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Cognitive Therapy and Research

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02-01-2021 | Original Article

Interpersonal Patterns in Social Anxiety Disorder: Predictors and Outcomes of Cognitive-Behavioral Therapy

Auteurs: Michaela B. Swee, Rachel M. Butler, Brennah V. Ross, Arielle Horenstein, Emily B. O’Day, Richard G. Heimberg

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2021

Abstract

Background

Given the strong associations of social anxiety disorder (SAD) with interpersonal problems and insecure attachment, this study sought to examine specific interpersonal problem domains in relation to the outcome of cognitive-behavioral therapy (CBT) for SAD.

Method

Ninety-five adults with SAD received individual CBT and completed a measure of attachment style at pretreatment, as well as measures of interpersonal problems and social anxiety at pre- and posttreatment.

Results

At baseline, social anxiety was significantly associated with overall interpersonal problems, multiple specific interpersonal problems, as well as insecure attachment. Interpersonal problems decreased significantly over the course of treatment but did not predict a reduction in social anxiety. No specific interpersonal problem predicted changes in social anxiety. The greatest changes from pre- to posttreatment were observed across avoidance-related interpersonal problems. Higher levels of secure attachment predicted lower social anxiety, but individuals with less secure attachment experienced a greater reduction in social anxiety from pre- to posttreatment. However, this interaction was significant for only one of three measures of social anxiety.

Conclusions

Our findings suggest that although higher levels of interpersonal problems and lower levels of secure attachment predict greater social anxiety, interpersonal problems and insecure attachment do not predict poorer treatment outcome.

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It should be noted that the LSAS, SIAS-S and SPS were all used as social anxiety outcome measures in these analyses; as stated earlier, the LSAS was used as our primary outcome measure. With one exception (i.e., lower secure attachment scores predicted a greater decrease in social anxiety symptoms only according to the LSAS but not according to the SIAS-S or SPS), results were uniform across all three measures. Thus, we report the representative results using the LSAS. Means and standard deviations for the SIAS-S and SPS are included in Table 2 and results of the primary analyses for these measures are available in the supplementary file for this manuscript.

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Titel: Interpersonal Patterns in Social Anxiety Disorder: Predictors and Outcomes of Cognitive-Behavioral Therapy
Auteurs: Michaela B. Swee
Rachel M. Butler
Brennah V. Ross
Arielle Horenstein
Emily B. O’Day
Richard G. Heimberg
Publicatiedatum: 02-01-2021
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-020-10192-3

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