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Cognitive Behavioral Therapy in Social Anxiety Disorder: Current Concepts

Year 2015, Volume: 7 Issue: 3, 229 - 243, 12.07.2015
https://doi.org/10.5455/cap.20140719110703

Abstract

Cognitive behavioral therapy is still one of the most important treatment modalities in social anxiety disorder with a high level of evidence. However, some patients do not fully benefit from these therapies and this fact leads to ongoing search for new approaches. This paper reviews use of cognitive behavioral therapy in social anxiety disorder studies and discusses related updated concepts. The frequent use of computer-assisted therapy for most of recent studies was found noteworthy. Recent studies regarding social anxiety disorder focused on concepts such as attention bias, biased information processing, attention training, judgment biases, internet-based cognitive behavioral therapies and social mishap exposure. Internet-based cognitive-behavioral therapy seemed to be a good option for people who were unable to access face to face treatment.

 

References

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Sosyal Anksiyete Bozukluğunda Bilişsel Davranışçı Terapi: Güncel Kavramlar

Year 2015, Volume: 7 Issue: 3, 229 - 243, 12.07.2015
https://doi.org/10.5455/cap.20140719110703

Abstract

Bilişsel davranışçı terapiler halen sosyal anksiyete bozukluğunda yüksek kanıt düzeyine sahip en önemli tedavi yöntemlerindendir. Ancak buna rağmen bazı hastaların tedaviden yeterince fayda görmemesi yeni arayışları sürdürmektedir. Bu yazıda yapılan sosyal anksiyete bozukluğunda bilişsel davranışçı terapiler konusunda yapılan çalışmalar gözden geçirilmiş güncel kavramlar tartışılmıştır. Güncel çalışmaların bilgisayar teknolojisini çokça kullanması dikkat çekicidir. Son yıllarda çalışmalar sosyal anksiyete bozukluğunda dikkat yanlılığı, yanlı bilgi işleme, dikkat eğitimi, yargı yanlılıkları, internet tabanlı bilişsel davranışçı terapiler ve sosyal aksiliklere alıştırma tedavisi üzerinde yoğunlaşmaktadır. İnternet tabanlı bilişsel davranışçı terapiler özellikle tedaviye ulaşma olanağı olmayan kişiler için iyi bir seçenek gibi durmaktadır.

 

References

  • Alden LE, Taylor CT, Laposa MJ, Mellings T (2006) Impact of social developmental experiences on cognitive-behavioral therapy for generalized social phobia. J Cogn Psychother, 20:7-16.
  • Alden LE, Taylor CT, Mellings TM, Laposa JM (2008) Social anxiety and the interpretation of positive social events. J Anxiety Disord, 22:577-590.
  • Alentiner DP, Mounts NS, Durik AM, Gier-Lonsway SL (2011) Shyness mindset: Applying mindset theory to the domain of inhibited social behavior. Pers Individ Dif, 50:1174-1179.
  • Amir N, Beard C, Taylor CT, Klumpp H, Elias J et al. (2009) Attention training in individuals with generalized social phobia: A randomized controlled trial. J Consult Clin Psychol, 77:961-973.
  • Amir N, Taylor CT, Donohue MC (2011) Predictors of response to an attention modification program in generalized social phobia. J Consult Clin Psychol, 79:533-541.
  • Andersson G, Carlbring P, Holmström A, Sparthan E, Furmark T, Nilsson-Ihrfelt E et al. (2006) Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: a randomized controlled trial. J Consult Clin Psychol, 74:677- 686.
  • Anderson B, Goldin PR, Kurita K, Gross JJ (2008) Self-representation in social anxiety disorder: linguistic analysis of autobiographical narratives. Behav Res Ther, 46:1119-1125.
  • Anderson PL, Zimand E, Hodges LF, Rothbaum BO (2005) Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure. Depress Anxiety, 22:156-158.
  • Andrews G, Davies M, Titov N (2011) Effectiveness randomized controlled trial of face to face versus Internet cognitive behaviour therapy for social phobia. Aust NZ J Psychiatry, 45:337-340.
  • Beard C, Amir N (2008) A multi-session interpretation modification program: changes in interpretation and social anxiety symptoms. Behav Res Ther, 46:1135-1141.
  • Beard C (2011) Cognitive bias modification for anxiety: current evidence and future directions. Expert Rev Neurother, 11:299-311.
  • Beck AT, Dozios DJA (2011) Cognitive therapy: current status and future directions. Annu Rev Med, 62:397-409.
  • Berger T, Hohl E, Caspar F (2009) Internet‐based treatment for social phobia: a randomized controlled trial. J Clin Psychol, 65(Suppl10):S1021-S1035.
  • Boden MT, John OP, Goldin PR, Werner K, Heimberg RG, Gross JJ et al. (2012) The role of maladaptive beliefs in cognitive- behavioral therapy: Evidence from social anxiety disorder. Behav Res Ther, 50:287-291.
  • Bogels SM (2006) Task concentration training versus applied relaxation, in combination with cognitive therapy, for social phobia patients with fear of blushing, trembling, and sweating. Behav Res Ther, 44:1199-1210.
  • Botella C, Gallego MJ, Garcia-Palacios A, Guillen V, Banos RM, Quero S et al. (2010) An Internet-based self-help treatment for fear of public speaking: a controlled trial. Cyberpsychol Behav Soc Netw, 13:407-421.
  • Brozovich F, Heimberg RG (2008) An analysis of post-event processing in social anxiety disorder. Clin Psychol Rev, 28:891-903.
  • Bruce LC, Heimberg RG, Goldin PR, Gross JJ (2013) Childhood maltreatment and response to cognitive behavioral therapy among individuals with social anxiety disorder. Depress Anxiety, 30:662-669.
  • Buckner JD, Maner JK, Schmidt NB (2010) Difficulty disengaging attention from social threat in social anxiety. Cognit Ther Res,
  • Campbell-Sills L, Barlow DH, Brown TA, Hofmann SG (2006) Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion, 6:587-595.
  • Carlbring P, Apelstrand M, Sehlin H, Amir N, Rousseau A, Hofmann SG et al. (2012) Internet-delivered attention bias modification training in individuals with social anxiety disorder--a double blind randomized controlled trial. BMC Psychiatry, 25:12-66.
  • Carlbring P, Nordgren LB, Furmark T, Andersson G (2009) Long-term outcome of Internet-delivered cognitive-behavioural therapy for social phobia: a 30-month follow-up. Behav Res Ther, 47:848-850.
  • Clark DM, Wells A (1995) A cognitive model of social phobia. In Social phobia: Diagnosis, assessment, and treatment (Eds RG Heimberg, MR Liebowitz, DA Hope, FR Schneier ):69-93. New York, NY, Guilford Press.
  • Clark DM, McManus F (2002) Information processing in social phobia. Biol Psychiatry 51: 92-100.
  • Dalrymple KL, Herbert JD (2007) Acceptance and commitment therapy for generalized social anxiety disorder: a pilot study. Behav Modif, 31(Suppl5):543-568.
  • Davidson JR, Foa EB, Huppert JD, Keefe FJ, Franklin ME, Compton JS et al. (2004) Fluoxetine, comprehensive cognitive behavioral therapy, and placebo in generalized social phobia. Arch Gen Psychiatry, 61:1005-1013.
  • Doehrmann O, Ghosh SS, Polli FE, Reynolds GO, Horn F, Keshavan A et al. (2013) Predicting treatment response in social anxiety disorder from functional magnetic resonance imaging. JAMA Psychiatry, 70:87-97.
  • Dweck CS (2006) Mindset: The New Psychology of Success. New York, Random House.
  • Ehrenreich JT, Fairholme CP, Buzzella BA, Ellard KK, Barlow DH (2007) The role of emotion in psychological therapy. Clin Psychol (New York), 14:422-428.
  • Elliott R, Watson J, Goldman R, Greenberg LS (2003) Learning emotion-focused therapy: the process-experiential approach to change. Washington, DC, APA.
  • Fang A, Sawyer AT, Asnaani A, Hofmann SG (2013) Social mishap exposures for social anxiety disorder: an important treatment ingredient. Cogn Behav Pract, 20:213-220.
  • Furmark T, Carlbring P, Hedman E, Sonnenstein A, Clevberger P, Bohman B et al. (2009) Guided and unguided self-help for social anxiety disorder: randomised controlled trial. Br J Psychiatry, 19:440-447.
  • Garner M, Mogg K, Bradley BP (2006) Orienting and maintenance of gaze to facial expressions in social anxiety. J Abnorm Psychol, 115:760-770.
  • Ginzburg DM, Bohn C, Hofling V, Weck F, Clark DM, Stangier U et al. (2012) Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder. Behav Res Ther, 50:747-752.
  • Goldin PR, Gross JJ (2010) Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10:83-91.
  • Goldin PR, Manber T, Hakimi S, Canli T, Gross JJ (2009) Neural bases of social anxiety disorder: emotional reactivity and cognitive regulation during social and physical threat. Arch Gen Psychiatry, 66:170-180.
  • Goldin PR, Manber-Ball T, Werner K, Heimberg R, Gross JJ (2009) Neural mechanisms of cognitive reappraisal of negative self- beliefs in social anxiety disorder. Biol Psychiatry, 66:1091-1099.
  • Grey S, Mathews A (2000) Effects of training on interpretation of emotional ambiguity. Q J Exp Psychol, 53:1143-1162.
  • Haga SM, Kraft P, Corby EK (2009) Emotion regulation: antecedents and well-being outcomes of cognitive reappraisal and expressive suppression in cross-cultural samples. J Happiness Stud, 10:271-291.
  • Harbort J, Witthoft M, Spiegel J, Nick K, Hecht H (2013) The widening of the gaze cone in patients with social anxiety disorder and its normalization after CBT. Behav Res Ther, 51:359-367.
  • Harve AG, Clark DM, Ehlers A, Rapee RM (2000) Social anxiety and self-impression: cognitive preparation enhances the beneficial effects of video feedback following a stressful social task. Behav Res Ther, 38:1183-1192.
  • Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K (1996) Experimental avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol, 64:1152-1168.
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There are 105 citations in total.

Details

Primary Language Turkish
Journal Section Review
Authors

Nurhan Fistikci This is me

Ali Keyvan This is me

Evrim Erten This is me

Şahut Duran This is me

Mehmet Sungur This is me

Publication Date July 12, 2015
Published in Issue Year 2015 Volume: 7 Issue: 3

Cite

AMA Fistikci N, Keyvan A, Erten E, Duran Ş, Sungur M. Sosyal Anksiyete Bozukluğunda Bilişsel Davranışçı Terapi: Güncel Kavramlar. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. July 2015;7(3):229-243. doi:10.5455/cap.20140719110703

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