Targeting fear of positive evaluation in patients with social anxiety disorder via a brief cognitive behavioural therapy protocol: a proof-of-principle study
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...
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| Veröffentlicht in: | Behavioural and cognitive psychotherapy 2020-11, Vol.48 (6), p.745-750 |
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| creator | Weeks, Justin W. Wilmer, M. Taylor Potter, Carrie M. Waldron, Elizabeth M. Versella, Mark Kaplan, Simona C. Jensen, Dane Heimberg, Richard G. |
| description | 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.
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.
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.
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.
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. |
| doi_str_mv | 10.1017/S1352465820000491 |
| format | Article |
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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.
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.
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.
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.</description><identifier>ISSN: 1352-4658</identifier><identifier>EISSN: 1469-1833</identifier><identifier>DOI: 10.1017/S1352465820000491</identifier><identifier>PMID: 32744221</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Anxiety ; Anxiety disorders ; Behavior modification ; Brief Clinical Report ; Cognitive ability ; Cognitive Behavioral Therapy ; Fear ; Fear & phobias ; Humans ; Patients ; Phobia, Social - therapy ; Questionnaires ; Social anxiety ; Waiting Lists</subject><ispartof>Behavioural and cognitive psychotherapy, 2020-11, Vol.48 (6), p.745-750</ispartof><rights>British Association for Behavioural and Cognitive Psychotherapies 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-e9c5b8dbe939c0006f4785ff36e31471982fd782751a97fa969c77d2c8b7bad73</citedby><cites>FETCH-LOGICAL-c373t-e9c5b8dbe939c0006f4785ff36e31471982fd782751a97fa969c77d2c8b7bad73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1352465820000491/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32744221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weeks, Justin W.</creatorcontrib><creatorcontrib>Wilmer, M. Taylor</creatorcontrib><creatorcontrib>Potter, Carrie M.</creatorcontrib><creatorcontrib>Waldron, Elizabeth M.</creatorcontrib><creatorcontrib>Versella, Mark</creatorcontrib><creatorcontrib>Kaplan, Simona C.</creatorcontrib><creatorcontrib>Jensen, Dane</creatorcontrib><creatorcontrib>Heimberg, Richard G.</creatorcontrib><title>Targeting fear of positive evaluation in patients with social anxiety disorder via a brief cognitive behavioural therapy protocol: a proof-of-principle study</title><title>Behavioural and cognitive psychotherapy</title><addtitle>Behav. Cogn. Psychother</addtitle><description>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.
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.
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.
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.
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.</description><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Behavior modification</subject><subject>Brief Clinical Report</subject><subject>Cognitive ability</subject><subject>Cognitive Behavioral Therapy</subject><subject>Fear</subject><subject>Fear & phobias</subject><subject>Humans</subject><subject>Patients</subject><subject>Phobia, Social - therapy</subject><subject>Questionnaires</subject><subject>Social anxiety</subject><subject>Waiting Lists</subject><issn>1352-4658</issn><issn>1469-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcuKFDEUhgtRnIs-gBsJuHFTmltVKu5k0FEYcOG4LlLJSXeG6qRMUq39ML6rZ-hWQTEE8sP5zp9zaZpnjL5ilKnXn5nouOy7gVM8UrMHzTmTvW7ZIMRD1Bhu7-NnzUUpd5QyQXv9uDkTXEnJOTtvftyavIEa4oZ4MJkkT5ZUQg17ILA382pqSJGESBZUEGsh30LdkpJsMDMx8XuAeiAulJQdZLIPhhgy5QCe2LSJR6cJtmYf0poxpW4hm-VAlpxqsml-gzzq5Fu8Sw7RhmUGUurqDk-aR97MBZ6e3svmy_t3t1cf2ptP1x-v3t60VihRW9C2mwY3gRba4iR6L9XQeS96EEwqpgfunRq46pjRyhvda6uU43aY1GScEpfNy6MvFvJ1hVLHXSgW5tlESGsZuRSU6p4yjuiLv9A77CtidUhJPTDKuw4pdqRsTqVk8CN2tjP5MDI63u9u_Gd3mPP85LxOO3C_M34tCwFxMjU7nLDbwJ-__2_7Ezsyphs</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Weeks, Justin W.</creator><creator>Wilmer, M. 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Taylor</creatorcontrib><creatorcontrib>Potter, Carrie M.</creatorcontrib><creatorcontrib>Waldron, Elizabeth M.</creatorcontrib><creatorcontrib>Versella, Mark</creatorcontrib><creatorcontrib>Kaplan, Simona C.</creatorcontrib><creatorcontrib>Jensen, Dane</creatorcontrib><creatorcontrib>Heimberg, Richard G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Behavioural and cognitive psychotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weeks, Justin W.</au><au>Wilmer, M. Taylor</au><au>Potter, Carrie M.</au><au>Waldron, Elizabeth M.</au><au>Versella, Mark</au><au>Kaplan, Simona C.</au><au>Jensen, Dane</au><au>Heimberg, Richard G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Targeting fear of positive evaluation in patients with social anxiety disorder via a brief cognitive behavioural therapy protocol: a proof-of-principle study</atitle><jtitle>Behavioural and cognitive psychotherapy</jtitle><addtitle>Behav. Cogn. Psychother</addtitle><date>2020-11</date><risdate>2020</risdate><volume>48</volume><issue>6</issue><spage>745</spage><epage>750</epage><pages>745-750</pages><issn>1352-4658</issn><eissn>1469-1833</eissn><abstract>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.
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.
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.
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.
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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>32744221</pmid><doi>10.1017/S1352465820000491</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Cambridge University Press Journals Complete |
| subjects | Anxiety Anxiety disorders Behavior modification Brief Clinical Report Cognitive ability Cognitive Behavioral Therapy Fear Fear & phobias Humans Patients Phobia, Social - therapy Questionnaires Social anxiety Waiting Lists |
| title | Targeting fear of positive evaluation in patients with social anxiety disorder via a brief cognitive behavioural therapy protocol: a proof-of-principle study |
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