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Please use this identifier to cite or link to this item: http://hdl.handle.net/1860/542

Title: Long-term follow-up of cognitive behavior therapy for social anxiety disorder
Authors: Nolan, Elizabeth Mintzer
Keywords: Clinical psychology;Social phobia--Treatment;Follow-Up Studies
Issue Date: 15-Sep-2005
Abstract: Cognitive-behavior therapy has been proven effective for the treatment of social anxiety disorder in numerous studies. Generally, studies focus on a relatively short time frame in which they examine outcome, including typically a several month follow-up period, if they include a follow-up assessment at all. Recent literature has emphasized the need for longer-term follow-up periods for treatment outcome studies. The current study was designed to replicate and extend previous findings by Heimberg, Salzman, Holt, and Blendell (1993). Eighteen participants who had previously completed a brief cognitive behavioral treatment for social anxiety disorder were evaluated 3 to 5 years post-treatment. Level of current functioning and predictors of outcome were examined. Assessments included several self-report measures, an interview, and a behavioral assessment. Results indicated the maintenance of treatment gains on five out of six self-measures. Additionally, an insignificant trend toward continued improvement was found on several of the measures. The behavioral assessment indicated maintenance of treatment gains on self-rated anxiety. Predictors of treatment outcome, including avoidant personality disorder diagnostic status, mood disorder diagnostic status, and fear of negative evaluation were also examined, although findings were limited due to low statistical power. Overall, large effect sizes were found from pre-treatment to long-term follow-up. The results are considered consistent with those presented by Heimberg et al. (1993). Limitations of the study and suggestions for further research are discussed.
URI: http://hdl.handle.net/1860/542
Appears in Collections:Drexel Theses and Dissertations

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