Automatic thoughts and cognitive restructuring in cognitive behavioral group therapy for social anxiety disorder

Debra A. Hope, James A. Burns, Sarah A. Hayes, James D. Herbert, Michelle D. Warner

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

The goal in (Heimberg, R. G. (1991). A manual for conducting Cognitive Behavior Group Therapy for social phobia (2nd ed), Unpublished manuscript) cognitive behavioral group therapy (CBGT) for social anxiety disorder (social phobia) is to challenge irrational automatic thoughts and create exposures to provide disconfirming evidence for these irrational thoughts as well as habituation to fearful stimuli. Yet little is know about the types of thoughts reported by socially anxious individuals in therapy or which thoughts therapists select for cognitive restructuring in CBGT sessions. The present study analyzed the semantic content of automatic thoughts reported in CBGT and found that the most common thoughts related to poor social performance, negative labels by others, and the anticipation of negative outcomes in feared situations. Principle components analyses indicated the automatic thoughts reflected three underlying themes: Experiencing Anxiety, Negative Self-Evaluation, and Fear of Negative Evaluation. The paper also describes exploratory analyses of which thoughts became the focus of cognitive restructuring exercises and their relationship to treatment outcome. Implications for cognitive therapy are also discussed.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalCognitive Therapy and Research
Volume34
Issue number1
DOIs
StatePublished - Feb 2010

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology

Fingerprint Dive into the research topics of 'Automatic thoughts and cognitive restructuring in cognitive behavioral group therapy for social anxiety disorder'. Together they form a unique fingerprint.

Cite this