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.

journal_name

Behav Modif

journal_title

Behavior modification

authors

Salaberría K,Echeburúa E

doi

10.1177/01454455980223003

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

262-84

issue

3

eissn

0145-4455

issn

1552-4167

journal_volume

22

pub_type

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