Imagery-based CBT for Social Anxiety Disorder: Piloting a Treatment Augmentation Protocol

NCT02659436 | Completed

• 1 other identifier: 0986
• Study Type: interventional
• Target: 9
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this pilot study is to explore whether there is a differential impact of verbal versus imagery-based cognitive behavioural therapy (CBT) as a treatment augmentation strategy for individuals with social anxiety disorder (SAD). Clients who have not demonstrated clinically significant change following group CBT for SAD will receive four additional sessions of either verbal-based CBT or imagery-based CBT. We hypothesize that that individuals who receive imagery-based CBT will experience even stronger improvements and be more satisfied with their treatment than individuals who received traditional verbal-linguistic CBT.

Conditions

Social Anxiety Disorder

Keywords

Cognitive Behavioural Therapy

Outcome Measures

Primary Outcomes (1)

• Social Phobia Inventory

  Measures social anxiety symptoms

  This will be administered at the end of the 4 session protocol which will take place approximately 4 -6 weeks after entry into the study.

Secondary Outcomes (5)

• Vividness of Visual Imagery Questionnaire

  This will be administered at the end of the 4 session protocol which will take place approximately 4 -6 weeks after entry into the study.

• Homework Adherence Scale

  This will be administered at the end of the 4 session protocol which will take place approximately 4 -6 weeks after entry into the study.

• Treatment Satisfaction Scale

  This will be administered at the end of the 4 session protocol which will take place approximately 4 -6 weeks after entry into the study.

• Brief Fear of Negative Evaluation Scale

  This will be administered at the end of the 4 session protocol which will take place approximately 4 -6 weeks after entry into the study.

• Illness Intrusiveness Rating Scale

  This will be administered at the end of the 4 session protocol which will take place approximately 4 -6 weeks after entry into the study.

Study Arms (2)

Verbal-linguistic CBT

ACTIVE COMPARATOR

Participants will receive 4 sessions of verbal cognitive restructuring and exposure therapy delivered in an individual therapy format.

Other: Verbal-linguistic CBT

Imagery-based CBT

EXPERIMENTAL

Participants will receive 4 sessions of imagery-based cognitive work and behavioural experiments delivered in an individual therapy format.

Other: Imagery-based CBT

Interventions

Verbal-linguistic CBT OTHER

Participants will receive 4 sessions of individual therapy focused on traditional cognitive restructuring and exposure therapy.

Verbal-linguistic CBT

Imagery-based CBT OTHER

Participants will receive 4 sessions of individual therapy focused on imagery-based cognitive work and behavioural experiments.

Imagery-based CBT

Eligibility Criteria

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

You may qualify if:

• Completed eight out of twelve sessions of standard verbal-linguistic group cognitive behavioural therapy for social anxiety disorder
• Presented with a Social Phobia Inventory (SPIN) score of greater than 19 post-treatment
• Interested in further treatment

You may not qualify if:

• Has another mental health concern of greater importance than social anxiety disorder

Sponsors & Collaborators

• St. Joseph's Healthcare Hamilton: lead

Related Publications (13)

• American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th edition). Washington, DC: APA.

  BACKGROUND

• Antony MM, Roth D, Swinson RP, Huta V, Devins GM. Illness intrusiveness in individuals with panic disorder, obsessive-compulsive disorder, or social phobia. J Nerv Ment Dis. 1998 May;186(5):311-5. doi: 10.1097/00005053-199805000-00008.

  PMID: 9612449 BACKGROUND

• Bieling, P.J., Rowa, K., Antony, M.M., Summerfeldt, L.J., & Swinson, R.P. (2001). Factor structure of the Illness Intrusiveness Ratings Scale in patients diagnosed with anxiety disorders. Journal of Psychopathology and Behavioral Assessment, 23, 223-230. doi: 10.1023/A:1012723318964

  BACKGROUND

• Carleton RN, Collimore KC, Asmundson GJ. Social anxiety and fear of negative evaluation: construct validity of the BFNE-II. J Anxiety Disord. 2007;21(1):131-41. doi: 10.1016/j.janxdis.2006.03.010. Epub 2006 May 3.

  PMID: 16675196 BACKGROUND

• Devins GM. Illness intrusiveness and the psychosocial impact of lifestyle disruptions in chronic life-threatening disease. Adv Ren Replace Ther. 1994 Oct;1(3):251-63. doi: 10.1016/s1073-4449(12)80007-0.

  PMID: 7614328 BACKGROUND

• Devins GM, Dion R, Pelletier LG, Shapiro CM, Abbey S, Raiz LR, Binik YM, McGowan P, Kutner NG, Beanlands H, Edworthy SM. Structure of lifestyle disruptions in chronic disease: a confirmatory factor analysis of the Illness Intrusiveness Ratings Scale. Med Care. 2001 Oct;39(10):1097-104. doi: 10.1097/00005650-200110000-00007.

  PMID: 11567172 BACKGROUND

• Hackmann A, Clark DM, McManus F. Recurrent images and early memories in social phobia. Behav Res Ther. 2000 Jun;38(6):601-10. doi: 10.1016/s0005-7967(99)00161-8.

  PMID: 10846808 BACKGROUND

• Hirsch CR, Clark DM, Mathews A, Williams R. Self-images play a causal role in social phobia. Behav Res Ther. 2003 Aug;41(8):909-21. doi: 10.1016/s0005-7967(02)00103-1.

  PMID: 12880646 BACKGROUND

• Holmes EA, Lang TJ, Shah DM. Developing interpretation bias modification as a "cognitive vaccine" for depressed mood: imagining positive events makes you feel better than thinking about them verbally. J Abnorm Psychol. 2009 Feb;118(1):76-88. doi: 10.1037/a0012590.

  PMID: 19222316 BACKGROUND

• Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-376. doi: 10.1177/0146167283093007

  BACKGROUND

• McEvoy PM, Saulsman LM. Imagery-enhanced cognitive behavioural group therapy for social anxiety disorder: a pilot study. Behav Res Ther. 2014 Apr;55:1-6. doi: 10.1016/j.brat.2014.01.006. Epub 2014 Feb 7.

  PMID: 24561919 BACKGROUND

• McEvoy PM, Erceg-Hurn DM, Saulsman LM, Thibodeau MA. Imagery enhancements increase the effectiveness of cognitive behavioural group therapy for social anxiety disorder: a benchmarking study. Behav Res Ther. 2015 Feb;65:42-51. doi: 10.1016/j.brat.2014.12.011. Epub 2014 Dec 27.

  PMID: 25569339 BACKGROUND

• Moscovitch DA, Gavric DL, Merrifield C, Bielak T, Moscovitch M. Retrieval properties of negative vs. positive mental images and autobiographical memories in social anxiety: outcomes with a new measure. Behav Res Ther. 2011 Aug;49(8):505-17. doi: 10.1016/j.brat.2011.05.009. Epub 2011 May 26.

  PMID: 21683343 BACKGROUND

MeSH Terms

Conditions

Phobia, Social

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders

Study Officials

• Karen Rowa, Ph. D

  St. Joseph's Healthcare Hamilton

  PRINCIPAL INVESTIGATOR

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: Associate Professor and Psychologist

Study Record Dates

• First Submitted: January 14, 2016
• First Posted: January 20, 2016
• Study Start: January 1, 2016
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2016
• Last Updated: December 29, 2016

Record last verified: 2016-12