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2 results

  • Targeting fear of positive evaluation in patients with social anxiety disorder via a brief cognitive behavioural therapy protocol: a proof-of-principle study

  • Justin W. Weeks, M. Taylor Wilmer, Carrie M. Potter, Elizabeth M. Waldron, Mark Versella, Simona C. Kaplan, Dane Jensen, Richard G. Heimberg
  • Journal:
    Behavioural and Cognitive Psychotherapy / Volume 48 / Issue 6 / November 2020
    Published online by Cambridge University Press:
    03 August 2020, pp. 745-750
    Print publication:
    November 2020
  • Background:

    Our aim was to develop a brief cognitive behavioural therapy (CBT) protocol to augment treatment for social anxiety disorder (SAD). This protocol focused specifically upon fear of positive evaluation (FPE). To our knowledge, this is the first protocol that has been designed to systematically target FPE.

    Aims:

    To test the feasibility of a brief (two-session) CBT protocol for FPE and report proof-of-principle data in the form of effect sizes.

    Method:

    Seven patients with a principal diagnosis of SAD were recruited to participate. Following a pre-treatment assessment, patients were randomized to either (a) an immediate CBT condition (n = 3), or (b) a comparable wait-list (WL) period (2 weeks; n = 4). Two WL patients also completed the CBT protocol following the WL period (delayed CBT condition). Patients completed follow-up assessments 1 week after completing the protocol.

    Results:

    A total of five patients completed the brief, FPE-specific CBT protocol (two of the seven patients were wait-listed only and did not complete delayed CBT). All five patients completed the protocol and provided 1-week follow-up data. CBT patients demonstrated large reductions in FPE-related concerns as well as overall social anxiety symptoms, whereas WL patients demonstrated an increase in FPE-related concerns.

    Conclusions:

    Our brief FPE-specific CBT protocol is feasible to use and was associated with large FPE-specific and social anxiety symptom reductions. To our knowledge, this is the first treatment report that has focused on systematic treatment of FPE in patients with SAD. Our protocol warrants further controlled evaluation.

  • Cognitive-Behavioral Therapy for Social Anxiety Disorder: Supporting Evidence and Future Directions

  • James P. Hambrick, Justin W. Weeks, Gerlinde C. Harb, Richard G. Heimberg
  • Journal:
    CNS Spectrums / Volume 8 / Issue 5 / May 2003
    Published online by Cambridge University Press:
    07 November 2014, pp. 373-381

  • The present paper examines the role of cognitive-behavioral therapy (CBT) in the treatment of social anxiety disorder (SAD). A cognitive-behavioral model of SAD is first presented. Different modalities of CBT for SAD are then described, including exposure, cognitive restructuring, relaxation training, and social skills training, and evidence supporting their efficacy is reviewed. The comparative and combined impact of CBT and pharmacotherapeutic interventions is also explored. CBT appears to be an efficacious treatment for SAD. However, the overall efficacy CBT may be increased by closer examination of the active ingredients of treatment. Such analyses may also enable more successful integration of the different CBT techniques and of CBT and pharmacotherapy in the treatment of SAD.