Pre-treatment patient variables as predictors of drop-out and treatment outcome in cognitive behavioural therapy for social phobia: A systematic review.

Abstract:

BACKGROUND:Although cognitive behavioural therapy (CBT) has been shown to be an efficacious treatment for social phobia (SP), many patients drop out or achieve little or no benefit from treatment. This fact is generally considered an argument for the importance of studies of predictor variables. AIMS:This paper systematically reviews pre-treatment patient variables as predictors of drop-out from and outcome of CBT for SP. METHOD:A structured literature search was conducted in PsycINFO, Embase and PubMed. RESULTS:28 published studies with n>or=60 were located. No pre-treatment patient variables were found to predict drop-out. Consistently across studies, higher levels of pre-treatment symptomatic severity predicted higher levels of end-state symptomatic severity, but not degree of improvement. There was some evidence that comorbid depression and avoidant personality disorder before treatment negatively influenced post-treatment end-state functioning, but not consistently improvement. No other patient variables consistently predicted outcome across studies. CONCLUSIONS:Generally, the results are in line with the conclusion that more disturbed patients with SP both begin and end treatment at a higher symptomatic level but with a similar degree of improvement. There is, however, little clinically or theoretically relevant knowledge to be gained from existing studies of pre-treatment patient variables as predictors of drop-out and treatment outcome in CBT for patients with SP. The field is in need of conceptual and methodological improvements if more solid findings should be hoped for.

journal_name

Nord J Psychiatry

authors

Eskildsen A,Hougaard E,Rosenberg NK

doi

10.3109/08039480903426929

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

94-105

issue

2

eissn

0803-9488

issn

1502-4725

journal_volume

64

pub_type

杂志文章,评审
  • Incidence of cardiovascular diseases and type-2-diabetes mellitus in patients with psychiatric disorders.

    abstract:OBJECTIVE:To assess the incidence of cardiovascular diseases (CVD) and type-2-diabetes in patients with psychiatric disorders. METHODS:A population-based study was conducted using the Swedish national health registries. Patients were identified from the Electronic Medical Records (EMR) in 20 primary care centers and w...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039488.2018.1463392

    authors: Bent-Ennakhil N,Cécile Périer M,Sobocki P,Gothefors D,Johansson G,Milea D,Empana JP

    更新日期:2018-10-01 00:00:00

  • Comparison of patterns and strength of adult attachment in patients with Axis I, Axis I+II disorders and a community sample.

    abstract:BACKGROUND:Adult attachment patterns influence the quality of close relationships, and they are therefore important for treatment planning in psychiatry. AIM:This study compares the patterns and strength of adult attachment in patients with Axis I, Axis I+II disorders and individuals of a general population sample. M...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2013.859298

    authors: Olssøn I,Dahl AA

    更新日期:2014-10-01 00:00:00

  • Effect of major depression on cognitive performance among treatment-seeking adolescents.

    abstract::We investigated the association between cognitive performance and major depressive disorder (MDD) in adolescents seeking outpatient treatment. We used several tests comparing cognitive capacities between 16 adolescents with MDD and 25 adolescents not diagnosed as suffering from psychiatric illness according to the Str...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/080394802317607165

    authors: Korhonen V,Laukkanen E,Antikainen R,Peiponen S,Lehtonen J,Viinamäki H

    更新日期:2002-01-01 00:00:00

  • Adolescent outpatients with depressive disorders: clinical characteristics and treatment received.

    abstract::Depressive disorders constitute a common clinical problem. However, research on psychosocial impairment and treatment-related factors among adolescent outpatients with different diagnoses of depression is scarce. This study aimed at investigating consecutively referred outpatient adolescents with depressive syndrome c...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039480510022981

    authors: Pelkonen M,Marttunen M

    更新日期:2005-01-01 00:00:00

  • The significance of addressing trauma in outpatient psychiatry.

    abstract::Establishing post-traumatic stress disorder as a psychiatric diagnosis has only marginally increased awareness of traumatic experiences. Traumas are inconsistently recorded in initial psychiatric histories and, when observed, rarely reflected in the primary diagnosis and treatment. The present study aimed to investiga...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039480410005828

    authors: Al-Saffar S,Borgå P,Lawoko S,Edman G,Hällström T

    更新日期:2004-01-01 00:00:00

  • (Post-traumatic) embitterment disorder: critical evaluation of its stressor criterion and a proposed revised classification.

    abstract:BACKGROUND:In 2003, the German psychiatrist Michael Linden proposed the new mental disorder concept of "post-traumatic embitterment disorder (PTED)". PTED is defined as the mental reaction to a critical event that is normal, but not everyday, such as conflict at work. The patient sees this event as unjust and as a viol...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039480903398185

    authors: Dobricki M,Maercker A

    更新日期:2010-05-04 00:00:00

  • The Swedish Depressive Personality Disorder Inventory: psychometrics and clinical correlates from a DSM-IV and proposed DSM-5 perspective.

    abstract:BACKGROUND:Depressive personality is commonly seen in clinical practice, and today only one exclusive self-report instrument-the Depressive Personality Disorder Inventory (DPDI)-is available for its assessment based on the DSM-IV description of the construct. AIMS:The purpose of this research was to evaluate a Swedish...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2011.611251

    authors: Maddux RE,Lundh LG,Bäckström M

    更新日期:2012-06-01 00:00:00

  • Cognitive model and cognitive behavior therapy for schizophrenia: an overview.

    abstract:BACKGROUND:Schizophrenia causes great suffering for patients and families. Today, patients are treated with medications, but unfortunately many still have persistent symptoms and an impaired quality of life. During the last 20 years of research in cognitive behavioral therapy (CBT) for schizophrenia, evidence has been ...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章,meta分析,评审

    doi:10.3109/08039488.2013.789074

    authors: Sarin F,Wallin L

    更新日期:2014-04-01 00:00:00

  • A systematic review of psychiatric indications for deep brain stimulation, with focus on major depressive and obsessive-compulsive disorder.

    abstract:BACKGROUND:Deep brain stimulation is a treatment under investigation for a range of psychiatric disorders. It has shown promising results for therapy-refractory obsessive-compulsive disorder (OCD) and major depressive disorder (MDD). Other indications under investigation include Tourette's syndrome, anorexia nervosa an...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章,评审

    doi:10.3109/08039488.2016.1162846

    authors: Naesström M,Blomstedt P,Bodlund O

    更新日期:2016-10-01 00:00:00

  • Can memory and executive functions in patients with obsessive-compulsive disorder predict outcome of cognitive behavioural therapy?

    abstract:BACKGROUND:Most studies find that patients with obsessive-compulsive disorder (OCD) have impaired memory and executive functions. Cognitive behavioural therapy (CBT) is the recommended psychotherapeutic treatment of patients with OCD. We hypothesized that impairments in memory and executive functions would predict poor...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2015.1074282

    authors: Vandborg SK,Hartmann TB,Bennedsen BE,Pedersen AD,Thomsen PH

    更新日期:2016-01-01 00:00:00

  • Eveningness and poor sleep quality independently contribute to self-reported depression severity in psychiatric inpatients with affective disorder.

    abstract::Background Chronotype and insomnia have been related to the development and to an unfavourable course of depression. However, the mutual relationship of both risk factors is as yet unclear, especially in acute, clinically manifest depressive disorders. Aims The present study was carried out to elucidate the separate d...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2015.1112832

    authors: Müller MJ,Kundermann B,Cabanel N

    更新日期:2016-07-01 00:00:00

  • Suicide attempts and life events 5-9 years after referral for emergency psychiatric outpatient treatment.

    abstract::The aim of this naturalistic and retrospective follow-up study was to identify putative predictors of suicide attempts among young adults at high risk with a particular view on adverse life events. One hundred young adults who had been given emergency treatment for mental health problems in child and adolescent outpat...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039480500213626

    authors: Skarbø T,Rosenvinge JH,Holte A

    更新日期:2005-01-01 00:00:00

  • Psychiatric comorbidity, quality of life and social support in epileptic patients.

    abstract:BACKGROUND:Epilepsy is accompanied by many psychiatric disorders and continues to be a disease that disturbs the functioning and quality of life (QOL) of patients. AIMS:To assess the frequency of psychiatric disorders occurring in epileptic patients, determine depression and anxiety levels, and compare the results wit...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2011.565798

    authors: Gülpek D,Bolat E,Mete L,Arici S,Celebisoy M

    更新日期:2011-12-01 00:00:00

  • Talking about parental substance abuse with children: eight families' experiences of Beardslee's family intervention.

    abstract:BACKGROUND:Many children are affected by parental substance use disorder. Beardslee's family intervention (BFI) is a family-based psycho-educative method for children of mentally ill parents, used in psychiatric practise in several Nordic countries. The method has also been used to some extent when a parent suffers fro...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039488.2017.1308009

    authors: Pihkala H,Dimova-Bränström N,Sandlund M

    更新日期:2017-07-01 00:00:00

  • Swedish attitudes towards persons with mental illness.

    abstract:BACKGROUND:Negative and stigmatizing attitudes towards persons with mental illness must be dealt with to facilitate the sufferers' social acceptance. AIM:The present study aimed at survey Swedish attitudes towards persons with mental illness related to factors impacting these attitudes. MATERIAL AND METHODS:New CAMI-...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2011.596947

    authors: Högberg T,Magnusson A,Lützén K,Ewalds-Kvist B

    更新日期:2012-04-01 00:00:00

  • A test of shame in outpatients with emotional disorder.

    abstract:BACKGROUND:Shame is an acknowledged part of several psychopathological conditions, but is underrepresented in clinical research. Cook's Internalized Shame Scale (ISS) is the most promising measure, but has mostly been used for testing small clinical samples biased toward depressive pathology and female participants. A...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039480903398177

    authors: Vikan A,Hassel AM,Rugset A,Johansen HE,Moen T

    更新日期:2010-05-04 00:00:00

  • Psychometric validation of a Danish version of the Obsessive Beliefs Questionnaire - Child Version (OBQ-CV).

    abstract:AIM:The aim of the study was to examine the psychometric properties of a Danish version of the Obsessive Beliefs Questionnaire - Child Version (OBQ-CV). The OBQ-CV assesses dysfunctional beliefs concerning responsibility/threat estimation, perfectionism/uncertainty, and importance/control of thoughts, which according t...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039488.2018.1513068

    authors: Schultz C,Lambek R,Højgaard D,Söchting I,Thastum M,Hove Thomsen P,Anna Hybel K

    更新日期:2018-11-01 00:00:00

  • Cognitive-behaviour group therapy for men voluntary seeking help for intimate partner violence.

    abstract:BACKGROUND:Domestic violence is a major problem in society. In spite of this, there are few studies on the treatment of men who voluntarily seek help to stop their violent behaviour towards intimate partners. Most studies are performed on court-ordered individuals. AIM:The objective of this study was to evaluate resul...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/08039488.2012.665080

    authors: Palmstierna T,Haugan G,Jarwson S,Rasmussen K,Nøttestad JA

    更新日期:2012-10-01 00:00:00

  • On the relationship of atypical and low-dose conventional antipsychotics with akathisia in a clinical patient population.

    abstract::Metabolic side-effects of atypical antipsychotics have led to concern about their relative safety compared with low doses of conventional neuroleptics. Akathisia is an often misdiagnosed side-effect, which leads to non-compliance and sometimes even exacerbation of psychosis or suicidal behaviour. In fact, little is kn...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039480701226146

    authors: Markkula J,Helenius H,Lauerma H

    更新日期:2007-01-01 00:00:00

  • Associations of somatic symptom attribution in Turkish patients with major depression.

    abstract:BACKGROUND:There are differences across ethno-cultural groups in the degree of somatization among patients with major depressive disorder (MDD). Studies showed that the attribution style of somatic symptoms is an important predictor of health outcome in depressed patients. AIMS:The aims of this study were to investiga...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2014.950328

    authors: Taycan O,Ozdemir A,Erdogan-Taycan S,Jurcik T

    更新日期:2015-04-01 00:00:00

  • Prospective relations between alexithymia, substance use and depression: findings from a National Birth Cohort.

    abstract::Purpose: This study examined a developmental model that links affect-regulation difficulties in childhood with three dimensions of alexithymia in adolescence (difficulty identifying feelings, difficulty describing feelings, and externally oriented thinking) and substance use and depression in adulthood, while accounti...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039488.2019.1634758

    authors: Patwardhan I,Mason WA,Chmelka MB,Savolainen J,Miettunen J,Järvelin MR

    更新日期:2019-08-01 00:00:00

  • Neurocognitive effects of aripiprazole in adolescents and young adults with bipolar disorder.

    abstract:BACKGROUND:Patients with bipolar disorder have neurocognitive impairments, which are associated with poor functional outcomes. AIMS:This study evaluated the neurocognitive effects of aripiprazole in adolescents and young adults with bipolar disorder. METHODS:This was a 24-week, observational, prospective study perfor...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2011.643484

    authors: Wang LJ,Yeh CB,Huang YS,Tang CS,Chou WJ,Chou MC,Chen CK

    更新日期:2012-09-01 00:00:00

  • Differences in metacognitive beliefs among patients with bipolar disorder with or without previous suicide attempts.

    abstract::Purpose: The aim of this study is to compare differences in metacognitive beliefs between patients with bipolar disorder type I (BPDI) with previous suicide attempts (BPDI+), those without suicide attempts (BPDI-), and a control group. It also discusses the relationship between metacognitive beliefs and suicidal behav...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039488.2019.1649722

    authors: Cesur E,Şahmelikoğlu Onur Ö,Erten E

    更新日期:2019-10-01 00:00:00

  • Psychiatric and psychological evidence in the Supreme Court of Iceland--2001 to 2007.

    abstract:BACKGROUND:Little is known about expert psychiatric and psychological evidence in appeal cases. AIMS:To review the frequency, nature and impact of expert psychiatric and psychological evidence in the Supreme Court in Iceland over a 7-year period where all appeals in Iceland are heard. METHOD:All cases listed on the S...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039481003624181

    authors: Gudjonsson GH,Sigurdsson JF,Sveinsdottir B,Arnardottir H,Jonsson TA

    更新日期:2010-08-01 00:00:00

  • The long-term level of functioning in patients admitted for psychotic disorders with and without substance abuse.

    abstract::The main objective of this study was to compare life skills between psychotic patients with substance abuse problems and psychotic patients without substance abuse problems. This is a cross-sectional study of 48 patients (26 inpatients and 22 outpatients) in a clinic for early intervention in psychosis. Patients were ...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039480600583811

    authors: Møller T,Linaker OM

    更新日期:2006-01-01 00:00:00

  • Diagnostic stability over 2 years in patients with acute and transient psychotic disorders.

    abstract:OBJECTIVE:The nosological entity of acute and transient psychotic disorders (ATPD) as an independent diagnostic category has become a subject of controversial opinions. The present study aimed to follow-up the diagnostic stability of index episode of ATPD and to examine the influence of clinical and socio-demographic f...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2011.565800

    authors: Aadamsoo K,Saluveer E,Küünarpuu H,Vasar V,Maron E

    更新日期:2011-12-01 00:00:00

  • Student nurses and the general population in Sweden: trends in attitudes towards mental illness.

    abstract:OBJECTIVE:To evaluate attitudes towards mental illness displayed by student nurses' with previous contact with mentally disordered persons prior to education in psychiatric nursing and to evaluate trends in attitudes towards mental illness exhibited by student nurses and the public in Sweden. METHODS:Altogether 246 st...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2012.694145

    authors: Ewalds-Kvist B,Högberg T,Lützén K

    更新日期:2013-06-01 00:00:00

  • Relationship between phosphoinositide-3-kinase genetic polymorphism and schizophrenia.

    abstract:UNLABELLED:Schizophrenia, with incidence of 1% worldwide, is a common mental disorder. Phosphoinositide-3-kinases (PI3Ks) are a family of enzymes involved in cellular functions such as cell growth, proliferation, differentiation, motility, intracellular trafficking, and survival. These enzymes play an important role in...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.3109/08039488.2015.1092171

    authors: Kordi-Tamandani DM,Mir A

    更新日期:2016-01-01 00:00:00

  • Decreased theory of mind skills, increased emotion dysregulation and insight levels in adolescents diagnosed with obsessive compulsive disorder.

    abstract::Background: An abnormal interaction between cognition and emotion may contribute to the development of obsessive-compulsive disorder (OCD). Aims: In this study, we aimed to evaluate theory of mind and emotion regulation skills in adolescents diagnosed with OCD. In addition, the results were evaluated in accordance wit...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章

    doi:10.1080/08039488.2019.1652341

    authors: Yazici KU,Yazici IP

    更新日期:2019-10-01 00:00:00

  • Associations between high levels of conduct problems and co-occurring problems among the youngest boys and girls in schools: a cross-sectional study.

    abstract:BACKGROUND:Few studies have focused on conduct problems and co-occurring problems among the youngest children in schools, such as social, internalizing and attention problems. In particular, there is a lack of studies that differentiate between boys and girls in terms of such problems. AIM:The aim of the current study...

    journal_title:Nordic journal of psychiatry

    pub_type: 杂志文章,评审

    doi:10.3109/08039488.2012.731432

    authors: Kirkhaug B,Drugli MB,Lydersen S,Mørch WT

    更新日期:2013-08-01 00:00:00