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Cognitive predictors of treatment outcome for exposure therapy: do changes in self-efficacy, self-focused attention, and estimated social costs predict symptom improvement in social anxiety disorder?
Kampmann, Isabel L; Emmelkamp, Paul M G; Morina, Nexhmedin.
Afiliación
  • Kampmann IL; Department of Clinical Psychology, University of Amsterdam, Nieuwe Achtergracht 129 B, 1018, WS, Amsterdam, The Netherlands. i.kampmann@uni-muenster.de.
  • Emmelkamp PMG; Department of Psychology, Westfälische Wilhelms-University Münster, Fliednerstraße 21, 48149, Münster, Germany. i.kampmann@uni-muenster.de.
  • Morina N; Department of Clinical Psychology, University of Amsterdam, Nieuwe Achtergracht 129 B, 1018, WS, Amsterdam, The Netherlands.
BMC Psychiatry ; 19(1): 80, 2019 02 22.
Article en En | MEDLINE | ID: mdl-30795749
BACKGROUND: Cognitions play an important role in the development and maintenance of social anxiety disorder (SAD). METHODS: To investigate whether changes in cognitions during the first six sessions of exposure therapy are associated with treatment outcome, we assessed reported self-focused attention, self-efficacy in social situations, and estimated social costs in 60 participants (Mage = 36.9 years) diagnosed with SAD who received in vivo or virtual reality exposure therapy. RESULTS: Patients demonstrating a greater decrease in estimated social costs during treatment reported greater improvement of their social anxiety symptoms following both forms of exposure therapy. While changes in self-focused attention and social self-efficacy during treatment were significantly associated with treatment outcome when examined individually, these changes did not significantly predict symptom improvement beyond social costs. CONCLUSIONS: Changes in estimated social costs during treatment are associated with improvement of social anxiety symptoms after exposure therapy. Future research needs to further investigate estimated social costs as a predictor in relation to other cognitive variables. TRIAL REGISTRATION: NCT01746667 ; www.clinicaltrials.gov, November 2012, retrospectively registered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Autoeficacia / Miedo / Terapia de Exposición Mediante Realidad Virtual / Fobia Social Tipo de estudio: Diagnostic_studies / Health_economic_evaluation / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2019 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Autoeficacia / Miedo / Terapia de Exposición Mediante Realidad Virtual / Fobia Social Tipo de estudio: Diagnostic_studies / Health_economic_evaluation / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2019 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido