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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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 individu...
Source: Cognitive Behaviour Therapy - Category: Psychiatry & Psychology Authors: Source Type: research
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
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