Cognitive Restructuring in the Treatment of Social Phobia: Efficacy and Mode of Action
Abstract
Cognitive restructuring (CR) is commonly used to treat social phobia, although its contribution to treatment efficacy has not been established. CR requires the person to think about and discuss feared social events with his or her therapist and thus entails some degree of exposure to social stimuli. CR also is thought to enhance the efficacy of therapeutic exposure exercises (EXP). Four predictions were tested based on this model: Relative to a control intervention matched for the exposure inherent in CR, CR is more effective in (1) reducing social phobia, (2) reducing negative social cognitions, (3) increasing positive cognitions, and (4) enhancing the effects of subsequent EXP. People with generalized social phobia (N = 60) were randomly assigned to CR followed by EXP or to a control intervention followed by EXP. Support was found for predictions 1 to 3, but not 4.
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Treatment of SAD enhanced self-esteem.
“Treatment of SAD enhanced SE (Ritter et al. 2013; Salaberria and Echeburua 1998; Taylor et al. 1997)”
From Exploring Moderators and Mediators of the Outcome of Group Cognitive Behavioural Therapy Compared With Group Schema Therapy for Social Anxiety Disorder and Comorbid Avoidant Personality Disorder. (2025) · cites this paper as Taylor et al. 1997
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- Authors
- Taylor, S., Woody, S., Koch, W. J., Mclean, P., Paterson, R. J., & Anderson, K. W.
- Affiliations
- University of British Columbia (CA)
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 1997-10
- Volume
- 21
- Issue
- 4
- Pages
- 487-511
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2105401070
- Cited by
- 69
- References
- 39
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2021: 6 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 3
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (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
- cognitive restructuring, social anxiety disorder, generalized social phobia, exposure therapy, social cognition, treatment efficacy, cognitive behavioral therapy
- MeSH terms
- Adult, Desensitization, Psychologic, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phobic Disorders, Psychotherapy, Group, Reality Testing, Cognitive Behavioral Therapy, Treatment Outcome
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