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The Effectiveness of Cognitive Behavioral Therapy Including Updating the Early Life Experiences and Images with the Empty Chair Technique on Social Anxiety

Yıl 2022, , 181 - 202, 10.03.2022
https://doi.org/10.21449/ijate.1062613

Öz

Specific memories of early negative life experiences (ENLE) and images play an important role in the cause and persistence of social anxiety. In this study, we aimed to investigate the effectiveness of individual Cognitive Behavior Therapy (iCBT), which includes updating a specific memory of ENLE and related images using the empty chair technique, on the social anxiety of university students. In addition to this, how iCBT applied affects the students’ general self-efficacy and psychological well-being is also examined. The current study was carried out with a total of eight university students, six female and two male. Participants attended iCBT sessions for 12 weeks. Changes in participants were evaluated with Liebowitz Social Anxiety Scale (LSAS), General Self-Efficacy Scale (GSES), and Flourishing Scale (FS) before iCBT, and one week, three months and six months after iCBT ended. The findings show that participants’ social anxiety decreased both statistically and clinically in post-tests and follow-up measures. There were statistically and clinically significant increases in general self-efficacy and psychological well-being. In addition, the changes in the participants’ social anxiety, general self-efficacy and psychological well-being post-test and follow-up measures have a large effect size. This study shows that iCBT, which includes updating of specific memories of ENLE and images, is effective in reducing social anxiety and increasing general self-efficacy and psychological well-being. These findings show that iCBT, which includes updating a specific memory of ENLE and related images, using the empty chair technique is an effective method reducing for university students’ social anxiety.

Kaynakça

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The Effectiveness of Cognitive Behavioral Therapy Including Updating the Early Life Experiences and Images with the Empty Chair Technique on Social Anxiety

Yıl 2022, , 181 - 202, 10.03.2022
https://doi.org/10.21449/ijate.1062613

Öz

Specific memories of early negative life experiences (ENLE) and images play an important role in the cause and persistence of social anxiety. In this study, we aimed to investigate the effectiveness of individual Cognitive Behavior Therapy (iCBT), which includes updating a specific memory of ENLE and related images using the empty chair technique, on the social anxiety of university students. In addition to this, how iCBT applied affects the students’ general self-efficacy and psychological well-being is also examined. The current study was carried out with a total of eight university students, six female and two male. Participants attended iCBT sessions for 12 weeks. Changes in participants were evaluated with Liebowitz Social Anxiety Scale (LSAS), General Self-Efficacy Scale (GSES), and Flourishing Scale (FS) before iCBT, and one week, three months and six months after iCBT ended. The findings show that participants’ social anxiety decreased both statistically and clinically in post-tests and follow-up measures. There were statistically and clinically significant increases in general self-efficacy and psychological well-being. In addition, the changes in the participants’ social anxiety, general self-efficacy and psychological well-being post-test and follow-up measures have a large effect size. This study shows that iCBT, which includes updating of specific memories of ENLE and images, is effective in reducing social anxiety and increasing general self-efficacy and psychological well-being. These findings show that iCBT, which includes updating a specific memory of ENLE and related images, using the empty chair technique is an effective method reducing for university students’ social anxiety.

Kaynakça

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  • Romano, M., Moscovitch, D.A., Huppert, J.D., Reimer, S.G., & Moscovitch, M. (2020). The effects of imagery rescripting on memory outcomes in social anxiety disorder. Journal of Anxiety Disorders, 69. https://doi.org/10.1016/j.janxdis.2019.102169
  • Rosenthal, R. (1991). Meta-analytic procedures for social research (Revised ed., Vol. 6). Sage Publications.
  • Rudy, B.M., Davis Ill, T.E., & Matthews, R.A. (2012). The relationship among self-efficacy, negative self-referent cognitions, and social anxiety in children: A multiple mediator model. Behavior Therapy, 43(3), 619-628. https://doi.org/10.1016/j.beth.2011.11.003
  • Ruini, C., Belaise, C., Brombin, C., Caffo, E., & Fava, G.A. (2006). Well-being therapy in school settings: A pilot study. Psychotherapy and Psychosomatics, 75(6), 331-336. https://doi.org/10.1159/000095438
  • Ruscio, A.M., Brown, T.A., Chiu, W.T., Sareen, J., Stein, M.B., & Kessler, R.C. (2008). Social fears and social phobia in the USA: results from the National Comorbidity Survey Replication. Psychological Medicine, 38(1), 15 28. https://doi.org/10.1017/S0033291707001699
  • Ryff, C.D. (1989a). Beyond ponce de leon and life satisfaction: New directions in quest of successful ageing. International Journal of Behavioral Development, 12(1), 35–55. https://doi.org/10.1177/016502548901200102
  • Ryff, C.D. (1989b). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  • Ryff, C.D. (2014). Psychological well–being revisited: Advances in the science and practice of eudaimonia. Psychotherapy and Psychosomatics, 83(1), 10 28. https://doi.org/10.1159/000353263
  • Scherbaum, C.A., Cohen-Charash, Y., & Kern, M.J. (2006). Measuring general self-efficacy: A comparison of three measures using item response theory. Educational and Psychological Measurement, 66(6), 1047 1063. https://doi.org/10.1177/0013164406288171
  • Schwarzer, R. (1994). Optimism, vulnerability, and self-beliefs as health-related cognitions: A systematic overview. Psychology and Health, 9(3), 161 180. https://doi.org/10.1080/08870449408407475
  • Schwarzer, R., & Jerusalem, M. (1995). Generalized self–efficacy scale. In J. Weinman, S.C. Wright, & M. Johnston (Eds.), Measures in health psychology: A user’s portfolio (1st ed., pp. 35–37). NFER–Nelson.
  • Shorey, R.C., & Stuart, G.L. (2012). Manualized cognitive-behavioral treatment of social anxiety disorder: A case study. Clinical Case Studies, 11(1), 35 47. https://doi.org/10.1177/1534650112438462
  • Soykan, C., Ozguven, H. D., & Gencoz, T. (2003). Liebowitz social anxiety scale: The Turkish version. Psychological Reports, 93(3), 1059 1069. https://doi.org/10.2466/Pr0.93.7.1059-1069
  • Stangier, U., Heidenreich, T., Peitz, M., Lauterbach, W., & Clark, D.M. (2003). Cognitive therapy for social phobia: Individual versus group treatment. Behaviour Research and Therapy, 41(9), 991-1007. https://doi.org/10.1016/S0005-7967(02)00176-6
  • Stopa, L., & Jenkins, A. (2007). Images of the self in social anxiety: Effects on the retrieval of autobiographical memories. Journal of Behavior Therapy and Experimental Psychiatry, 38(4), 459-473. https://doi.org/10.1016/j.jbtep.2007.08.006
  • Taylor, S. (1996). Meta-analysis of cognitive-behavioral treatments for social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 27(1), 1 9. https://doi.org/10.1016/0005-7916(95)00058-5
  • Telef, B.B. (2013). Psikolojik iyi oluş ölçeği: Türkçeye uyarlama, geçerlik ve güvenirlik çalışması [The Adaptation of psychological well-being into Turkish: A validity and reliability study]. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi, 28(3), 374-384. https://dergipark.org.tr/tr/download/article-file/87222
  • Tsitsas, G.D., & Paschali, A.A. (2014). A Cognitive–behavior therapy applied to a social anxiety disorder and a specific phobia: Case study. Health Psychology Research, 2(1603), 78-82. https://doi.org/10.4081/hpr.2014.1603
  • Vassilopoulos, S.P. (2012). Social anxiety and memory biases in middle childhood: A preliminary study. Hellenic Journal of Psychology, 9(2), 114-131.
  • Wang, J.L., Jackson, L.A., Gaskin, J., & Wang, H.Z. (2014). The effects of Social Networking Site (SNS) use on college students' friendship and well-being. Computers in Human Behavior, 37, 229-236. https://doi.org/10.1016/j.chb.2014.04.051
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  • Weiss, L.A., Westerhof, G.J., & Bohlmeijer, E.T. (2016). Can we increase psychological well–being? The effects of interventions on psychological well-being: A meta-analysis of randomized controlled trials. Plos ONE, 11(6). https://doi.org/10.1371/journal.pone.0158092
  • Wersebe, H., Lieb, R., Meyer, A.H., Miche, M., Mikoteit, T., Imboden, C., Hoyer, J., Bader, K., Hatzinger, M., & Gloster, A. T. (2018). Well-being in major depression and social phobia with and without comorbidity. International Journal of Clinical and Health Psychology, 18(3), 201-208. https://doi.org/10.1016/j.ijchp.2018.06.004
  • Wild, J., & Clark, D.M. (2011). Imagery rescripting of early traumatic memories in social phobia. Cognitive and Behavioral Practice, 18(4), 433 443. https://doi.org/10.1016/j.cbpra.2011.03.002
  • Wild, J., & Clark, D.M. (2015). Experiential exercises and imagery rescripting in social anxiety disorder: New perspectives on changing beliefs. In N. C. Thoma & D. McKay (Eds.), Working with emotion in cognitive-behavioral therapy: Techniques for clinical practice (1st ed., pp. 216-236). The Guilford Press.
  • Wild, J., Hackmann, A., & Clark, D.M. (2007). When the present visits the past: Updating traumatic memories in social phobia. Journal of Behavior Therapy and Experimental Psychiatry, 38(4), 386-401. https://doi.org/10.1016/j.jbtep.2007.07.003
  • Wild, J., Hackmann, A., & Clark, D.M. (2008). Rescripting early memories linked to negative images in social phobia: A pilot study. Behavior Therapy, 39(1), 47 56. https://doi.org/10.1016/j.beth.2007.04.003
  • Wootton, B. M., Hunn, A., Moody, A., Lusk, B. R., Ranson, V. A., & Felmingham, K. L. (2018). Accelerated outpatient individual cognitive behavioural therapy for social anxiety disorder: A preliminary pilot study. Behavioural and Cognitive Psychotherapy, 46(6), 690-705. https://doi.org/10.1017/S1352465818000267
  • Yoshinaga, N., Kobori, O., Iyo, M., & Shimizu, E. (2013). Cognitive behaviour therapy using the Clark & Wells model: A case study of a Japanese social anxiety disorder patient. The Cognitive Behaviour Therapist, 6(3), 1 30. https://doi.org/10.1017/S1754470X13000081
  • Yoshinaga, N., Ohshima, F., Matsuki, S., Tanaka, M., Kobayashi, T., Ibuki, H., Asano, K., Kobori, O., Shiraishi, T., Ito, E., Nakazato, M., Nakagawa, A., Iyo, M., & Shimizu, E. (2013). A preliminary study of individual cognitive behavior therapy for social anxiety disorder in Japanese clinical settings: A single–arm, uncontrolled trial. BMC Research Notes, 6(74), 1-8. https://doi.org/10.1186/1756-0500-6-74
Toplam 109 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Alan Eğitimleri
Bölüm Makaleler
Yazarlar

Volkan Avsar Bu kişi benim 0000-0001-9427-9425

Seher A. Sevim Bu kişi benim 0000-0002-4914-2486

Yayımlanma Tarihi 10 Mart 2022
Gönderilme Tarihi 30 Eylül 2021
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Avsar, V., & Sevim, S. A. (2022). The Effectiveness of Cognitive Behavioral Therapy Including Updating the Early Life Experiences and Images with the Empty Chair Technique on Social Anxiety. International Journal of Assessment Tools in Education, 9(1), 181-202. https://doi.org/10.21449/ijate.1062613

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