) can be found in the literature. Method: The aim of the trial was to study the effectiveness of CBT versus ST carried out ‘as usual’. Sixty-seven DSM-4 social phobic patients (89% generalized subtype, most with avoidant personality) were randomly allocated into two groups. Group 1 (CBT) received 8 1-hour sessions of individual cognitive therapy (CT) for 6 weeks, followed by 6 2-hour sessions of social skills training (SST) in group weekly. Group 2 received ST for 12 weeks (6 half-hour sessions), then the patients were switched to CBT. All patients agreed not to take any medication during the whole trial. In group 1, 29 patients reached week 6, 27 reached week 12, and 24 weeks 36 and 60 (endpoint). In group 2, 29 patients reached week 6, 28 reached weeks 12 and 18, 26 week 24, and 23 reached weeks 48 and 72 (endpoint). Results: At week 6, after CT, group 1 was better than group 2 on the main social phobia measure. At week 12, after SST, group 1 was better than group 2 on most of the measures and demonstrated a significantly higher rate of responders. This finding was replicated after switching group 2 to CBT. Sustained improvement was observed in both groups at follow-up. Compliance with abstinence from medication increased over time. Conclusions: CBT was more effective than ST and demonstrated long-lasting effects. This may suggest that social phobia management requires more than a simple and inexpensive psychological intervention.

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  • Structured psychotherapies, with module (task) completion and review, are generally more effective than supportive psychotherapy.

    “This reflects the face-to-face literature, in that the structured psychotherapies, with module (task) completion and review, are generally more effective than supportive psychotherapy [72-74].”

    From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [72]

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Authors
Cottraux, J., Note, I., Albuisson, E., Yao, S. N., Note, B., Mollard, E., Bonasse, F., Jalenques, I., Guérin, J., & Coudert, A. J.
Affiliations
  • Lyon 1 Université (FR)
  • Aix-Marseille Université (FR)
  • Université Clermont Auvergne (FR)
ORCID
Jalenques, Isabelle
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2000
Volume
69
Issue
3
Pages
137-146
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000012382
OpenAlex
W2082564226
Cited by
75
References
33
Citations by year
2026: 2 · 2025: 1 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 4 · 2012: 1
FWCI
4.85
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychotherapy and Psychosomatics (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, cognitive behavioral therapy, supportive therapy, social skills training, cognitive therapy, avoidant personality, treatment efficacy, long-term treatment outcomes
MeSH terms
Adult, Female, Humans, Male, Middle Aged, Personality Inventory, Phobic Disorders, Psychotherapy, Social Support, Cognitive Behavioral Therapy, Treatment Outcome

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