6533b872fe1ef96bd12d427e
RESEARCH PRODUCT
Manualized cognitive therapy versus cognitive-behavioral treatment-as-usual for social anxiety disorder in routine practice: A cluster-randomized controlled trial
Andre PittigJihong LinJürgen HoyerManuela MoeserEric LeibingStephen CrawcourDenise M. GinzburgUlrich StangierJoerg WiltinkJasmin ČOlićsubject
AdultMale050103 clinical psychologymedicine.medical_treatmentExperimental and Cognitive PsychologyLiebowitz social anxiety scaleAnxietyRoutine practicelaw.inventionYoung Adult03 medical and health sciences0302 clinical medicineRandomized controlled triallawmedicineHumans0501 psychology and cognitive sciencesCognitive Behavioral Therapy05 social sciencesSocial anxietyBehavioral treatmentPhobia SocialCognition030227 psychiatryCognitive behavioral therapyPsychiatry and Mental healthClinical PsychologyTreatment OutcomeCognitive therapyFemalePsychologyClinical psychologydescription
Abstract Objective This study examined the effectiveness of manualized cognitive therapy (mCT) following the Clark-Wells approach versus non-manualized cognitive-behavioral treatment-as-usual (CBTAU) for social anxiety disorder (SAD) in routine practice. Methods Forty-eight private practitioners were recruited within a multi-center trial and either received training in manualized CT for SAD or no such training. Practitioners treated 162 patients with SAD in routine practice (N = 107 completers, n = 57 for mCT, n = 50 for CBTAU). Social anxiety symptoms (Liebowitz Social Anxiety Scale; LSAS) and secondary measures were assessed before treatment, at treatment-hour 8, 15, and 25, at end of treatment, as well as 6 and 12 months after treatment. Results Patients in both groups showed significant reductions of SAD severity after treatment (d = 1.91 [mCT] and d = 1.80 [CBTAU], within-group effect sizes, intent-to-treat analyses, LSAS observer ratings), which remained stable at follow-up. There were no differences between groups in terms of symptom reduction and treatment duration. Conclusions The present trial confirms the high effectiveness of CBTAU and mCT for SAD when practitioners conduct the treatments in routine practice. Additional training in the CT manual did not result in significant between-group effects on therapy outcome. Explanations for this unexpected result are discussed.
year | journal | country | edition | language |
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2016-08-11 | Behaviour Research and Therapy |