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Dissertation
Long-term follow-up of cognitive behavior therapy for social anxiety disorder
Doctor of Philosophy (Ph.D.), Drexel University
Aug 2005
DOI:
https://doi.org/10.17918/etd-542
Abstract
Cognitive-behavior therapy has been proven effective for the treatment of social anxiety disorder in numerous studies. Generally, studies focus on a relatively short time frame in which they examine outcome, including typically a several month follow-up period, if they include a follow-up assessment at all. Recent literature has emphasized the need for longer-term follow-up periods for treatment outcome studies. The current study was designed to replicate and extend previous findings by Heimberg, Salzman, Holt, and Blendell (1993). Eighteen participants who had previously completed a brief cognitive behavioral treatment for social anxiety disorder were evaluated 3 to 5 years post-treatment. Level of current functioning and predictors of outcome were examined. Assessments included several self-report measures, an interview, and a behavioral assessment. Results indicated the maintenance of treatment gains on five out of six self-measures. Additionally, an insignificant trend toward continued improvement was found on several of the measures. The behavioral assessment indicated maintenance of treatment gains on self-rated anxiety. Predictors of treatment outcome, including avoidant personality disorder diagnostic status, mood disorder diagnostic status, and fear of negative evaluation were also examined, although findings were limited due to low statistical power. Overall, large effect sizes were found from pre-treatment to long-term follow-up. The results are considered consistent with those presented by Heimberg et al. (1993). Limitations of the study and suggestions for further research are discussed.
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Details
- Title
- Long-term follow-up of cognitive behavior therapy for social anxiety disorder
- Creators
- Elizabeth Mintzer Nolan - DU
- Contributors
- James D. Herbert (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Arts and Sciences; Drexel University
- Other Identifier
- 542; 991014631956604721