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Cognitive therapy versus exposure and applied relaxation in social phobia: a randomized controlled trial.

Clark, David M., Ehlers, Anke, Hackmann, Ann, McManus, Freda, Fennell, Melanie, Grey, Nick, Waddington, Louise and Wild, Jennifer 2006. Cognitive therapy versus exposure and applied relaxation in social phobia: a randomized controlled trial. Journal of Consulting and Clinical Psychology 74 (3) , pp. 568-578. 10.1037/0022-006X.74.3.568

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Abstract

A new cognitive therapy (CT) program was compared with an established behavioral treatment. Sixty-two patients meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) criteria for social phobia were randomly assigned to CT, exposure plus applied relaxation (EXP = AR), or wait-list (WAIT). CT and EXP = AR were superior to WAIT on all measures. On measures of social phobia, CT led to greater improvement than did EXP = AR. Percentages of patients who no longer met diagnostic criteria for social phobia at posttreatment-wait were as follows: 84% in CT, 42% in EXP = AR, and 0% in WAIT. At the 1-year follow-up, differences in outcome persisted. In addition, patients in EXP = AR were more likely to have sought additional treatment. Therapist effects were small and nonsignificant. CT appears to be superior to EXP = AR in the treatment of social phobia. (

Item Type: Article
Status: Published
Schools: Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Publisher: American Psychological Association
ISSN: 1939-2117
Last Modified: 04 Jun 2017 09:05
URI: http://orca.cf.ac.uk/id/eprint/90314

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