TY - JOUR
T1 - Dismantling Cognitive-Behavioral Group Therapy for social phobia
AU - Hope, Debra A.
AU - Heimberg, Richard G.
AU - Bruch, Monroe A.
N1 - Funding Information:
Acknowledgements--This paper is based in part on the first author's dissertation under the direction of the second author. She wishes to thank her committee members (Richard G. Heimberg, Chairperson, David H. Barlow, Monroe A. Bruch and Ronald M. Rapee) for their guidance and support. Portions of this study were presented at the annual meetings of the Association for the Advancement of Behavior Therapy, 1989 and the Phobia Society of America. 1990. The authors wish to thank E. Mark Mahone, Monroe A. Bruch, Stacey Slavkin, Annabel Prins and Andrew Eisen for serving as co-therapists, Mark Dombeck for his assistance with data collection, and Calvin Garbin for consulting on the statistical analyses. Preparation of the manuscript was supported in part by a University of Nebraska-Lincoln Research Council Faculty Summer Fellowship to the first author.
PY - 1995/7
Y1 - 1995/7
N2 - The efficacy of Heimberg's (1991) Cognitive-Behavioral Group Therapy (CBGT) [Unpublished manuscript] for social phobia has been demonstrated in several studies in recent years. However, little is known about the mechanisms underlying the treatment's success. In order to determine whether the cognitive restructuring component of CBGT is essential, this study compared CBGT to an exposure-based treatment without formal cognitive restructuring. A wait-list control was also included. In general, Ss in the active treatment conditions improved and control Ss did not improve on a variety of self-report, clinician, and behavioral measures. Limited evidence indicated that Ss in the non-cognitive treatment may have made somewhat greater gains on some measures. Although CBGT Ss reported more improvement than exposure-alone Ss in subjective anxiety during an individualized behavioral test at posttreatment, this difference disappeared at 6-month follow-up. Surprisingly, CBGT was less effective than in previous controlled trials, and possible reasons for this are discussed. Implications of the results for cognitive theory and cognitive-behavioral therapy for social phobia are addressed.
AB - The efficacy of Heimberg's (1991) Cognitive-Behavioral Group Therapy (CBGT) [Unpublished manuscript] for social phobia has been demonstrated in several studies in recent years. However, little is known about the mechanisms underlying the treatment's success. In order to determine whether the cognitive restructuring component of CBGT is essential, this study compared CBGT to an exposure-based treatment without formal cognitive restructuring. A wait-list control was also included. In general, Ss in the active treatment conditions improved and control Ss did not improve on a variety of self-report, clinician, and behavioral measures. Limited evidence indicated that Ss in the non-cognitive treatment may have made somewhat greater gains on some measures. Although CBGT Ss reported more improvement than exposure-alone Ss in subjective anxiety during an individualized behavioral test at posttreatment, this difference disappeared at 6-month follow-up. Surprisingly, CBGT was less effective than in previous controlled trials, and possible reasons for this are discussed. Implications of the results for cognitive theory and cognitive-behavioral therapy for social phobia are addressed.
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U2 - 10.1016/0005-7967(95)00013-N
DO - 10.1016/0005-7967(95)00013-N
M3 - Article
C2 - 7654156
AN - SCOPUS:0029034049
SN - 0005-7967
VL - 33
SP - 637
EP - 650
JO - Behavioral Assessment
JF - Behavioral Assessment
IS - 6
ER -