Cognitive Therapy vs Interpersonal Psychotherapy in Social Anxiety Disorder

Abstract

Cognitive therapy and IPT led to considerable improvements that were maintained 1 year after treatment; CT was more efficacious than was IPT in reducing social phobia symptoms.

Cognitive Behavioral Therapy for Patients with Social Anxiety Disorder Who Remain Symptomatic following Antidepressant Treatment: A Randomized, Assessor-Blinded, Controlled Trial

“…We should also consider the results of the Cognitive Therapy Competence Scale (CTCS) against other studies, given that evidence suggests that competence predicts outcome in CBT for SAD [37]. Although we did not evaluate the CTCS, when we calculated the pre-post effect size of the CBT arm by the same formula [(M pre-CBT  -  M post-CBT )/SD pooled ] using raw data from each study, our effect size of 2.00 for the LSAS was comparable to those in previous studies on individual-based CBT using the model of Clark and Wells [19] (1.22-2.17) [12,30,31,35]. We should also take into consideration the time of each session across different studies.…”

“…Therefore, we needed to describe the phenomenon of ‘patients who remain symptomatic following antidepressant treatment' in this study because no agreed-upon definition existed. This was particularly relevant given that our sample had more severe symptoms (mean LSAS >80) than those in most previous trials [9,30,31]. Some drug-switching trials have targeted more restricted SSRI nonresponders, but patients in those studies had less severe SAD symptoms (mean LSAS <80) than those in our study [16,32].…”

Towards a second-person neuropsychiatry

“…Whereas cognitive approaches focus on the modification of intrapersonal mechanisms, interpersonal approaches focus on the modification of patterns of interpersonal relationships and thereby help to alleviate SAD symptoms. While cognitive therapy has been shown to be more effective in reducing social phobia symptoms, it has been shown in a direct comparison study that both forms of therapy lead to considerable clinical improvements maintained 1 year after treatment [119].…”

The effect of the cognitive aproach-based nursing practice in the patients with anxiety disorder on the patients' authomatic thoughts related to treatment

“…[17] Literatürde YAB olan hastaların doğrudan ilaç tedavisi ile ilgili otomatik düşüncelerine yönelik bir bilişsel girişim çalışmasına rastlanılmamış olmakla birlikte, bilişsel model kullanımının otomatik düşüncelerin azaltılması, bilişsel farkındalığın artırılması, hasta/bireyin bilgilendirilmesi, baş etme yeteneklerinin açığa çıkarılması ve artırılması gibi çeşit-li alanlarda kullanıldığı çalışmalar mevcuttur. [18,20,21] Çalışmada, otomatik düşünceler sıklığının ilaç tedavisi ile ilgili otomatik düşünceler üzerine yordayıcı etkisini araştır-mak amacıyla regresyon analizi yapılmıştır. Analiz sonucunda yapılan ölçüm sonuçlarında otomatik düşünceler sıklığının ilaç tedavisi ile ilgili otomatik düşünceler üzerine anlamlı bir yordayıcı etkisi olduğu ve aralarında pozitif yönde bir korelasyon olduğu görülmüştür.…”