Working alliance for clients with social anxiety disorder: relationship with session helpfulness and within-session habituation.

Abstract:

:It has been suggested that a strong working alliance encourages clients to take risks during therapy (Raue, Castonguay, & Goldfried, 1993). This encouragement may be important for clients who fear negative evaluations as they engage in risk-taking elements of therapy. This study examined the relationship between working alliance, session helpfulness and measures of emotional processing in 18 clients undergoing cognitive behavior therapy (CBT) for social anxiety disorder. Results indicate a positive correlation between client-rated, but not observer-rated, working alliance and session helpfulness. Moderate levels of working alliance were associated with higher initial anxiety and deeper within-session habituation. Overall, a strong alliance was associated with clients engaging with the session and finding the session helpful. Implications for the use of CBT for social anxiety are discussed.

journal_name

Cogn Behav Ther

authors

Hayes SA,Hope DA,VanDyke MM,Heimberg RG

doi

10.1080/16506070600947624

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

34-42

issue

1

eissn

1650-6073

issn

1651-2316

pii

772863228

journal_volume

36

pub_type

杂志文章
  • Sleep-Related Safety Behaviors and Dysfunctional Beliefs Mediate the Efficacy of Online CBT for Insomnia: A Randomized Controlled Trial.

    abstract::Several trials have demonstrated the efficacy of online cognitive behavioral therapy (CBT) for insomnia. However, few studies have examined putative mechanisms of change based on the cognitive model of insomnia. Identification of modifiable mechanisms by which the treatment works may guide efforts to further improve t...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2015.1026386

    authors: Lancee J,Eisma MC,van Straten A,Kamphuis JH

    更新日期:2015-01-01 00:00:00

  • Patient expectations in internet-based self-help for social anxiety.

    abstract::A number of controlled trials have demonstrated the efficacy of Internet-based cognitive-behaviour therapy for treating social anxiety disorder (SAD). However, little is known about what makes those interventions work. The current trial focuses on patient expectations as one common mechanism of change. The study exami...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2012.759615

    authors: Boettcher J,Renneberg B,Berger T

    更新日期:2013-01-01 00:00:00

  • Intolerance of uncertainty mediates the relation between generalized anxiety disorder symptoms and anger.

    abstract::Previous research has shown that individuals with generalized anxiety disorder (GAD) report elevated anger compared with nonanxious individuals; however, the pathways linking GAD and anger are currently unknown. We hypothesized that negative beliefs about uncertainty, negative beliefs about worry and perfectionism dim...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2014.888754

    authors: Fracalanza K,Koerner N,Deschênes SS,Dugas MJ

    更新日期:2014-01-01 00:00:00

  • Efficacy of guided self-help behavioural activation and physical activity for depression: a randomized controlled trial.

    abstract::Behavioural activation and physical activity have received empirical support that highlight their efficacy in reducing depression. Even though both behavioural activation and physical activity share the common goal of reactivating the individual, limited research has directly compared these interventions, and more res...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2017.1337806

    authors: Soucy I,Provencher M,Fortier M,McFadden T

    更新日期:2017-11-01 00:00:00

  • Changes in catastrophizing and depressed mood during and after early cognitive behaviorally oriented interventions for pain.

    abstract::Catastrophizing and depressed mood are risk factors for poor outcome in treatments for pain and appear to act as mediators for favorable outcome. However, little is known about how catastrophizing and depressed mood co-occur within individuals and how these patterns change during treatment, which is the focus of the c...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2014.940605

    authors: Flink IK,Boersma K,Linton SJ

    更新日期:2014-01-01 00:00:00

  • Tendency to catastrophize somatic sensations: pain catastrophizing and anxiety sensitivity in predicting headache.

    abstract::General catastrophic thinking styles about uncomfortable bodily sensations may predispose the development of common health pathologies, such as persistent headache. The purpose of this research was to explore the relationships between the Pain Catastrophizing (PC) Scale and Anxiety Sensitivity (AS) Index, which measur...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070600898397

    authors: Drahovzal DN,Stewart SH,Sullivan MJ

    更新日期:2006-01-01 00:00:00

  • Validation of the internet-administered Quality of Life Inventory (QOLI) in different psychiatric conditions.

    abstract::The Quality of Life Inventory (QOLI) is an established rating scale of self-perceived quality of life across 16 domains. Norms for different psychiatric conditions when rated via the Internet, responsiveness to change following treatment, and the clinical impact of importance-weighting items have yet to be examined. T...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2013.806584

    authors: Lindner P,Andersson G,Ost LG,Carlbring P

    更新日期:2013-01-01 00:00:00

  • Clinicians' perspectives on negative effects of psychological treatments.

    abstract::Negative effects of psychological treatments is a fairly unexplored area of clinical research. Previous investigations have indicated that a portion of all patients experience negative effects in terms of deterioration and various adverse events. Meanwhile, evidence suggests that many clinicians are untrained in ident...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2014.939593

    authors: Bystedt S,Rozental A,Andersson G,Boettcher J,Carlbring P

    更新日期:2014-01-01 00:00:00

  • Who benefits from psychotherapies for adult depression? A meta-analytic update of the evidence.

    abstract::It is not clear whether specific target groups for psychotherapies in adult depression benefit as much from these treatments as other patients. We examined target groups that have been examined in randomized trials, including women, older adults, students, minorities, patients with general medical disorders, and speci...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/16506073.2017.1420098

    authors: Cuijpers P,Karyotaki E,Reijnders M,Huibers MJH

    更新日期:2018-03-01 00:00:00

  • Emotion suppression: a preliminary experimental investigation of its immediate effects and role in subsequent reactivity to novel stimuli.

    abstract::This study details a preliminary investigation of the subjective and physiological effects of emotion suppression, relative to the allowance of emotional experience, within one distressing situation on responses to another, unrelated situation. Thirty-four men were instructed to suppress or allow their emotional respo...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070903280491

    authors: Tull MT,Jakupcak M,Roemer L

    更新日期:2010-01-01 00:00:00

  • Pediatric trichotillomania: descriptive psychopathology and an open trial of cognitive behavioral therapy.

    abstract::In study 1, 46 children and adolescents with trichotillomania who sought treatment at 2 specialty outpatient clinics were assessed. Most children reported pulling hair from multiple sites on the body, presented with readily visible alopecia, reported spending 30-60 minutes per day pulling or thinking about pulling, an...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070701223230

    authors: Tolin DF,Franklin ME,Diefenbach GJ,Anderson E,Meunier SA

    更新日期:2007-01-01 00:00:00

  • Phone coaching in Dialectical Behavior Therapy: frequency and relationship to client variables.

    abstract::Telephone coaching is a treatment mode in Dialectical Behavior Therapy (DBT) that is designed to help clients generalize skills, prevent suicidal behaviors, and repair therapeutic ruptures. To date, phone coaching has received scant empirical investigation. The aims of this study were to (1) describe patterns in frequ...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2018.1437469

    authors: Oliveira PN,Rizvi SL

    更新日期:2018-09-01 00:00:00

  • Internet-based self-help versus one-session exposure in the treatment of spider phobia: a randomized controlled trial.

    abstract::The authors compared guided Internet-delivered self-help with one session of live-exposure treatment in a sample of spider-phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which w...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070902931326

    authors: Andersson G,Waara J,Jonsson U,Malmaeus F,Carlbring P,Ost LG

    更新日期:2009-01-01 00:00:00

  • The mediatory role of maladaptive schema modes between parental care and non-suicidal self-injury.

    abstract::Non-suicidal self-injury (NSSI) is being increasingly recognised as a behaviour of significant clinical importance. Yet, there remains uncertainty regarding the underlying mechanisms of NSSI. This study aimed to explore the relationship between maladaptive schema modes, parental bonding, and NSSI. Seventy psychiatric ...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2013.781671

    authors: Saldias A,Power K,Gillanders DT,Campbell CW,Blake RA

    更新日期:2013-01-01 00:00:00

  • Cognitive behavioural therapy and applied relaxation for generalized anxiety disorder: a time series analysis of change in worry and somatic anxiety.

    abstract::The present study examined symptom change profiles in patients with generalized anxiety disorder (GAD) receiving either cognitive behavioural therapy (CBT) or applied relaxation (AR). It was hypothesized that (a) changes in worry would uniquely predict changes in somatic anxiety for most participants receiving CBT and...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070902980745

    authors: Dugas MJ,Francis K,Bouchard S

    更新日期:2009-01-01 00:00:00

  • Mediation analyses of Internet-facilitated cognitive behavioral intervention for maternal depression.

    abstract::This study evaluated the putative mediating mechanisms of an Internet-facilitated cognitive-behavioral therapy (CBT) intervention for depression tailored to economically disadvantaged mothers of preschool-age children. The CBT mediators were tested across two previously published randomized controlled trials which inc...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2018.1513554

    authors: Seeley JR,Sheeber LB,Feil EG,Leve C,Davis B,Sorensen E,Allan S

    更新日期:2019-07-01 00:00:00

  • Depressive rumination: investigating mechanisms to improve cognitive behavioural treatments.

    abstract::Rumination has been identified as a core process in the development and maintenance of depression. Treatments targeting ruminative processes may, therefore, be particularly helpful for treating chronic and recurrent depression. The development of such treatments requires translational research that marries clinical tr...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070902980695

    authors: Watkins ER

    更新日期:2009-01-01 00:00:00

  • The Treatment Acceptability/Adherence Scale: Moving Beyond the Assessment of Treatment Effectiveness.

    abstract::It is becoming more broadly recognized that beyond effectiveness, the acceptability of interventions for anxiety disorders is an important consideration for evidence-based practice. Although advances in treatments for anxious psychopathologies have demonstrated that cognitive-behavioural interventions are more desirab...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2015.1053407

    authors: Milosevic I,Levy HC,Alcolado GM,Radomsky AS

    更新日期:2015-01-01 00:00:00

  • A Single Bout of Aerobic Exercise Reduces Anxiety Sensitivity But Not Intolerance of Uncertainty or Distress Tolerance: A Randomized Controlled Trial.

    abstract::Several mechanisms have been posited for the anxiolytic effects of exercise, including reductions in anxiety sensitivity through interoceptive exposure. Studies on aerobic exercise lend support to this hypothesis; however, research investigating aerobic exercise in comparison to placebo, the dose-response relationship...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2015.1028094

    authors: LeBouthillier DM,Asmundson GJ

    更新日期:2015-01-01 00:00:00

  • Cognitive behavioral therapy plus motivational interviewing improves outcome for pediatric obsessive-compulsive disorder: a preliminary study.

    abstract::Lack of motivation may negatively impact cognitive behavioral therapy (CBT) response for pediatric patients with obsessive-compulsive disorder (OCD). Motivational interviewing is a method for interacting with patients in order to decrease their ambivalence and support their self-efficacy in their efforts at behavior c...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070902831773

    authors: Merlo LJ,Storch EA,Lehmkuhl HD,Jacob ML,Murphy TK,Goodman WK,Geffken GR

    更新日期:2010-01-01 00:00:00

  • Psychometric properties of the French and English versions of the Vancouver Obsessional-Compulsive Inventory and the Symmetry Ordering and Arranging Questionnaire.

    abstract::The Vancouver Obsessional-Compulsive Inventory (VOCI) and the Symmetry Ordering and Arranging Questionnaire (SOAQ) are self-report measures that assess a wide variety of symptoms and features of obsessive-compulsive disorder (OCD) including checking, contamination, obsessions, hoarding, "just right", indecisiveness, a...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070600827198

    authors: Radomsky AS,Ouimet AJ,Ashbaugh AR,Lavoie SL,Parrish CL,O'Connor KP

    更新日期:2006-01-01 00:00:00

  • Examining experiential avoidance as a mediator of the relation between anxiety sensitivity and depressive symptoms.

    abstract::Initial evidence suggests that experiential avoidance (EA) mediates the relation between anxiety sensitivity (AS) and depression. We examined the AS-EA-depression pathway, examining both concurrent, and prospective (cross-lag), mediation models. Utilizing data from a study that examined the effects of exercise on AS (...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2018.1546768

    authors: Stein AT,Medina JL,Rosenfield D,Otto MW,Smits JAJ

    更新日期:2020-01-01 00:00:00

  • What's in a name? Intolerance of uncertainty, other uncertainty-relevant constructs, and their differential relations to worry and generalized anxiety disorder.

    abstract::A number of studies have examined the association of intolerance of uncertainty (IU) to trait worry and generalized anxiety disorder (GAD). However, few studies have examined the extent of overlap between IU and other psychological constructs that bear conceptual resemblance to IU, despite the fact that IU-type constr...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2016.1211172

    authors: Koerner N,Mejia T,Kusec A

    更新日期:2017-03-01 00:00:00

  • Managing resistance in cognitive behavioural therapy: the application of motivational interviewing in mixed anxiety and depression.

    abstract::While cognitive behavioural therapy is highly effective in the treatment of anxiety and depression, a substantive number of individuals either refuse treatment, fail to respond to treatment or respond only partially. Arguably, ambivalence about change or about engaging in treatment tasks may in part be related to inco...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070410026426

    authors: Westra HA

    更新日期:2004-01-01 00:00:00

  • Effects of analytical and experiential self-focus on rumination after a stress induction in patients with social anxiety disorder: a pilot study.

    abstract::According to cognitive models, negative post-event processing rumination is a key maintaining factor in social anxiety disorder (SAD). Analogue research has supported the differentiation of self-focus into different modes of self-focused attention with distinct effects on rumination in depression and social anxiety. T...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2012.682088

    authors: Nilsson JE,Lundh LG,Viborg G

    更新日期:2012-01-01 00:00:00

  • Anxiety sensitivity and attentional bias to threat interact to prospectively predict anxiety.

    abstract::The purpose of the present study was to examine anxiety sensitivity, attentional bias to threat (ABT), and the aggregate influence of these constructs as prospective predictors of anxiety. Participants (N = 176) completed a baseline assessment session which included the completion of self-report measures of anxiety an...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2018.1466911

    authors: Bardeen JR,Daniel TA

    更新日期:2018-11-01 00:00:00

  • The effectiveness of cognitive behavioral therapy for generalized anxiety disorder in a frontline service setting.

    abstract::The goal of the current study was to test the generalizability of cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) in a frontline service setting. Twenty-nine patients who presented to treatment clinics with problematic worry were provided CBT for GAD. Among the intent-to-treat sample, there w...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,多中心研究

    doi:10.1080/16506070802190262

    authors: Kehle SM

    更新日期:2008-01-01 00:00:00

  • Preliminary examination of the relationship between anxiety disorders in adults and self-reported history of teasing or bullying experiences.

    abstract::This preliminary study examined the relationship between anxiety disorders and self-reported history of teasing or bullying experiences, comparing individuals with social phobia, obsessive compulsive disorder, and panic disorder with or without agoraphobia. Given that aversive conditioning experiences, such as severe ...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070310005051

    authors: McCabe RE,Antony MM,Summerfeldt LJ,Liss A,Swinson RP

    更新日期:2003-01-01 00:00:00

  • Internet-based therapy for mild to moderate depression in Swedish primary care: short term results from the PRIM-NET randomized controlled trial.

    abstract::Depression presents a serious condition for the individual and a major challenge to health care and society. Internet-based cognitive behavior therapy (ICBT) is a treatment option supported in several trials, but there is as yet a lack of effective studies of ICBT in "real world" primary care settings. We examined whe...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2014.921834

    authors: Kivi M,Eriksson MC,Hange D,Petersson EL,Vernmark K,Johansson B,Björkelund C

    更新日期:2014-01-01 00:00:00

  • Sexually abused children suffering from post-traumatic stress disorder: assessment and treatment strategies.

    abstract::Child sexual abuse is a highly prevalent problem that frequently occasions the onset of post-traumatic stress disorder in the victimized youngster. This selective review addresses recent advances in the assessment and treatment of sexually abused children with post-traumatic stress disorder. Firstly, we outline the di...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070310003620

    authors: King NJ,Heyne D,Tonge BJ,Mullen P,Myerson N,Rollings S,Ollendick TH

    更新日期:2003-01-01 00:00:00