The effect of depression on treatment outcome in social anxiety disorder: an individual-level meta-analysis

Cogn Behav Ther. 2021 Oct 7:1-32. doi: 10.1080/16506073.2021.1966089. Online ahead of print.ABSTRACTSocial anxiety disorder (SAD) is highly comorbid with depression. In the present meta-analysis, we conducted the first individual-level examination of the association between pre-treatment depression and improvement in social anxiety symptoms during treatment. We identified eligible studies on cognitive behavior therapy (CBT) and pharmacotherapy for SAD and contacted authors to obtain individual-level data. We obtained these data from 41 studies, including 46 treatment conditions (n = 4,381). Our results showed that individuals who had high levels of depression at pre-treatment experienced greater decreases in social anxiety symptoms from pre- to post-treatment, but not at follow-up. When analyzing treatment modalities (individual CBT, group CBT, internet-delivered CBT, and pharmacotherapy), we found that depressive symptoms were associated with better post-treatment outcomes for individual CBT and internet-delivered CBT, but not for pharmacotherapy or group CBT. Our findings suggest that depression does not negatively affect treatment outcome in SAD and may even lead to improved outcomes in some treatment formats. Clinical implications of these findings are discussed.PMID:34617874 | DOI:10.1080/16506073.2021.1966089
Source: Cognitive Behaviour Therapy - Category: Psychiatry & Psychology Authors: Source Type: research

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ConclusionsTaken together, findings suggest that IR may be a valuable adjunct to GCBT for SAD, especially among patients with comorbid unipolar depression. However, further research including a follow up period is indicated.
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
Body dysmorphic disorder (BDD) is characterized by a preoccupation with a perceived appearance flaw or flaws that are not observable to others. BDD is associated with distress and impairment of functioning. Psychiatric comorbidities, including depression, social anxiety, and obsessive-compulsive disorder are common and impact treatment. Treatment should encompass psychoeducation, particularly addressing the dangers associated with cosmetic procedures, and may require high doses of selective serotonin reuptake inhibitors* (SSRI*) and protracted periods to establish full benefit. If there is an inadequate response to SSRIs, ...
Source: International Clinical Psychopharmacology - Category: Psychiatry Tags: Review Article Source Type: research
This article reviewed the development, progress, current status, and future direction of cognitive behaviour therapy (CBT) in Japan. First, the history of CBT in Japan was briefly reviewed, including a description of the development of two major societies and their respective journals: the Japanese Association for Behaviour Therapy (later renamed as the Japanese Association for Behavioural and Cognitive Therapies) and the Japanese Association for Cognitive Therapy. Second, we reported on the existing evidence relating to CBT in Japan, including randomised control trials for depression, social anxiety disorder, obsessive &n...
Source: Australian Psychologist - Category: Psychiatry & Psychology Authors: Tags: INVITED CONTRIBUTION Source Type: research
ConclusionReassurance seeking appears to be a common factor across anxiety disorders though the themes of the reassurance may differ. Further, reduction in excessive reassurance seeking may be an important component in treatment outcome.
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
Conclusions: The findings from this exploratory study are consistent with the possibility that dialogue therapy may lead to improvements in symptoms and functioning compared to standard treatment in psychosis. Introduction Standard treatment (ST) for psychosis consists primarily of antipsychotics, hospitalization, social rehabilitation, and different types of supportive therapy (1–3). Antipsychotic drugs have only moderate effects on positive symptoms and no demonstrable effects on negative symptoms (4–6). Side effects are often prominent and might include a reduction in emotional expression, menstrual ...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusions: Compared with waiting list, guided iCBT is effective and likely results in symptom improvement in mild to moderate major depression and social phobia. Guided iCBT may improve the symptoms of generalized anxiety disorder and panic disorder compared with waiting list. However, we are uncertain about the effectiveness of iCBT compared with individual or group face-to-face CBT. Guided iCBT represents good value for money and could be offered for the short-term treatment of adults with mild to moderate major depression or anxiety disorders. Most people with mild to moderate depression or anxiety disorders with whom...
Source: Ontario Health Technology Assessment Series - Category: General Medicine Tags: Ont Health Technol Assess Ser Source Type: research
tos D Abstract Inflammatory bowel disease (Crohn's disease and colitis ulcerosa) is a chronic, long-term condition that causes chronic inflammation in the digestive tract, and shows an increasing incidence and prevalence worldwide. Changes in disease activity over time affect psychological distress which increases the risk of exacerbations. Beside somatic symptoms (such as abdominal pain, diarrhoea and weight loss), psychiatric comorbidity (in particular major depression, anxiety, social phobia) is common in patients with Crohn's disease. This case study illustrates the management and stabilization of a 21-year-ol...
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
AbstractThe prevalence of problematic Internet use (PIU) is reportedly higher in South East Asian adolescent populations. The exacerbation of problematic adolescent behaviors has been found to associate significantly with PIU and is expected to worsen with age. Cognitive Behavioural Therapy (CBT)-integrated therapy has been shown to significantly reduce in the presence of psychological symptoms such as depression and social anxiety. The Psychological Intervention Program-Internet Use for Youth (PIP-IU-Y) is a CBT-based program designed for adolescents and comprises of a series of interpersonal skills to improve their face-...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - Category: Psychiatry & Psychology Source Type: research
Abstract A consistent feature across cognitive-behavioural models of social anxiety disorder (SAD) is the central role of the self in the emergence and maintenance of the disorder. The strong emphasis placed on the self in these models and related empirical research has also been reflected in evidence-based treatments for the disorder. This systematic review provides an overview of the empirical literature investigating the role of self-related constructs (e.g., self-beliefs, self-images, self-focused attention) proposed in cognitive models of SAD, before examining how these constructs are modified during and foll...
Source: Clinical Psychology Review - Category: Psychiatry & Psychology Authors: Tags: Clin Psychol Rev Source Type: research
Publication date: Available online 24 June 2016 Source:The Lancet Author(s): Michelle G Craske, Murray B Stein Anxiety disorders (separation anxiety disorder, selective mutism, specific phobias, social anxiety disorder, panic disorder, agoraphobia, and generalised anxiety disorder) are common and disabling conditions that mostly begin during childhood, adolescence, and early adulthood. They differ from developmentally normative or stress-induced transient anxiety by being marked (ie, out of proportion to the actual threat present) and persistent, and by impairing daily functioning. Most anxiety disorders affect almost ...
Source: The Lancet - Category: Journals (General) Source Type: research
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