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Cognitive Therapy and Research

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12-07-2022 | Original Article

Now I Always have to Perform Well! Effects of CBT for Social Anxiety Disorder on Negative Interpretations of Positive Social Events

Auteurs: Yasunori Nishikawa, Katie Fracalanza, Neil A. Rector, Judith M. Laposa

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2022

Abstract

Background

Individuals with social anxiety disorder (SAD) report interpreting social events negatively regardless of valence. Fear of causing discomfort to others and intolerance of uncertainty (IU) are associated with negative interpretations of positive social situations. However, no studies have examined whether these negative interpretations change over CBT for SAD, nor predictors of such changes. This study examined if: negative interpretations of positive social events improve during CBT for SAD; these negative interpretations correlate with social anxiety symptom severity, fear of causing discomfort to others, and IU at the start of treatment; and fear of causing discomfort to others, IU and its subfactors at the start of treatment predict changes in these negative interpretations over treatment.

Methods

Eighty-five treatment-seeking DSM diagnosed individuals with primary SAD completed measures of the tendency to interpret positive events negatively pre-post CBT, and IU and fears of causing discomfort to others at pre-treatment.

Results

Results demonstrated significant pre-post decreases after CBT for SAD in negative interpretations of positive social events. All measures were significantly correlated with each other. None of the pre-treatment variables significantly predicted decreases in negative interpretations of positive social events over treatment.

Conclusions

CBT may be effective in reducing these negative interpretations.

vorige artikel Intergenerational Transmission of Social Anxiety in Childhood Through Fear of Negative Child Evaluation and Parenting

volgende artikel Always Saying the Wrong Thing: Negative Beliefs About Losing Control Cause Symptoms of Social Anxiety

The data collected for this study were from before the SCID-5 diagnostic interview was released.

Participants with comorbid bipolar disorder and substance abuse/dependence had not met diagnostic criteria for not less than six months for mania or not less than three months for substance abuse/dependence before starting treatment.

Data based on n = 84.

Participants also completed measures of rumination, distress tolerance, anxiety sensitivity, treatment expectancy for change, and reassurance seeking, which are not part of the current study.

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Titel: Now I Always have to Perform Well! Effects of CBT for Social Anxiety Disorder on Negative Interpretations of Positive Social Events
Auteurs: Yasunori Nishikawa
Katie Fracalanza
Neil A. Rector
Judith M. Laposa
Publicatiedatum: 12-07-2022
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-022-10322-z

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