Variations of Cognitive Behavior Therapy for Social Anxiety Disorder

NCT00948974 | Completed Results

• 1 other identifier: 18345
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to compare the efficacy of two variants of cognitive behavioral therapy (CBT) (cognitive therapy (CT) and acceptance and commitment therapy (ACT)), for the treatment of generalized social anxiety disorder.

Conditions

Social Anxiety Disorder

Keywords

social anxiety; treatment; Cognitive Behavioral Therapy; Acceptance and Commitment Therapy; Cognitive Therapy

Outcome Measures

Primary Outcomes (1)

• Social Phobia and Anxiety Inventory (SPAI) - Social Phobia Subscale

  The SPAI social phobia assess symptoms of social anxiety in the presence of (a) strangers, (b) authority figures, (c) members of the opposite sex, and (d) people in general. The subscale ranges from 32 to 192, where higher scores reflect more severe symptoms of social anxiety.

  baseline (pre-treatment; immediately prior to beginning treatment); post-treatment (12 weeks)

Secondary Outcomes (2)

• Outcomes Questionnaire

  baseline (pre-treatment; just before beginning treatment); post-treatment (12 weeks)

• Behavioral Assessment Test

  baseline (pre-treatment; just prior to beginning treatment); post-treatment (12 weeks)

Study Arms (2)

cognitive therapy

ACTIVE COMPARATOR

cognitive therapy and exposure

Behavioral: Cognitive Therapy

acceptance and committment therapy

ACTIVE COMPARATOR

acceptance and commitment therapy and exposure

Behavioral: Acceptance and Commitment Therapy

Interventions

Cognitive Therapy BEHAVIORAL

Cognitive therapy (CT) highlights the identification and reappraisal of distorted or dysfunctional cognitions in the treatment of psychopathology. For example, socially anxious patients are taught to identify the thoughts and underlying beliefs that trigger strong emotional reactions (e.g., "if I attempt to initiate a conversation I'll humiliate myself"), and then replace these with more accurate, functional thoughts. There is a large body of research supporting the efficacy of CT for mood and anxiety disorders, and for social anxiety disorder in particular (Beck, 2005).

Also known as: CT

cognitive therapy

Acceptance and Commitment Therapy BEHAVIORAL

ACT does not attempt to modify cognitions directly, but rather seeks to foster a mindful acceptance of whatever thoughts or feelings arise, while still pursuing specific behavioral goals. For example, the individual would be taught simply to notice the thoughts as if from a distance without attempting to modify them, and initiate a conversation. Like other newer mindfulness and acceptance-based models of CBT, ACT also expands the traditional focus on symptom reduction to include an emphasis on broader life goals. The scientific literature on ACT has expanded rapidly over the past ten years. Recent reviews conclude that it appears to be at least as effective as CT, and may work at least in part via distinct treatment mechanisms (Powers, Zum Vörde Sive Vörding, \& Emmelkamp, 2009).

Also known as: ACT

acceptance and committment therapy

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinically diagnosable social anxiety disorder (generalized subtype per DSM-IV-TR criteria)
• aged 18-65
• working fluency in English
• residence in the greater Philadelphia area.

You may not qualify if:

• Pervasive developmental disability
• acute suicide potential
• inability to travel to the treatment site
• schizophrenia or other psychotic disorder
• current substance dependence
• Comorbid diagnoses of Major Depressive or other mood or anxiety disorders are acceptable ONLY if clearly secondary to the diagnosis of social anxiety disorder.

Sponsors & Collaborators

• Drexel University: lead

Study Sites (1)

Drexel University

Philadelphia, Pennsylvania, 19102, United States

Location

MeSH Terms

Conditions

Phobia, Social

Interventions

Cognitive Behavioral Therapy; Acceptance and Commitment Therapy

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Results Point of Contact

• Title: Evan Forman
• Organization: Drexel University

evan.forman@drexel.edu

215.553.7113

Study Officials

• James D. Herbert, PhD

  Drexel University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Investigator

Study Record Dates

• First Submitted: July 29, 2009
• First Posted: July 30, 2009
• Study Start: January 1, 2010
• Primary Completion: January 1, 2015
• Study Completion: December 1, 2015
• Last Updated: October 5, 2018
• Results First Posted: October 5, 2018

Record last verified: 2017-12

Locations

US (1)