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Imagery-enhanced v....
Imagery-enhanced v. verbally-based group cognitive behavior therapy for social anxiety disorder : a randomized clinical trial
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- McEvoy, Peter M. (author)
- Curtin Univ, Sch Psychol, Perth, Australia.;Ctr Clin Intervent, Perth, Australia.
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- Hyett, Matthew P. (author)
- Curtin Univ, Sch Psychol, Perth, Australia.
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- Bank, Samantha R. (author)
- Curtin Univ, Sch Psychol, Perth, Australia.;Ctr Clin Intervent, Perth, Australia.
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- Erceg-Hurn, David M. (author)
- Curtin Univ, Sch Psychol, Perth, Australia.;Ctr Clin Intervent, Perth, Australia.
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- Johnson, Andrew R. (author)
- Curtin Univ, Sch Psychol, Perth, Australia.
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- Kyron, Michael J. (author)
- Curtin Univ, Sch Psychol, Perth, Australia.
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- Saulsman, Lisa M. (author)
- Univ Western Australia, Sch Psychol Sci, Perth, Australia.
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- Moulds, Michelle (author)
- Univ New South Wales, Sch Psychol, Sydney, NSW, Australia.
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- Grisham, Jessica R. (author)
- Univ New South Wales, Sch Psychol, Sydney, NSW, Australia.
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- Holmes, Emily A. (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för psykologi
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- Moscovitch, David A. (author)
- Univ Waterloo, Dept Psychol, Ctr Mental Hlth Res & Treatment, Waterloo, ON, Canada.
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- Lipp, Ottmar V. (author)
- Curtin Univ, Sch Psychol, Perth, Australia.
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- Campbell, Bruce N. C. (author)
- Ctr Clin Intervent, Perth, Australia.
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- Rapee, Ronald M. (author)
- Macquarie Univ, Dept Psychol, Ctr Emot Hlth, Sydney, NSW, Australia.
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Curtin Univ, Sch Psychol, Perth, Australia;Ctr Clin Intervent, Perth, Australia. Curtin Univ, Sch Psychol, Perth, Australia. (creator_code:org_t)
- Cambridge University Press, 2022
- 2022
- English.
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In: Psychological Medicine. - : Cambridge University Press. - 0033-2917 .- 1469-8978. ; 52:7, s. 1277-1286
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- BackgroundCognitive behavior therapy (CBT) is effective for most patients with a social anxiety disorder (SAD) but a substantial proportion fails to remit. Experimental and clinical research suggests that enhancing CBT using imagery-based techniques could improve outcomes. It was hypothesized that imagery-enhanced CBT (IE-CBT) would be superior to verbally-based CBT (VB-CBT) on pre-registered outcomes.MethodsA randomized controlled trial of IE-CBT v. VB-CBT for social anxiety was completed in a community mental health clinic setting. Participants were randomized to IE (n = 53) or VB (n = 54) CBT, with 1-month (primary end point) and 6-month follow-up assessments. Participants completed 12, 2-hour, weekly sessions of IE-CBT or VB-CBT plus 1-month follow-up.ResultsIntention to treat analyses showed very large within-treatment effect sizes on the social interaction anxiety at all time points (ds = 2.09-2.62), with no between-treatment differences on this outcome or clinician-rated severity [1-month OR = 1.45 (0.45, 4.62), p = 0.53; 6-month OR = 1.31 (0.42, 4.08), p = 0.65], SAD remission (1-month: IE = 61.04%, VB = 55.09%, p = 0.59); 6-month: IE = 58.73%, VB = 61.89%, p = 0.77), or secondary outcomes. Three adverse events were noted (substance abuse, n = 1 in IE-CBT; temporary increase in suicide risk, n = 1 in each condition, with one being withdrawn at 1-month follow-up).ConclusionsGroup IE-CBT and VB-CBT were safe and there were no significant differences in outcomes. Both treatments were associated with very large within-group effect sizes and the majority of patients remitted following treatment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- Cognitive behavior therapy
- fear of negative evaluation
- group therapy
- imagery
- randomized controlled trial
- social anxiety disorder
- social interaction anxiety
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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McEvoy, Peter M.
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Hyett, Matthew P ...
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Bank, Samantha R ...
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Erceg-Hurn, Davi ...
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Johnson, Andrew ...
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Kyron, Michael J ...
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show more...
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Saulsman, Lisa M ...
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Moulds, Michelle
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Grisham, Jessica ...
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Holmes, Emily A.
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Moscovitch, Davi ...
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Lipp, Ottmar V.
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Campbell, Bruce ...
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Rapee, Ronald M.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Psychiatry
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
- Articles in the publication
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Psychological Me ...
- By the university
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Uppsala University
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Karolinska Institutet