Cargando…

Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder

BACKGROUND: There are high attrition rates observed in efficacy studies for social anxiety disorder, and research has not identified consistent nor theoretically meaningful predictors of dropout. Pre-treatment symptom severity and demographic factors, such as age and gender, are sometimes predictive...

Descripción completa

Detalles Bibliográficos
Autores principales: Johnson, Suzanne, Price, Matthew, Mehta, Natasha, Anderson, Page L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149193/
https://www.ncbi.nlm.nih.gov/pubmed/25199046
http://dx.doi.org/10.1186/s12888-014-0233-8
_version_ 1782332714196664320
author Johnson, Suzanne
Price, Matthew
Mehta, Natasha
Anderson, Page L
author_facet Johnson, Suzanne
Price, Matthew
Mehta, Natasha
Anderson, Page L
author_sort Johnson, Suzanne
collection PubMed
description BACKGROUND: There are high attrition rates observed in efficacy studies for social anxiety disorder, and research has not identified consistent nor theoretically meaningful predictors of dropout. Pre-treatment symptom severity and demographic factors, such as age and gender, are sometimes predictive of dropout. The current study examines a theoretically meaningful predictor of attrition based on experiences associated with social group membership rather than differences between social group categories--fear of confirming stereotypes. METHODS: This is a secondary data analysis of a randomized controlled trial comparing two cognitive behavioral treatments for social anxiety disorder: virtual reality exposure therapy and exposure group therapy. Participants (N = 74) with a primary diagnosis of social anxiety disorder who were eligible to participate in the parent study and who self-identified as either “African American” (n = 31) or “Caucasian” (n = 43) completed standardized self-report measures of stereotype confirmation concerns (SCC) and social anxiety symptoms as part of a pre-treatment assessment battery. RESULTS: Hierarchical logistic regression showed that greater stereotype confirmation concerns were associated with higher dropout from therapy--race, age, gender, and pre-treatment symptom severity were not. Group treatment also was associated with higher dropout. CONCLUSIONS: These findings urge further research on theoretically meaningful predictors of attrition and highlight the importance of addressing cultural variables, such as the experience of stereotype confirmation concerns, during treatment of social anxiety to minimize dropout from therapy.
format Online
Article
Text
id pubmed-4149193
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-41491932014-08-30 Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder Johnson, Suzanne Price, Matthew Mehta, Natasha Anderson, Page L BMC Psychiatry Research Article BACKGROUND: There are high attrition rates observed in efficacy studies for social anxiety disorder, and research has not identified consistent nor theoretically meaningful predictors of dropout. Pre-treatment symptom severity and demographic factors, such as age and gender, are sometimes predictive of dropout. The current study examines a theoretically meaningful predictor of attrition based on experiences associated with social group membership rather than differences between social group categories--fear of confirming stereotypes. METHODS: This is a secondary data analysis of a randomized controlled trial comparing two cognitive behavioral treatments for social anxiety disorder: virtual reality exposure therapy and exposure group therapy. Participants (N = 74) with a primary diagnosis of social anxiety disorder who were eligible to participate in the parent study and who self-identified as either “African American” (n = 31) or “Caucasian” (n = 43) completed standardized self-report measures of stereotype confirmation concerns (SCC) and social anxiety symptoms as part of a pre-treatment assessment battery. RESULTS: Hierarchical logistic regression showed that greater stereotype confirmation concerns were associated with higher dropout from therapy--race, age, gender, and pre-treatment symptom severity were not. Group treatment also was associated with higher dropout. CONCLUSIONS: These findings urge further research on theoretically meaningful predictors of attrition and highlight the importance of addressing cultural variables, such as the experience of stereotype confirmation concerns, during treatment of social anxiety to minimize dropout from therapy. BioMed Central 2014-08-19 /pmc/articles/PMC4149193/ /pubmed/25199046 http://dx.doi.org/10.1186/s12888-014-0233-8 Text en © Johnson et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Johnson, Suzanne
Price, Matthew
Mehta, Natasha
Anderson, Page L
Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder
title Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder
title_full Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder
title_fullStr Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder
title_full_unstemmed Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder
title_short Stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder
title_sort stereotype confirmation concerns predict dropout from cognitive behavioral therapy for social anxiety disorder
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149193/
https://www.ncbi.nlm.nih.gov/pubmed/25199046
http://dx.doi.org/10.1186/s12888-014-0233-8
work_keys_str_mv AT johnsonsuzanne stereotypeconfirmationconcernspredictdropoutfromcognitivebehavioraltherapyforsocialanxietydisorder
AT pricematthew stereotypeconfirmationconcernspredictdropoutfromcognitivebehavioraltherapyforsocialanxietydisorder
AT mehtanatasha stereotypeconfirmationconcernspredictdropoutfromcognitivebehavioraltherapyforsocialanxietydisorder
AT andersonpagel stereotypeconfirmationconcernspredictdropoutfromcognitivebehavioraltherapyforsocialanxietydisorder