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Mediators in psychological treatment of social anxiety disorder: Individual cognitive therapy compared to cognitive behavioral group therapy
Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen.
Vise andre og tillknytning
2013 (engelsk)Inngår i: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 51, nr 10, s. 696-705Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

According to cognitive-behavioral models of social anxiety disorder (SAD), four of the important maintaining mechanisms are avoidance, self-focused attention, anticipatory processing and post-event cognitive processing. Individual cognitive therapy (ICT) and cognitive behavioral group therapy (CBGT) both have substantial empirical support. However, it is unclear whether they achieve their effects by similar or different mechanisms. The aim of this study was to investigate whether changes in the four maintenance processes mediate clinical improvement in ICT and CBGT for SAD. We analyzed data from participants (N = 94) who received either ICT or CBGT in two separate RCTs. The results showed that ICT had larger effects than CBGT on social anxiety and each of the four potential mediators. More pertinently, moderated mediation analyses revealed significant between-treatment differences. Whereas improvement in ICT was mainly mediated by reductions in avoidance and self-focused attention, improvement in CBGT was mediated by changes in self-focused attention and in anticipatory and post-event processing. These results support the importance of the putative mediators, but suggest that their relative weights are moderated by treatment type.

sted, utgiver, år, opplag, sider
2013. Vol. 51, nr 10, s. 696-705
Emneord [en]
Social anxiety disorder, Individual cognitive therapy, Cognitive behavioral group therapy, Moderated mediation
HSV kategori
Identifikatorer
URN: urn:nbn:se:su:diva-94109DOI: 10.1016/j.brat.2013.07.006ISI: 000325241400011PubMedID: 23954724Lokal ID: P3021OAI: oai:DiVA.org:su-94109DiVA, id: diva2:651629
Tilgjengelig fra: 2013-09-26 Laget: 2013-09-26 Sist oppdatert: 2022-02-24bibliografisk kontrollert

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Mörtberg, EwaLekander, Mats

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