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Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice
BACKGROUND: Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings. METHOD: To assess whether these findings are representative of routine clinical practice, we analysed audit dat...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PsychOpen
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7612064/ https://www.ncbi.nlm.nih.gov/pubmed/34870201 http://dx.doi.org/10.32872/cpe.v2i2.2947 |
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author | Thew, Graham R. Ehlers, Anke Grey, Nick Wild, Jennifer Warnock-Parkes, Emma Dawson, Rachelle L. Clark, David M. |
author_facet | Thew, Graham R. Ehlers, Anke Grey, Nick Wild, Jennifer Warnock-Parkes, Emma Dawson, Rachelle L. Clark, David M. |
author_sort | Thew, Graham R. |
collection | PubMed |
description | BACKGROUND: Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings. METHOD: To assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models. RESULTS: Significant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. ‘Reversed’ relationships, where social anxiety predicted subsequent process variable scores, were also supported. CONCLUSION: The findings suggest the processes of change in this treatment may be similar between research trials and routine care. |
format | Online Article Text |
id | pubmed-7612064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | PsychOpen |
record_format | MEDLINE/PubMed |
spelling | pubmed-76120642021-12-02 Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice Thew, Graham R. Ehlers, Anke Grey, Nick Wild, Jennifer Warnock-Parkes, Emma Dawson, Rachelle L. Clark, David M. Clin Psychol Eur Research Articles BACKGROUND: Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings. METHOD: To assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models. RESULTS: Significant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. ‘Reversed’ relationships, where social anxiety predicted subsequent process variable scores, were also supported. CONCLUSION: The findings suggest the processes of change in this treatment may be similar between research trials and routine care. PsychOpen 2020-06-30 /pmc/articles/PMC7612064/ /pubmed/34870201 http://dx.doi.org/10.32872/cpe.v2i2.2947 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY) 4.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Thew, Graham R. Ehlers, Anke Grey, Nick Wild, Jennifer Warnock-Parkes, Emma Dawson, Rachelle L. Clark, David M. Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice |
title | Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice |
title_full | Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice |
title_fullStr | Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice |
title_full_unstemmed | Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice |
title_short | Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice |
title_sort | change processes in cognitive therapy for social anxiety disorder delivered in routine clinical practice |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7612064/ https://www.ncbi.nlm.nih.gov/pubmed/34870201 http://dx.doi.org/10.32872/cpe.v2i2.2947 |
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