Graham R Thew1,2,3, Anke Ehlers1,3,4,5, Nick Grey4,5,6, Jennifer Wild1,3, Emma Warnock-Parkes1,3,4,5, Rachelle L Dawson1, David M Clark1,3,4,5. 1. Department of Experimental Psychology, University of Oxford, UK. 2. Oxford University Hospitals NHS Foundation Trust, Oxford, UK. 3. Oxford Health NHS Foundation Trust, Oxford, UK. 4. Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK. 5. National Institute for Health Research Mental Health Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London, UK. 6. Sussex Partnership NHS Foundation Trust, Sussex, UK.
Abstract
BACKGROUND: Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings. METHOD: To assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models. RESULTS: Significant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. 'Reversed' relationships, where social anxiety predicted subsequent process variable scores, were also supported. CONCLUSION: The findings suggest the processes of change in this treatment may be similar between research trials and routine care.
BACKGROUND: Most studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings. METHOD: To assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models. RESULTS: Significant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. 'Reversed' relationships, where social anxiety predicted subsequent process variable scores, were also supported. CONCLUSION: The findings suggest the processes of change in this treatment may be similar between research trials and routine care.
Entities:
Keywords:
change processes; cognitive therapy; mediation; social anxiety; structural equation model
Authors: Matthew Tyler Boden; Oliver P John; Philippe R Goldin; Kelly Werner; Richard G Heimberg; James J Gross Journal: Behav Res Ther Date: 2012-02-28
Authors: Graham R Thew; Amy P L Kwok; Mandy H Lissillour Chan; Candice L Y M Powell; Jennifer Wild; Patrick W L Leung; David M Clark Journal: Internet Interv Date: 2022-04-18