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Effect of Comorbid Depression on Cognitive Behavioural Group Therapy for Social Anxiety Disorder

  • Joelle LeMoult (a1) (a2), Karen Rowa (a1) (a2), Martin M. Antony (a3), Susan Chudzik (a1) (a2) and Randi E. McCabe (a1) (a2)...
Abstract
Abstract

Many individuals seeking treatment for social anxiety disorder (SAD) also meet criteria for a comorbid depressive disorder. Little is known, however, about how a comorbid depressive disorder affects social anxiety treatment. This study examined 61 participants with SAD and 72 with SAD and a comorbid depressive disorder (SAD+D) before and after 12 weeks of cognitive behavioural group therapy (CBGT) for social anxiety. Although patients with SAD+D reported more severe symptoms of social anxiety and depression at pretreatment, treatment was similarly effective for individuals with SAD and SAD+D. However, individuals with SAD+D continued to report higher symptom severity at post-treatment. Interestingly, CBGT for social anxiety also led to improvements in depressive symptoms despite the fact that depression was not targeted during treatment. Improvement in social anxiety symptoms predicted 26.8% of the variance in improvement in depressive symptoms. Results suggest that depressive symptoms need not be in remission for individuals to benefit from CBGT for social anxiety. However, more than 12 sessions of CBGT may be beneficial for individuals with comorbid depression.

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Corresponding author
Address for correspondence: Joelle LeMoult, Anxiety Treatment and Research Centre, St. Joseph's Healthcare, 6th Floor, Fontbonne Building, 301 James Street South, Hamilton, ON, CanadaL8P 3B6. Email: lemoult@mcmaster.ca
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

I.M. Aderka (2009). Factors affecting treatment efficacy in social phobia: The use of video feedback and individual vs. group formats. Journal of Anxiety Disorders, 23, 1217. doi:10.1016/j.janxdis.2008.05.003

L.B. Allen , K.S. White , D.H. Barlow , M.K. Shear , J.M. Gorman , & S.W. Woods (2010). Cognitive-behavior therapy (CBT) for panic disorder: Relationship of anxiety and depression comorbidity with treatment outcome. Journal of Psychopathology and Behavioral Assessment, 32, 185192. doi:10.1007/s10862-009-9151-3

M.M. Antony , P.J. Bieling , B.J. Cox , M.W. Enns , & R.P. Swinson (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales (DASS) in clinical groups and a community sample. Psychological Assessment, 10, 176181. doi:10.1016/j.jad.2008.01.023

M.M. Antony , M.J. Coons , R.E. McCabe , A.R. Ashbaugh , & R.P. Swinson (2006). Psychometric properties of the Social Phobia Inventory: Further evaluation. Behaviour Research and Therapy, 44, 11771185. doi:10.1016/j.brat.2005.08.01

D.L. Chambless , G.Q. Tran , & C.R. Glass (1997). Predictors of response to cognitive-behavioral group therapy for social phobia. Journal of Anxiety Disorders, 11, 221240.

M.J. Chartier , J.R. Walker , & M.B. Stein (2003). Considering comorbidity in social phobia. Social Psychiatry and Psychiatric Epidemiology, 38, 728734. doi:10.1007/s00127-003-0720-6

K.M. Connor , J.R.T. Davidson , L E. Churchill , A. Sherwood , E. Foa , & R.H. Wesler (2000). Psychometric properties of the Social Phobia Inventory (SPIN). British Journal of Psychiatry, 176, 379386. doi:10.1192/bjp.176.4.379

S. Dimidjian , S.D. Hollon , K.S. Dobson , K.B. Schmaling , R.J. Kohlenberg , M.E. Addis , . . . & N.S. Jacobson (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658670. doi:10.1037/0022-006X.74.4.658

B.A. Erwin , R.G. Heimberg , H. Juster , & M. Mindlin (2002). Comorbid anxiety and mood disorders among persons with social anxiety disorder. Behaviour Research and Therapy, 40, 1935. doi:10.1016/S0005-7967(00)00114-5

J.D. Herbert , B.A. Gaudiano , A.A. Rheingold , V.H. Myers , K. Dalrymple , & E.M. Nolan , (2005). Social skills training augments the effectiveness of cognitive behavioral group therapy for social anxiety disorder. Behavior Therapy, 36, 125138. doi:10.1016/S0005-7894(05)80061-9

J. Joormann , J. Kosfelder , & D. Schulte (2005). The impact of comorbidity of depression on the course of anxiety treatments. Cognitive Therapy and Research, 29, 569591. doi:10.1007/s10608-005-3340-5.

S.H. Jones , G. Thornicroft , M. Coffey , & G. Dunn (1995). A brief mental health outcome scale-reliability and validity of the Global Assessment of Functioning (GAF). The British Journal of Psychiatry, 166, 654659.

R.C. Kessler , P. Berglund , O. Demler , R. Jin , K.R. Merikangas , & E.E. Walters (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593602.

D.R. Ledley , J.D. Huppert , E.B. Foa , J.R.T. Davidson , F.J. Keefe , & N.L.S. Potts (2005). Impact of depressive symptoms on the treatment of generalized social anxiety disorder. Depression and Anxiety, 22, 161167. doi:10.1002/da.20121

S. Mannuzza , B. Aronowitz , T. Chapman , D.F. Klein , & A.J. Fyer (1992). Panic disorder and suicide attempts. Journal of Anxiety Disorders, 6, 261274. doi:10.1016/0887-6185(92)90038-9

R.P. Mattick , & J.C. Clarke (1989). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety Behaviour Research and Therapy, 36, 455470. doi:10.1016/S0005-7967(97)10031-6

S. Marom , E. Gilboa-Schechtman , I.M. Aderka , A. Weizman , & H. Hermesh (2009). Impact of depression on treatment effectiveness and gains maintenance in social phobia: A naturalistic study of cognitive behavior group therapy. Depression and Anxiety, 26, 289300. doi:10.1002/da.20390

P.M. McEvoy (2007). Effectiveness of cognitive behavioural group therapy for social phobia in a community clinic: A benchmarking study. Behaviour Research and Therapy, 45, 30303040. doi:10.1016/j.brat.2007.08.002

D.A. Moscovitch , S.G. Hofmann , M.K. Suvak , & T. In-Albon (2005). Mediation of changes in anxiety and depression during treatment of social phobia. Journal of Counseling and Clinical Psychology, 73, 945952. doi:10.1037/0022-006X.73.5.945

M.G. Newman , A. Przeworski , A.J. Fisher , & T.D. Borkovec (2010). Diagnostic comorbidity in adults with generalized anxiety disorder: Impact of comorbidity on psychotherapy outcome and impact of psychotherapy on comorbid diagnoses. Behavior Therapy, 41, 5972.

A. Osman , P.M. Gutierrez , F.X. Barrios , B.A. Kopper , & C.E. Chiros (1998). The social phobia and social interaction anxiety scales: Evaluation of psychometric properties. Journal of Psychopathology and Behavioral Assessment, 20, 249264.

E.S. Paykel (1994). Life events, social support and depression. Acta Psychiatrica Scandinavica, 89, 5058. doi:10.1111/j.1600-0447.1994.tb05803.x.

T.L. Rodebaugh , R.M. Holaway , & R.G. Heimberg (2004). The treatment of social anxiety disorder. Clinical Psychology Review, 24, 883908. doi:10.1016/j.cpr.2004.07.007.

G. Steketee , & D.L. Chambless (1992). Methodological issues in prediction of treatment outcome. Clinical Psychology Review, 12, 387400.

R.E. Stewart , & D.L. Chambless (2009). Cognitive–behavioral therapy for adult anxiety disorders in clinical practice: a meta-analysis of effectiveness studies. Journal of Consulting and Clinical Psychology, 77, 595606. doi:10.1037/a0016032

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Behaviour Change
  • ISSN: 0813-4839
  • EISSN: 2049-7768
  • URL: /core/journals/behaviour-change
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