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Changing core beliefs with trial-based cognitive therapy may improve quality of life in social phobia: a randomized study
Journal article   Open access   Peer reviewed

Changing core beliefs with trial-based cognitive therapy may improve quality of life in social phobia: a randomized study

Vania Bitencourt Powell, Olivia Haun de Oliveira, Camila Seixas, Cláudia Almeida, Maria Conceição Grangeon, Milke Caldas, Thaís Delavechia Bonfim, Martha Castro, Amanda Galvão-de Almeida, Roberta de Oliveira Moraes, …
Revista brasileira de psiquiatria, v 35(3), pp 243-247
01 Sep 2013
PMID: 24142084
url
https://doi.org/10.1590/1516-4446-2012-0863View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

Analysis of Variance Cognitive Behavioral Therapy - methods Humans Phobic Disorders - psychology Phobic Disorders - therapy Social Adjustment Treatment Outcome Quality of Life
To determine whether there are differences in quality of life (QoL) improvement after treatment with the trial-based thought record (TBTR) versus conventional cognitive therapy (CCT) in patients with social anxiety disorder (SAD). A randomized trial comparing TBTR with a set of CCT techniques, which included the standard 7-column dysfunctional thought record (DTR) and the positive data log (PDL) in patients with SAD, generalized type. Repeated measures analysis of variance (ANOVA) revealed a significant time effect in the general health, vitality, social functioning, and mental health domains of the Short Form 36. It also indicated significant treatment effects on the bodily pain, social functioning, role-emotional, and mental health domains, with higher scores in the TBTR group. One-way analysis of covariance (ANCOVA), using pretreatment values as covariates, showed that TBTR was associated with significantly better QoL post-treatment (bodily pain, social functioning and role-emotional) and at follow-up (role-emotional). A significant treatment effect on the role-emotional domain at 12-month follow-up denoted a sustained effect of TBTR relative to CCT. This study provided preliminary evidence that TBTR is at least as effective as CCT in improving several domains of QoL in SAD, specifically when the standard 7-column DTR and the PDL are used.

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Web of Science research areas
Psychiatry
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