Change search
ReferencesLink to record
Permanent link

Direct link
Mediators in psychological treatment of social anxiety disorder: Individual cognitive therapy compared to cognitive behavioral group therapy
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Show others and affiliations
2013 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 51, no 10, 696-705 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2013. Vol. 51, no 10, 696-705 p.
Keyword [en]
Social anxiety disorder, Individual cognitive therapy, Cognitive behavioral group therapy, Moderated mediation
National Category
Medical and Health Sciences
URN: urn:nbn:se:su:diva-94109DOI: 10.1016/j.brat.2013.07.006ISI: 000325241400011PubMedID: 23954724Local ID: P3021OAI: diva2:651629
Available from: 2013-09-26 Created: 2013-09-26 Last updated: 2013-11-04Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Mörtberg, EwaLekander, Mats
By organisation
Department of PsychologyStress Research Institute
In the same journal
Behaviour Research and Therapy
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 34 hits
ReferencesLink to record
Permanent link

Direct link