Psychodynamic psychotherapy versus cognitive behavior therapy for social anxiety disorder: an efficacy and partial effectiveness trial.


OBJECTIVES:Comparing the overall and differential effects of psychodynamic psychotherapy (PDT) versus cognitive behavior therapy (CBT) for social anxiety disorder (SAD). DESIGN:Patients with a primary SAD (N = 47) were randomly assigned to PDT (N = 22) or CBT (N = 27). Both PDT and CBT consisted of up to 36 sessions (average PDT 31.4 and CBT 19.8 sessions). Assessments took place at waitlist: pretest, after 12 and 24 weeks for those who received longer treatment: posttest, 3-month and 1-year follow-up. METHODS:Changes in the main outcome measure self-reported social anxiety composite, as well as in other psychopathology, social skills, negative social beliefs, public self-consciousness, defense mechanisms, personal goals, independent rater's judgments of SAD and general improvement, and approach behavior during an objective test, were analyzed using multilevel analysis. RESULTS:No improvement occurred during waitlist. Treatments were highly efficacious, with large within-subject effect sizes for social anxiety, but no differences between PDT and CBT on general and treatment-specific measures occurred. Remission rates were over 50% and similar for PDT and CBT. Personality disorders did not influence the effects of PDT or CBT. CONCLUSIONS:PDT and CBT are both effective approaches for SAD. Further research is needed on the cost-effectiveness of PDT versus CBT, on different lengths PDT, and on patient preferences and their relationship to outcome of PDT versus CBT.


Depress Anxiety


Depression and anxiety


Bögels SM,Wijts P,Oort FJ,Sallaerts SJ




Has Abstract


2014-05-01 00:00:00












  • Future orientation moderates the relationship between functional status and suicide ideation in depressed adults.

    abstract::Functional impairment might amplify suicide risk in later life. A positive view of the future may reduce this risk. We tested the hypothesis that hopelessness and positive future orientation moderate the association between functional status and suicide ideation in a sample of 136 patients, 55 years of age or older, i...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Hirsch JK,Duberstein PR,Conner KR,Heisel MJ,Beckman A,Franus N,Conwell Y

    更新日期:2007-01-01 00:00:00

  • Detection and distraction effects for threatening information in social phobia and change after treatment.

    abstract::This work examines differences in the detection and distraction by social-threat-related information between a social phobia group (SP; N=33) and a normal control group (NC; N=32). The change obtained after psychological treatment is also studied for the SP group. A paper-and-pencil visual search task is used, in whic...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Baños RM,Quero S,Botella C

    更新日期:2008-01-01 00:00:00

  • Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: a randomized controlled trial.

    abstract:OBJECTIVE:In this randomized controlled trial, cognitive-behavioral group therapy (CBGT) for social anxiety disorder (SAD) was compared to group psychotherapy (GPT), a credible, structurally equivalent control condition that included only nonspecific factors of group treatment (such as group dynamics). METHODS:Partici...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验


    authors: Bjornsson AS,Bidwell LC,Brosse AL,Carey G,Hauser M,Mackiewicz Seghete KL,Schulz-Heik RJ,Weatherley D,Erwin BA,Craighead WE

    更新日期:2011-11-01 00:00:00

  • EEG effects of ECT: implications for rTMS.

    abstract::Electroconvulsive therapy (ECT) involves the use of electrical stimulation to elicit a series of generalized tonic-clonic seizures for therapeutic purposes and is the most effective treatment known for major depression. These treatments have significant neurophysiologic effects, many of which are manifest in the elect...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审


    authors: Krystal AD,West M,Prado R,Greenside H,Zoldi S,Weiner RD

    更新日期:2000-01-01 00:00:00

  • Brain activation during fear extinction predicts exposure success.

    abstract:BACKGROUND:Exposure therapy, a gold-standard treatment for anxiety disorders, is assumed to work via extinction learning, but this has never been tested. Anxious individuals demonstrate extinction learning deficits, likely related to less ventromedial prefrontal cortex (vmPFC) and more amygdala activation, but the rela...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Ball TM,Knapp SE,Paulus MP,Stein MB

    更新日期:2017-03-01 00:00:00

  • Are there gender differences in objective and subjective sleep measures? A study of insomniacs and healthy controls.

    abstract::It is well known that insomnia is more frequent in women than in men throughout all age groups. In this respect insomnia resembles other psychiatric disorders that occur more frequently in women such as anxiety and depressive disorders. Since insomnia is frequently a symptom of anxiety and depression, it remains an op...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审


    authors: Voderholzer U,Al-Shajlawi A,Weske G,Feige B,Riemann D

    更新日期:2003-01-01 00:00:00

  • Depression and Alzheimer's disease.

    abstract::Depressive symptoms, due either major depression or clinically significant, subsyndromal depression, occur commonly in the course of Alzheimer's disease. For a variety of clinical and methodological reasons, this remains an area that begs for new investigation. At the very least, these depressive symptoms should be vi...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审


    authors: Tune LE

    更新日期:1998-01-01 00:00:00

  • Symptom profiles of late-life anxiety and depression: The influence of migration, religion and loneliness.

    abstract:OBJECTIVE:To examine (1) clinically relevant anxiety with comorbid depression in an older population, and the presentation of subthreshold symptoms; (2) to assess anxiety and levels of comorbid depression associated with migration, religion, loneliness and long-term illness. METHODS:Analysis of Wave 1 of The Irish Lon...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Curran E,Rosato M,Cooper J,Mc Garrigle CA,Leavey G

    更新日期:2019-09-01 00:00:00

  • Effects of ketamine on explicit and implicit suicidal cognition: a randomized controlled trial in treatment-resistant depression.

    abstract:BACKGROUND:Preliminary evidence suggests intravenous ketamine has rapid effects on suicidal cognition, making it an attractive candidate for depressed patients at imminent risk of suicide. In the first randomized controlled trial of ketamine using an anesthetic control condition, we tested ketamine's acute effects on e...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验


    authors: Price RB,Iosifescu DV,Murrough JW,Chang LC,Al Jurdi RK,Iqbal SZ,Soleimani L,Charney DS,Foulkes AL,Mathew SJ

    更新日期:2014-04-01 00:00:00

  • Generalized social phobia and avoidant personality disorder: meaningful distinction or useless duplication?

    abstract::Participants with generalized social phobia (GSP) with (n=36) and without (n=19) avoidant personality disorder (AVPD) were compared via contrasts of group means and classification analysis on purported core features of AVPD. GSP-AVPD participants proved to be more severely impaired or distressed on some group contrast...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Chambless DL,Fydrich T,Rodebaugh TL

    更新日期:2008-01-01 00:00:00

  • Learning and memory impairment in PTSD: relationship to depression.

    abstract::Memory function was studied in combat veterans with posttraumatic stress disorder (PTSD), combat veterans without PTSD, and noncombat veterans. The Vocabulary and Digit Span subtests of the WAIS and Logical Memory (LMS) and Verbal Paired Associates (VPAS) subtests of the Wechsler Memory Scale III were administered. Co...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Burriss L,Ayers E,Ginsberg J,Powell DA

    更新日期:2008-01-01 00:00:00

  • Prevalence and risk factors for posttraumatic stress disorder: a cross-sectional study among survivors of the Wenchuan 2008 earthquake in China.

    abstract:BACKGROUND:The impact of the May 2008 Wenchuan earthquake, measuring a massive 8.0 on the surface wave magnitude scale, on public health in China has been significant and multifaceted. In light of extant data on prevalence and risk factors for posttraumatic stress disorder (PTSD) after other natural diasters, we collec...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Kun P,Han S,Chen X,Yao L

    更新日期:2009-01-01 00:00:00

  • Transdiagnostic versus diagnosis-specific cbt for anxiety disorders: a preliminary randomized controlled noninferiority trial.

    abstract:BACKGROUND:Transdiagnostic cognitive-behavioral treatments for anxiety disorders have been gaining increased attention and empirical study in recent years. Despite this, research on transdiagnostic anxiety treatments has, to date, relied on open trials, or comparisons to waitlist conditions, published benchmarks, or re...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验


    authors: Norton PJ,Barrera TL

    更新日期:2012-10-01 00:00:00

  • Resilience: research evidence and conceptual considerations for posttraumatic stress disorder.

    abstract::The growing recognition and occurrence of traumatic exposure in the general population has given increased salience to the need to understand the concept of resilience. More than just the "flip side" of a risk factor, the notion of resilience encompasses psychological and biological characteristics, intrinsic to an in...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审


    authors: Hoge EA,Austin ED,Pollack MH

    更新日期:2007-01-01 00:00:00

  • Classification of trauma and stressor-related disorders in DSM-5.

    abstract::This review examines the question of whether there should be a cluster of disorders, including the adjustment disorders (ADs), acute stress disorder (ASD), posttraumatic stress disorder (PTSD), and the dissociative disorders (DDs), in a section devoted to abnormal responses to stress and trauma in the DSM-5. Environme...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审


    authors: Friedman MJ,Resick PA,Bryant RA,Strain J,Horowitz M,Spiegel D

    更新日期:2011-09-01 00:00:00

  • Use of venlafaxine in children and adolescents: a review of current literature.

    abstract::Pediatric psychopharmacology is hindered by the relative lack of controlled, empirical clinical trials [Shatzberg and Nemeroff, 1998: Washington, D.C.: The American Psychiatric Press, Inc. p 301-306]. Psychiatric disorders in children and adolescents carry considerable morbidity, impede development, and carry a signif...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审


    authors: Weller EB,Weller RA,Davis GP

    更新日期:2000-01-01 00:00:00

  • Predictors of post-traumatic stress disorder following severe injury.

    abstract::The chronicity and morbidity of established post-traumatic stress disorder (PTSD) has stimulated interest in recognizing and understanding the early development of the disorder. Acute stress disorder, a new diagnosis intended to facilitate early case detection, rests on the occurrence of dissociative reactions. It rem...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Mellman TA,David D,Bustamante V,Fins AI,Esposito K

    更新日期:2001-01-01 00:00:00

  • Psychotic symptoms in first-episode and drug naïve patients with major depressive disorder: Prevalence and related clinical factors.

    abstract:BACKGROUND:Many patients with major depressive disorder (MDD) have been found to have psychotic symptoms. However, few studies have reported the prevalence of comorbid psychotic symptoms in first-episode drug naïve (FEDN) MDD patients. This study was to investigate the prevalence of psychotic symptoms and related risk ...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Shen Y,Wei Y,Yang XN,Zhang G,Du X,Jia Q,Zhu X,Ma Y,Lang X,Luo X,Zhang XY

    更新日期:2020-08-01 00:00:00

  • Parental predictors of pediatric panic disorder/agoraphobia: a controlled study in high-risk offspring.

    abstract::Our objective was to evaluate parental risk factors for pediatric-onset panic disorder/agoraphobia (PD/AG) in offspring at high risk for PD/AG. Comparisons were made between parents with PD who had a child with PD or AG (N = 27) and parents with PD without children with PD or AG (N = 79). Comparisons were also made be...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Biederman J,Petty C,Faraone SV,Hirshfeld-Becker DR,Henin A,Dougherty M,Lebel TJ,Pollack M,Rosenbaum JF

    更新日期:2005-01-01 00:00:00

  • Competitive memory training (COMET) for treating low self-esteem in patients with depressive disorders: a randomized clinical trial.

    abstract:BACKGROUND:Self-esteem is a major concern in mood disorders. Low self-esteem is a symptom of depressive disorders and is considered by some to be a predictor for relapse, whereas high self-esteem seems to buffer against depression. Recently, Competitive Memory Training (COMET) has shown to be effective for the enhancem...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,随机对照试验


    authors: Korrelboom K,Maarsingh M,Huijbrechts I

    更新日期:2012-02-01 00:00:00

  • A double-blind, randomized, placebo-controlled, fixed-dose phase III study of vilazodone in patients with generalized anxiety disorder.

    abstract:BACKGROUND:Vilazodone, a selective serotonin reuptake inhibitor and 5-HT1A receptor partial agonist, is approved for treating major depressive disorder in adults. This study (NCT01629966 evaluated the efficacy and safety of vilazodone in adults with generalized anxiety disorder (GAD). METHODS:A mul...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Gommoll C,Durgam S,Mathews M,Forero G,Nunez R,Tang X,Thase ME

    更新日期:2015-06-01 00:00:00

  • Serotonergic modulation of the balance system in panic disorder: an open study.

    abstract::Experimental evidence suggests that panic disorder is characterized by abnormalities in the balance system function and that these abnormalities might be related to the severity of agoraphobic avoidance. Since the balance system can be modulated by the serotonergic system, we investigated the effect of a 6-week treatm...

    journal_title:Depression and anxiety

    pub_type: 临床试验,杂志文章


    authors: Perna G,Alpini D,Caldirola D,Raponi G,Cesarani A,Bellodi L

    更新日期:2003-01-01 00:00:00

  • Comparison of pramipexole, fluoxetine, and placebo in patients with major depression.

    abstract::Pramipexole, a dopamine D2 receptor agonist, was tested in 174 patients with major depression, with or without melancholia and without psychotic features. Three daily dose levels (0.375 mg, 1.0 mg, and 5.0 mg) were compared to fluoxetine (Prozac) at 20 mg and placebo in a randomized, double-blind, parallel-group study...

    journal_title:Depression and anxiety

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Corrigan MH,Denahan AQ,Wright CE,Ragual RJ,Evans DL

    更新日期:2000-01-01 00:00:00

  • Role of serotonergic and noradrenergic systems in the pathophysiology of depression and anxiety disorders.

    abstract::There is abundant evidence for abnormalities of the norepinephrine (NE) and serotonin (5HT) neurotransmitter systems in depression and anxiety disorders. The majority of evidence supports underactivation of serotonergic function and complex dysregulation of noradrenergic function, most consistent with overactivation o...

    journal_title:Depression and anxiety

    pub_type: 杂志文章,评审


    authors: Ressler KJ,Nemeroff CB

    更新日期:2000-01-01 00:00:00

  • Evidence-based psychotherapy trends among posttraumatic stress disorder patients in a national healthcare system, 2001-2014.

    abstract:BACKGROUND:Although evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD) were implemented starting in 2005 in the veterans health administration (VHA), the largest national healthcare system in the U.S., the rate of initiation (uptake) and prevalence of these treatments in each calendar year h...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Maguen S,Holder N,Madden E,Li Y,Seal KH,Neylan TC,Lujan C,Patterson OV,DuVall SL,Shiner B

    更新日期:2020-04-01 00:00:00

  • Focal and aberrant prefrontal engagement during emotion regulation in veterans with posttraumatic stress disorder.

    abstract:BACKGROUND:Collectively, functional neuroimaging studies implicate frontal-limbic dysfunction in the pathophysiology of posttraumatic stress disorder (PTSD), as reflected by altered amygdala reactivity and deficient prefrontal responses. These neural patterns are often elicited by social signals of threat (fearful/angr...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Rabinak CA,MacNamara A,Kennedy AE,Angstadt M,Stein MB,Liberzon I,Phan KL

    更新日期:2014-10-01 00:00:00

  • Psychological resilience and neurocognitive performance in a traumatized community sample.

    abstract:BACKGROUND:Whether psychological resilience correlates with neurocognitive performance is largely unknown. Therefore, we assessed association between neurocognitive performance and resilience in individuals with a history of childhood abuse or trauma exposure. METHODS:In this cross-sectional study of 226 highly trauma...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Wingo AP,Fani N,Bradley B,Ressler KJ

    更新日期:2010-08-01 00:00:00

  • Atypical depression, atypical temperament and a differential antidepressant response to fluoxetine and nortriptyline.

    abstract::We examined the personality characteristics of depressed patients with and without atypical depression. Of 195 depressed outpatients in a randomized treatment trial of fluoxetine or nortriptyline, 16 met DSM-IV criteria for atypical depression. We compared the personality traits and disorders in those with and without...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Joyce PR,Mulder RT,McKenzie JM,Luty SE,Cloninger CR

    更新日期:2004-01-01 00:00:00

  • Prenatal exposure to maternal and paternal depressive symptoms and white matter microstructure in children.

    abstract:BACKGROUND:Prenatal maternal depression has been associated with multiple problems in offspring involving affect, cognition, and neuroendocrine functioning. This suggests that prenatal depression influences neurodevelopment. However, the underlying neurodevelopmental mechanism remains unclear. We prospectively assessed...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: El Marroun H,Zou R,Muetzel RL,Jaddoe VW,Verhulst FC,White T,Tiemeier H

    更新日期:2018-04-01 00:00:00

  • Possible precipitants of psychiatric hospitalization in patients with major depression: results from the Jerusalem Collaborative Depression Project.

    abstract::In spite of substantial advances in the treatment of major depression by pharmacotherapy and other means, a significant number of depressed patients require hospitalization. In the context of the Jerusalem Collaborative Depression Project, possible precipitants of psychiatric hospitalization were sought in a cohort of...

    journal_title:Depression and anxiety

    pub_type: 杂志文章


    authors: Lerer B,Shapira B,Bloch M,Hanin B,Trudart T,Alexander JR,Popper M,Braun D,Segman RH,Ritsner M

    更新日期:1999-01-01 00:00:00