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...
Autores principales: | , , , |
---|---|
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 |