Does the form or the amount of exposure make a difference in the cognitive-behavioral therapy treatment of social phobia?

Borgeat, François; Stankovic, Miroslava; Khazaal, Yasser; Rouget, Beatrice Weber; Baumann, Marie-Claude; Riquier, Françoise; O'Connor, Kieron; Jermann, Françoise; Zullino, Daniele Fabio; Bondolfi, Guido

doi:10.1097/NMD.0b013e3181aacc08

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Title		Does the form or the amount of exposure make a difference in the cognitive-behavioral therapy treatment of social phobia?
Authors		Borgeat, François Stankovic, Miroslava Khazaal, Yasser Rouget, Beatrice Weber Baumann, Marie-Claude Riquier, Françoise O'Connor, Kieron Jermann, Françoise Zullino, Daniele Fabio Bondolfi, Guido show all authors [1 - 10]
Published in		Journal of Nervous and Mental Disease. 2009, vol. 197, no. 7, p. 507-513
Abstract		Exposure is considered to be an essential ingredient of cognitive-behavioral therapy treatment of social phobia and of most anxiety disorders. To assess the impact of the amount of exposure on outcome, 30 social phobic patients were randomly allocated to 1 of 2 group treatments of 8 weekly sessions: Self-Focused Exposure Therapy which is based essentially on prolonged exposure to public speaking combined with positive feedback or a more standard cognitive and behavioral method encompassing psychoeducation, cognitive work, working through exposure hierarchies of feared situations for exposure within and outside the group. The results show that the 2 methods led to significant and equivalent symptomatic improvements which were maintained at 1-year follow-up. There was a more rapid and initially more pronounced decrease in negative cognitions with the Self-Focused Exposure Therapy, which included no formal cognitive work, than with the more standard approach in which approximately a third of the content was cognitive. In contrast, decrease in social avoidance was more persistent with standard cognitive-behavior therapy which involved less exposure. The results indicate that positive cognitive change can be achieved more rapidly with non cognitive methods while avoidance decreases more reliably with a standard approach rather than an approach with an exclusive focus on exposure.
Keywords		Adult — Cognitive Therapy/methods — Fear/psychology — Feedback — Female — Follow-Up Studies — Humans — Implosive Therapy/methods — Male — Phobic Disorders/psychology/therapy — Psychotherapy, Group/methods — Speech — Treatment Outcome
Identifiers		DOI: 10.1097/NMD.0b013e3181aacc08 PMID: 19597358
Full text		Article - Limited access to UNIGE
Structures		Faculté de médecine / Section de médecine clinique / Département de psychiatrie
Research groups		Médecine psychosomatique, neurosciences cliniques et mindfulness (690) Abus de substances (834)
Citation (ISO format)		BORGEAT, François et al. Does the form or the amount of exposure make a difference in the cognitive-behavioral therapy treatment of social phobia?. In: Journal of Nervous and Mental Disease, 2009, vol. 197, n° 7, p. 507-513. doi: 10.1097/NMD.0b013e3181aacc08 https://archive-ouverte.unige.ch/unige:19699