Long-Term Outcome of Cognitive Therapy's Contribution to Self-Exposure in Vivo to the Treatment of Generalized Social Phobia
Abstract
The aim of this work was to test the contribution of cognitive therapy to exposure in vivo in the group treatment of generalized social phobia. Seventy-one severely disabled social phobics, selected according to DSM-III-R criteria, were assigned at random to: (a) self-exposure in vivo, (b) self-exposure in vivo with cognitive therapy, or (c) a waiting-list control group. A multigroup experimental design with repeated measures of assessment (pretreatment, posttreatment, and 1-, 3-, 6-, and 12-month follow-ups) was used. Additionally, half of the patients in both therapeutic groups were given self-help manuals for managing anxiety. Most patients that were treated (64%) showed significant improvement at the 12-month follow-up, but there were no differences between the two therapeutic models. No improvement was shown by the control-group participants at the 6-month follow-up. The results of the present trial do not support the beneficial effects of adding cognitive therapy or a self-help manual to exposure alone. Finally, several topics that may contribute to future research in this field are discussed.
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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 Salaberria and Echeburua 1998
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“Treatment of SAD enhanced SE (Ritter et al. 2013; Salaberria and Echeburua 1998; Taylor et al. 1997), but to our knowledge, there are no formal mediation studies examining to what extent treatment-induced changes in SE predict subsequent reductions in SA symptoms.”
- Authors
- Salaberria, K., & Echeburua, E.
- Affiliations
- University of the Basque Country
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 1998-07
- Volume
- 22
- Issue
- 3
- Pages
- 262-284
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2070131987
- Cited by
- 68
- References
- 3
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2018: 2 · 2016: 5 · 2014: 7 · 2013: 2 · 2012: 3
- FWCI
- 3.59
- 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
- generalized social phobia, cognitive therapy, in vivo exposure, self-exposure, group therapy, self-help books, anxiety reduction, long-term outcomes, treatment efficacy
- MeSH terms
- Adolescent, Adult, Combined Modality Therapy, Desensitization, Psychologic, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phobic Disorders, Psychotherapy, Group, Self Care, Cognitive Behavioral Therapy, Treatment Outcome
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