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Risk profiles for poor treatment response to internet-delivered CBT in people with social anxiety disorder
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- Tillfors, Maria, 1963- (author)
- Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,University of Örebro, Sweden
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- Furmark, Tomas (author)
- Uppsala universitet,Institutionen för psykologi,Uppsala University, Sweden
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- Carlbring, Per (author)
- Stockholms universitet,Psykologiska institutionen
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- (creator_code:org_t)
- Elsevier BV, 2015
- 2015
- English.
- In: Journal of Anxiety Disorders. - : Elsevier BV. - 0887-6185 .- 1873-7897. ; 33, s. 103-109
- Journal article (peer-reviewed)
Abstract
Subject headings
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- In social anxiety disorder (SAD) co-morbid depressive symptoms as well as avoidance behaviors have been shown to predict insufficient treatment response. It is likely that subgroups of individuals with different profiles of risk factors for poor treatment response exist. This study aimed to identify subgroups of social avoidance and depressive symptoms in a clinical sample (N=167) with SAD before and after guided internet-delivered CBT, and to compare these groups on diagnostic status and social anxiety. We further examined individual movement between subgroups over time. Using cluster analysis we identified four subgroups, including a high-problem cluster at both time-points. Individuals in this cluster showed less remission after treatment, exhibited higher levels of social anxiety at both assessments, and typically remained in the high-problem cluster after treatment. Thus, in individuals with SAD, high levels of social avoidance and depressive symptoms constitute a risk profile for poor treatment response.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- Social anxiety disorder
- Social avoidance
- Depressive symptoms
- Guided internet-based CBT
- Risk factors
- Cluster analysis
- Psychology
- Psykologi
- Psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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