Disorders - Social phobia
Brandrick, C., Hooper, N., Roche, B., Kanter, J., Tyndall, I.
The present study examined the preliminary efficacy of an ultra-brief cognitive defusion intervention, compared
to a positive self-affirmation intervention, on moderate subclinical Public Speaking Anxiety (PSA). Sixty-three participants (M = 25.70 years,, SD =
9.48) first completed a questionnaire assessing PSA symptomology and were then randomly assigned to receive one of two interventions (cognitive
defusion, positive self-affirmation) or nothing at all (no-treatment control). All participants then performed an impromptu speech task before
recompleting the questionnaire. A significant decrease in PSA was reported within the cognitive defusion condition, relative to the positive self-
affirmation and no-treatment control conditions. An ultra-brief cognitive defusion intervention has the potential to reduce short-term anxiety among
those with moderate PSA. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
The Psychological Record, 71(1) : 109-
117
- Year: 2021
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Beidel, D. C., Tuerk, P. W., Spitalnick, J., Bowers, C. A., Morrison, K.
Disseminating efficacious psychological treatments remains a challenge for
researchers and clinicians. In the case of social anxiety disorder (SAD), Social Effectiveness Therapy for Children (SET-C) has been demonstrated as
an efficacious intervention, but elements of the protocol, such as peer generalization sessions, remain challenging to conduct in typical clinical
settings. To address this need, we developed an artificially intelligent, web-based application, Pegasys-VRTM, designed to replace peer
generalization sessions and enhance homework compliance. The feasibility of Pegasys-VRTM was tested in a randomized controlled trial in comparison to
SET-C. The results indicated that both programs were equally efficacious in decreasing anxiety and improving social skill in social encounters.
Sixty-three percent (63%) of children treated with SET-C and 60% treated with Pegasys-VRTM did not meet diagnostic criteria for SAD at posttreatment.
Pegasys-VRTM is a feasible, efficacious, and dissemination-friendly element of a comprehensive treatment program for social anxiety disorder in
children. Copyright © 2021 Association for Behavioral and Cognitive Therapies
Behavior
Therapy., :
- Year: 2021
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Abeditehrani, H., Dijk, C., Neyshabouri, M. D., Arntz, A.
Background and objectives: Negative beliefs about other's judgments play an important role in the
development and maintenance of social anxiety disorder. The present experiment examined the effects of role-playing followed by role reversal
compared to role-playing twice on altering these negative cognitions. Methods: Thirty-six adult social anxiety patients were randomized into two
conditions: a role-playing condition in which 18 participants role-played an anxiety-provoking social situation twice, or a role reversal condition
in which 18 participants role-played an anxiety-provoking social situation followed by enacting the same situation using role reversal. Before the
start of the experiment, patients were asked to report their negative cognitions about the other's judgments. Next, they were asked to rate the
believability of these negative cognitions, as well as the probability and cost estimates of negative judgments by the other person, at three time-
points: before the first block of role-playing, after the first block of role-playing, and after the second block of the experiment. Results: Results
demonstrated that role-playing followed by role reversal had a stronger effect on the most negative cognitions than role-playing twice. Limitations:
The most important limitation of the present study is that there was no control group to assess the effects of role-playing alone. Moreover, the
second block of the experiment was repetitive in role-playing, however, it was a new task in role reversal. Conclusions: The results support the
hypothesis that role reversal is an effective technique that can be used to correct negative cognitions about other's judgments in SAD. (PsycInfo
Database Record (c) 2021 APA, all rights reserved)
Journal of Behavior Therapy and Experimental
Psychiatry Vol 70 2021, ArtID 101599, 70 :
- Year: 2021
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Wei, X., Su, Z., Lian, S.
Objectives : To investigate the anxiety status of college students of Traditional Chinese Medicine (TCM) in
China and explore the effect of mindfulness cognitive training on improving the anxiety level of college students. Methods : A total of 1000
undergraduates from Heilongjiang Province, Jilin Province and Liaoning Province were selected as subjects by random sampling. They were tested by
Social Anxiety Scale (SAS) and analyzed by SPSS 24.0. 80 subjects who had serious level of anxiety were selected as the intervention subjects. The
experimental group (n = 40) received mindfulness cognitive training, while the active control group (n = 40) received Taijiquan training. The whole
experimental period was 8 weeks, twice a week. Through the data analysis it was to explore the changes on experimental group and control group
between pretest and posttest, as well as the difference between experimental group and control group in the post test. Results : The anxiety level of
undergraduates in TCM universities was moderate (63 +/- 5); the anxiety level of females was significantly higher than that of males ( P < 0.01); the
anxiety level of sophomores was significantly higher than that of other grades ( P < 0.05); the anxiety level of students was negatively correlated
with the family economic situation ( P < 0.01). Through the intervention experiment, the anxiety in the post test of the experimental group and the
control group was significantly improved compared with the pre test ( P < 0.05); the anxiety level of the experimental group was significantly lower
than that of the control group ( P < 0.01). Conclusions : The main source of anxiety of undergraduates in TCM universities is from individuals,
followed by environment. Mindfulness cognitive training and Taijiquan exercise have significant effect on improving students' anxiety, but
mindfulness cognitive training is more effective than Taijiquan training.
Basic and Clinical Pharmacology and Toxicology, 126 (Supplement 4) : 90-
91
- Year: 2020
- Problem: Social phobia (social anxiety disorder)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Mindfulness based
therapy, Mind-body exercises (e.g. yoga, tai chi, qigong)
Siegel, A. N., Kocovski, N. L.
Objectives: The primary aim of this study was to explore
different methods of inducing self-compassion in individuals with elevated social anxiety. Methods: Three methods of inducing self-compassion were
compared as follows: a writing tool, an audio meditation, and an interview. Participants (N = 167; students with high social anxiety) were asked to
write about a social situation in which they felt judged and were then randomly assigned to one of the three induction conditions or a control
condition. Subsequently, state self-compassion was assessed. Results: Participants reported significantly higher state self-compassion in the written
condition than both the interview and control conditions (eta2 = 0.10, medium effect). Conclusion: The present study informs future work examining
the impact of self-compassion inductions on social anxiety outcomes, suggesting the continued use of written self-compassion inductions. (PsycInfo
Database Record (c) 2021 APA, all rights reserved)
Mindfulness, 11(11) : 2552-2560
- Year: 2020
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Creative expression: music, dance, drama, art, Meditation, Other service delivery and improvement
interventions
Lin, L-Y, Wang, K., Kishimoto,
T., Rodriguez, M., Qian, M., Yang, Y., Zhao,
Q., Berger, T., Tian, C.
The aim of the present study is to investigate the
efficacy of internet-based cognitive behavior therapy (ICBT) for individuals with social anxiety (SA) and different levels of Taijin Kyofusho (TKS)
in China. The ICBT program was translated into Chinese with some specific contents adapted for Chinese culture. Participants (N = 80) with SA were
assigned either to a treatment (n = 55) or control group (n = 25). Both groups were further divided into subgroups, based on their Taijin Kyofusho
Scale (TKSS) scores. Participants in the ICBT treatment group reported significant posttreatment reductions in Social Interaction Anxiety Scale and
Social Phobia Scale scores, relative to participants in the control group. In addition, participants in the treatment group with higher pretreatment
TKS levels showed significantly greater reductions in TKSS scores. Results suggest that ICBT is a promising approach for the treatment of individuals
with SA both with and without features of TKS. Clinical and cross-cultural implications, mechanisms of change, limitations, and future directions are
discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
Journal of Cross-Cultural
Psychology, 51(5) : 387-402
- Year: 2020
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Technology, interventions delivered using technology (e.g. online, SMS)
Kim, M. K., Eom, H., Kwon, J. H., Kyeong,
S., Kim, J. J.
BACKGROUND: Social anxiety disorder (SAD) is characterized by anxiety regarding social situations, avoidance of external social stimuli,
and negative self-beliefs. Virtual reality self-training (VRS) at home may be a good interim modality for reducing social fears before formal
treatment. This study aimed to find neurobiological evidence for the therapeutic effect of VRS. METHOD(S): Fifty-two patients with SAD were randomly
assigned to a VRS or waiting list (WL) group. The VRS group received an eight-session VRS program for 2 weeks, whereas the WL group received no
intervention. Clinical assessments and functional magnetic resonance imaging scanning with the distress and speech evaluation tasks were repeatedly
performed at baseline and after 3 weeks. RESULT(S): The post-VRS assessment showed significantly decreased anxiety and avoidance scores, distress
index, and negative evaluation index for 'self', but no change in the negative evaluation index for 'other'. Patients showed significant
responses to the distress task in various regions, including both sides of the prefrontal regions, occipital regions, insula, and thalamus, and to
the speech evaluation task in the bilateral anterior cingulate cortex. Among these, significant neuronal changes after VRS were observed only in the
right lingual gyrus and left thalamus. CONCLUSION(S): VRS-induced improvements in the ability to pay attention to social stimuli without avoidance
and even positively modulate emotional cues are based on functional changes in the visual cortices and thalamus. Based on these short-term neuronal
changes, VRS can be a first intervention option for individuals with SAD who avoid society or are reluctant to receive formal treatment.
Psychological medicine, : 1-10
- Year: 2020
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Fadhli, T., Situmorang, D.
D. B.
Objectives: Anxiety can cause someone to be counterproductive or experience psychological disorders, causing discomfort in
social activities, less active participation in behavior. This study aims to prove the effectiveness of cognitive behavioral therapy (CBT) approach
and the cognitive restructuring (CR) technique to reduce individual psychosocial anxiety through group counseling, which covers high school
adolescents. The CBT approach with the CR technique for dealing with personal psychosocial anxiety provides valuable space for movement. The CBT
approach with the CR technique will change the maladaptive beliefs that arise because of anxiety. This intervention aims to increase self-defense and
self-control by stimulating rational problem-solving abilities, social skills, and active participation in social activities. Method(s): The research
method was a nonequivalent group pretest-posttest design with a control or comparison group. On the basis of the paired sample t test, there is a
significant difference in the mean. The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the
COVID-19 outbreak. Conclusion(s): The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the
COVID-19 outbreak. Copyright © 2020 Lippincott Williams and Wilkins. All rights reserved.
Addictive Disorders and their Treatment, : 1-
10
- Year: 2020
- Problem: Anxiety Disorders (any), Social phobia (social anxiety disorder)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Other Psychological Interventions
Afrasiabi, D., Akrami, N.
Introduction: The purpose of this study was to
examine the effectiveness of the narrative therapy on the fear of negative/ positive evaluation, and social phobia symptoms among the female students
in Shiraz, Iran. Material(s) and Method(s): Research method was quasi-experimental with pre-test and post-test with experimental and control groups.
The sample included 26 subjects, who were referred to psychological centers and were selected by purposive sampling method. The research tools
included fear of negative evaluation scale (FNE), fear of positive evaluation scale (FPE), and social phobia symptoms questionnaire. The narration
therapy program was performed for the experimental group in eight sessions. In order to analyze data, the covariance analysis was performed using
SPSS-22 software. Findings of the study showed a significant difference between the treated and untreated groups for the variables of fear,
avoidance, and physiological distress. Result(s): The results of univariate analysis for the fear of positive evaluation variable showed a
significant difference between treated and untreated groups (F = 7.1, df = 1, P = 0.015). However, for the fear of negative evaluation variable, the
difference was not significant (F = 0.58, df = 1, P = 0.45). Conclusion(s): According to these findings, we conclude that narrative therapy is a
suitable method in reducing fear of positive evaluation and the treatment of social anxiety. Copyright © 2020 Via Medica. All rights reserved.
Psychiatria, 17(4) : 181-
185
- Year: 2020
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Sun,
Xi., Yang, R., Zhang, Q., Xiao, J., Li, C., Cui, L.
To address the
unmet need for treatment of social anxiety disorder in China, it is timely and relevant to identify more effective, accessible, economic, and easily
disseminated interventions. The present study examined the effect of an eight-session program for cognitive bias modification for interpretation
(CBM-I). Smartphones were used in the training of reducing interpretation bias and social anxiety of Chinese undergraduates with high social anxiety.
In total, 38 participants were randomly assigned to either a CBM-I training group (n = 19) or a control group (n = 19). As a result, the CBM-I
training group provided more positive interpretations in ambiguous situations and less social anxiety than the control group. Results indicate that
CBM-I training via smartphones can effectively promote positive interpretations of ambiguous situations and relieve social anxiety. CBM-I via
smartphones may have clinical utility when applied as a multisession intervention of social anxiety for Chinese undergraduates. (PsycInfo Database
Record (c) 2021 APA, all rights reserved)
Journal of Experimental Psychopathology Vol 10(3), 2019,
ArtID 2043808719875274, 10(3) :
- Year: 2019
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Attention/cognitive bias
modification, Technology, interventions delivered using technology (e.g. online, SMS)
Forouzandehfar, G., Fathi,
M., Dadashi, M.
Background & Objective: Social anxiety disorder, which involves excessive anxiety of social situation due to fear of
negative evaluation, is a debilitating disorder that leads to social dysfunction. The purpose of this study is to investigate Efficacy of Cognitive-
Behavioral Group Therapy (CBGT) versus Group Hypnotherapy (GHt) on Brain/Behavioral Systems of Social Phobia Patients. Material(s) and Method(s): The
numbers of 30 subjects were divided into two groups receiving either CBGT or GHt. The questionnaires of brain/behavioral systems (GWPQ) and social
phobia (SPIN) were administered in two phases (before and after intervention). Result(s): Both therapy approaches caused significant changes in the
level of social phobia and brain/behavioral systems activity. The alterations in brain-behavioral subsystems (BIS and FFFS) in the Extinction and
Flight components were in favor of hypnotherapy (P<0.05). Conclusion(s): The findings from the present research provide evidence that due to
alterations in brain/behavioral systems associated with the social phobia, hypnotherapy can be considered as a powerful approach treating social
phobia. Copyright © 2019, Zanjan University of Medical Sciences and Health Services. All rights reserved.
Journal of Advances in Medical and Biomedical Research, 27(122) : 51-56
- Year: 2019
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Other complementary & alternative
interventions
Asbrand, J., Schmitz, J., Kramer, M., Nitschke, K., Heinrichs, N., Tuschen-Caffier, B.
Theoretical models and
previous research suggest that post-event processing (PEP) after social situations maintains social anxiety disorder (SAD). To date, little is known
about PEP in childhood, a critical period for disorder development, or about possible positive effects of cognitive behavioral therapy (CBT) on PEP
in children. Children with SAD (n =71; aged 9-13 years) and healthy controls (n =55) participated in a social stress task (Trier Social Stress Test
for Children, TSST-C), which was repeated in children with SAD after either 12 sessions of CBT or a waiting period. PEP was assessed daily with
regard to both valence and frequency, as well as in more detail regarding specific negative and positive ruminative thoughts 1 week after each TSST-
C. Daily PEP after the TSST-C was more frequent and more negative in children with SAD compared to healthy controls, in particular during the first 2
days after the TSST-C. After CBT treatment, children with SAD reported more positive PEP but not less negative PEP compared to children in the
waitlist control group. The current study suggests that negative PEP in children with SAD is most pronounced in the first days following social
stress. Group-based CBT seems to be effective in building up positive cognitions after social stress in children, but developing specific
interventions targeting negative PEP immediately after a social stressor may be necessary to further increase treatment efficacy.
Journal of abnormal child psychology, 47(12) : 1945-
1956
- Year: 2019
- Problem: Social phobia (social anxiety disorder)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)