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Effectiveness of a cognitive behavioural group therapy (CBGT) for social anxiety disorder: immediate and long-term benefits

Published online by Cambridge University Press:  28 June 2013

Odhran McCarthy ,
David Hevey ,
Amy Brogan  and
Brendan D. Kelly
Odhran McCarthy*
Affiliation:
Mater Misericordiae University Hospital, Dublin, Ireland
David Hevey
Affiliation:
School of Psychology, University of Dublin, Trinity College, Dublin, Ireland
Amy Brogan
Affiliation:
Mater Misericordiae University Hospital, Dublin, Ireland
Brendan D. Kelly
Affiliation:
Department of Adult Psychiatry, University College Dublin, Mater Misericordiae University Hospital, Dublin, Ireland
*
*Author for correspondence: Dr O. McCarthy, Mater Misericordiae University Hospital, 63 Eccles Street, Dublin 7, Ireland (email: omccarthy@mater.ie).
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Abstract

This study examines the effectiveness of a group CBT (CBGT) intervention in reducing a variety of symptoms and problem areas associated with social anxiety disorder. A longitudinal cohort design assessed changes in standardized psychological scales assessing general mood and specific aspects of social anxiety. Questionnaires were completed pre-programme (time 1, n = 252), post-programme (time 2, n = 202), and at 12 months follow-up (time 3, n = 93). A consistent significant pattern was found for all variables: pre-intervention scores were significantly higher than both post-intervention scores and 12-month follow-up scores. Large effect sizes were found and rates of clinical significant changes varied, with over half of the participants recording clinically significant changes in general mood. Individual CBT can be translated successfully into a group format for social anxiety. Given the high completion rate, the intervention is acceptable to participants, feasible, and effective in a routine clinical service.

Keywords

Cognitive behaviour therapygroup therapysocial anxietytreatment outcome

Information

Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 6 , 2013 , e5
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Recommended follow-up reading

Clark, DM, Wells, A (1995). A cognitive model of social phobia. In: Social Phobia: Diagnosis, Assessment, and Treatment (ed. Heimberg, R. G. and Liebowitz, M. R.), pp. 69–93. New York: Guilford Press.Google Scholar
McEvoy, PM (2007). Effectiveness of cognitive behavioural group therapy for social phobia in a community clinic: a benchmarking study. Behaviour Research and Therapy 45, 3030–3040.Google Scholar
Rodebaugh, TL, Holaway, RM, Heimberg, RG (2004). The treatment of social anxiety disorder. Clinical Psychology Review 24, 883–908.Google Scholar

References

APA (2000). Diagnostic and Statistical Manual of Mental Disorders (4th edn, text revision). Washington, DC: American Psychiatric Association.Google Scholar
Beck, AT, Epstein, N, Brown, G, Steer, RA (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology 56, 893–897.Google Scholar
Beck, AT, Steer, RA, Brown, GK (1996). BDI – II, Beck Depression Inventory: Manual, 2nd edn. Boston: Harcourt Brace.Google Scholar
Bjornsson, AS, Bidwell, LC, Brosse, AL, Carey, G, Hauser, M, Mackiewicz Seghete, KL, Schulz-Heik, RJ, Weatherley, D, Erwin, BA, Craighead, WE (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: a randomized controlled trial. Depression and Anxiety 28, 1034–1042.CrossRefGoogle ScholarPubMed
Brown, EJ, Turovsky, J, Heimberg, RG, Juster, HR, Brown, TA, Barlow, DH (1997). Validation of the social interaction anxiety scale and the social phobia scale across the anxiety disorders. Psychological Assessment 9, 21–27.Google Scholar
Chambless, DL, Hope, DA (1996). Cognitive approaches to the psychopathology and treatment of social phobia. In: Frontiers of Cognitive Therapy (ed. Salkovskis, P. M.), pp. 345–382. New York, Guilford Press.Google Scholar
Chambless, DL, Tran, GQ, Glass, CR (1997). Predictors of response to cognitive-behavioral group therapy for social phobia. Journal of Anxiety Disorders 11, 221–240.Google Scholar
Clark, DM, Butler, G, Fennell, M, Hackman, A, McManus, T, Wells, A (1995). The social behaviours questionnaire and the social attitudes questionnaire (unpublished manuscript). Oxford University.Google Scholar
Clark, DM, Wells, A (1995). A cognitive model of social phobia. In: Social Phobia: Diagnosis, Assessment, and Treatment (ed. Heimberg, R. G. and Liebowitz, M. R.), pp. 69–93. New York: Guilford Press.Google Scholar
Coles, ME, Turk, CL, Jindra, L, Heimberg, RG (2002). The path from initial inquiry to initiation of treatment for social anxiety disorder in an anxiety disorders specialty clinic. Journal of Anxiety Disorders 457, 1–13.Google Scholar
de Wit, DJ, Ogborne, A, Offord, DR, MacDonald, K (1999). Antecedentsof the risk of recovery from DSM-III-R social phobia. Psychological Medicine 29, 569–582.Google Scholar
Ehlers, A, Clark, DM (1998). The fear of negative evaluation questionnaire – revised (unpublished manuscript). Oxford University.Google Scholar
Evans, C, Margison, F, Barkham, M (1998). The contribution of reliable and clinically significant change methods to evidence-based mental health. Evidence-Based Mental Health 1, 70–72.Google Scholar
Faytout, M, Tignol, J, Swendsen, J, Grabot, DB, Aouizerate, B, Lépine, JP (2007). Social phobia, fear of negative evaluation and harm avoidance. European Psychiatry 22, 75–79.Google Scholar
Fedoroff, IC, Taylor, S (2001). Psychological and pharmacological treatments of social phobia: a meta-analysis. Journal of Clinical Psychopharmacology 21, 311–324.Google Scholar
Feske, U, Chambless, DL (1995). Cognitive-behavioural versus exposure only treatment for social phobia: a metaanalysis. Behavior Therapy 26, 695–720.Google Scholar
Gaston, JE, Abbott, MJ, Rapee, RM, Neary, S (2006). Do empirically supported treatments generalise to private practice? A benchmark study of a cognitive-behavioural group treatment program for social phobia. British Journal of Clinical Psychology 45, 33–48.Google Scholar
Gould, RA, Buckminster, S, Pollack, MH, Otto, MW, Yap, L (1997). Cognitive-behavioral and pharmacological treatment for social phobia: a meta-analysis. Clinical Psychology: Science and Practice 4, 291–306.Google Scholar
Heimberg, RG, Juster, HR, Hope, DA, Mattia, JI (1995). Cognitive behavioral group treatment for social phobia: Description, case presentation and empirical support. In: Social Phobia: Clinical and Research Perspectives (ed. Stein, M. B.), pp. 293–321. Washington, DC: American Psychiatric Press.Google Scholar
Heimberg, RG, Mueller, GP, Holt, CS, Hope, DA, Liebowitz, MR (1992). Assessment of anxiety in social interaction and being observed by others: the Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy 23, 53–73.CrossRefGoogle Scholar
Issakidis, C, Andrews, G (2004). Pretreatment attrition and dropout in an outpatient clinic for anxiety disorders. Acta Psychiatrica Scandinavica 109, 426–433.Google Scholar
Jacobson, NS, Truax, P (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology 59, 12–19.Google Scholar
Kessler, RC, McGonagle, KA, Zhao, S, Nelson, CB, Hughes, M, Eshleman, S, Wittchen, H-U, Kendler, KS (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry 51, 8–19.CrossRefGoogle ScholarPubMed
Killaspy, H, Banerjee, S, King, M, Lloyd, M (2000). Prospective controlled study of psychiatric out-patient non-attendance. Characteristics and outcome. British Journal of Psychiatry 176, 160–165.Google Scholar
McEvoy, PM (2007). Effectiveness of cognitive behavioural group therapy for social phobia in a community clinic: a benchmarking study. Behaviour Research and Therapy 45, 3030–3040.Google Scholar
Mattick, RP, Clarke, JC (1998). Development and validation of measures of socialphobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy 36, 455–470.Google Scholar
Mörtberg, E, Clark, DM, Sundin, Ö, Åberg Wistedt, A (2007). Intensive group cognitive treatment and individual cognitive therapy vs. treatment as usual in social phobia: a randomized controlled trial. Acta Psychiatrica Scandinavica 115, 142–154.CrossRefGoogle ScholarPubMed
NICE (2012). Social anxiety disorder: recognition, assessment and treatment (NICE Clinical Guideline X). Draft for consultation (www.nice.org.uk/nicemedia/live/12950/61875/61875.pdf). London, 2012.Google Scholar
Oei, TPS, Boschen, MJ (2009). Clinical effectiveness of a group treatment for anxiety disorders: A benchmarking study. Journal of Anxiety Disorders 23, 950–957.Google Scholar
Richards, DA, Borglin, G (2011). Implementation of psychological therapies for anxiety and depression in routine practice: two year prospective cohort study. Journal of Affective Disorders 133, 51–60.Google Scholar
Rodebaugh, TL, Holaway, RM, Heimberg, RG (2004). The treatment of social anxiety disorder. Clinical Psychology Review 24, 883–908.Google Scholar
Sato, H, Kawahara, J (2011). Selective bias in retrospective self-reports of negative mood states. Anxiety Stress Coping 24, 359–367.Google Scholar
Scholing, A, Emmelkamp, PMG (1999). Prediction of treatment outcome in social phobia: a cross-validation. Behaviour Research and Therapy 37, 659–670.Google Scholar
Stangier, U, Heidenreich, T, Peitz, M, Lauterbach, W, Clark, DM (2003). Cognitive therapy for social phobia: individual versus group treatment. Behaviour Research and Therapy 41, 991–1007.Google Scholar
Steketee, GS, Chambless, DL (1992). Methodological issues in the prediction of treatment outcome. Clinical Psychology Review 12, 387–400.CrossRefGoogle Scholar
Taube-Schiff, M, Suvak, MK, Antony, MM, Bieling, PJ, McCabe, RE (2007). Group cohesion in cognitive-behavioral group therapy for social phobia. Behaviour Research and Therapy 45, 687–698.Google Scholar
Taylor, S (1996). Meta-analysis of cognitive-behavioral treatments for social phobia. Journal of Behavior Therapy and Experimental Psychiatry 27, 1–9.Google Scholar
Wells, A, Stopa, L, Clark, DM (1993). The social cognitions questionnaire (unpublished manuscript). Oxford University.Google Scholar
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