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The benefits of a longer course of cognitive behavioral therapy for some patients with social anxiety disorder.

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Title: The benefits of a longer course of cognitive behavioral therapy for some patients with social anxiety disorder.
Authors: Butler, Rachel M. (AUTHOR), O'Day, Emily B. (AUTHOR), Heimberg, Richard G. (AUTHOR)
Source: Cognitive Behaviour Therapy. Sep2021, Vol. 50 Issue 5, p351-365. 15p. 2 Charts, 3 Graphs.
Subjects: Cognitive therapy, Anxiety disorders, Social anxiety, Generalized anxiety disorder, Mental depression, Anxiety treatment
Abstract: Historically, cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) has been evaluated in randomized-controlled trials as a 12–16 session treatment and has demonstrated response rates ranging from 58% to 75%. Despite these promising results, some patients do not improve substantially after this short course of CBT. It is unclear whether non-responding patients would make substantial improvements in social anxiety with further treatment. In a university outpatient clinic specializing in CBT for SAD, we compared outcomes for patients who ended treatment after approximately 20 sessions of CBT (n = 38) to those who continued treatment for a variable number of additional sessions (n = 34). We found no between-group differences in demographic characteristics, number of comorbid diagnoses, comorbid generalized anxiety disorder or major depressive disorder, or severity of depression at baseline. Patients who ended treatment after 20 sessions experienced greater improvements in SAD over those 20 sessions compared to those who continued treatment. Both groups experienced changes in depression and quality of life over the first 20 sessions. Those who continued treatment showed additional decreases in social anxiety beyond session 20. For those who initially appear to be non-responsive to CBT for SAD, a longer course of treatment may elicit significant improvements. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The benefits of a longer course of cognitive behavioral therapy for some patients with social anxiety disorder.
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  Data: <searchLink fieldCode="AR" term="%22Butler%2C+Rachel+M%2E%22">Butler, Rachel M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Day%2C+Emily+B%2E%22">O'Day, Emily B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heimberg%2C+Richard+G%2E%22">Heimberg, Richard G.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Cognitive+Behaviour+Therapy%22">Cognitive Behaviour Therapy</searchLink>. Sep2021, Vol. 50 Issue 5, p351-365. 15p. 2 Charts, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+disorders%22">Anxiety disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Social+anxiety%22">Social anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Generalized+anxiety+disorder%22">Generalized anxiety disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+treatment%22">Anxiety treatment</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Historically, cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) has been evaluated in randomized-controlled trials as a 12–16 session treatment and has demonstrated response rates ranging from 58% to 75%. Despite these promising results, some patients do not improve substantially after this short course of CBT. It is unclear whether non-responding patients would make substantial improvements in social anxiety with further treatment. In a university outpatient clinic specializing in CBT for SAD, we compared outcomes for patients who ended treatment after approximately 20 sessions of CBT (n = 38) to those who continued treatment for a variable number of additional sessions (n = 34). We found no between-group differences in demographic characteristics, number of comorbid diagnoses, comorbid generalized anxiety disorder or major depressive disorder, or severity of depression at baseline. Patients who ended treatment after 20 sessions experienced greater improvements in SAD over those 20 sessions compared to those who continued treatment. Both groups experienced changes in depression and quality of life over the first 20 sessions. Those who continued treatment showed additional decreases in social anxiety beyond session 20. For those who initially appear to be non-responsive to CBT for SAD, a longer course of treatment may elicit significant improvements. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Cognitive Behaviour Therapy is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=151739152
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        Value: 10.1080/16506073.2020.1829027
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      – Code: eng
        Text: English
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      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Anxiety disorders
        Type: general
      – SubjectFull: Social anxiety
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      – SubjectFull: Generalized anxiety disorder
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      – SubjectFull: Mental depression
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      – SubjectFull: Anxiety treatment
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            NameFull: Heimberg, Richard G.
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            – D: 01
              M: 09
              Text: Sep2021
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              Y: 2021
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