Abstract
The subjective experience of anxiety plays a central role in cognitive behavioral models of social anxiety disorder (SAD). However, much remains to be learned about the temporal dynamics of anxiety elicited by feared social situations. The aims of the current study were: (1) to compare anxiety trajectories during a speech task in individuals with SAD (n=135) versus healthy controls (HCs; n=47), and (2) to compare the effects of CBT on anxiety trajectories with a waitlist control condition. SAD was associated with higher levels of anxiety and greater increases in anticipatory anxiety compared to HCs, but not differential change in anxiety from pre- to post-speech. CBT was associated with decreases in anxiety from pre- to post-speech but not with changes in absolute levels of anticipatory anxiety or rates of change in anxiety during anticipation. The findings suggest that anticipatory experiences should be further incorporated into exposures.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 21-30 |
| Number of pages | 10 |
| Journal | Journal of Anxiety Disorders |
| Volume | 38 |
| DOIs | |
| State | Published - Mar 1 2016 |
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Keywords
- Behavioral assessment test
- Cognitive behavioral therapy
- Latent growth curve modeling
- Social anxiety disorder
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health
Cite this
Anxiety trajectories in response to a speech task in social anxiety disorder : Evidence from a randomized controlled trial of CBT. / Morrison, Amanda S.; Brozovich, Faith A.; Lee, Ihno A.; Jazaieri, Hooria; Goldin, Philip R; Heimberg, Richard G.; Gross, James J.
In: Journal of Anxiety Disorders, Vol. 38, 01.03.2016, p. 21-30.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Anxiety trajectories in response to a speech task in social anxiety disorder
T2 - Evidence from a randomized controlled trial of CBT
AU - Morrison, Amanda S.
AU - Brozovich, Faith A.
AU - Lee, Ihno A.
AU - Jazaieri, Hooria
AU - Goldin, Philip R
AU - Heimberg, Richard G.
AU - Gross, James J.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - The subjective experience of anxiety plays a central role in cognitive behavioral models of social anxiety disorder (SAD). However, much remains to be learned about the temporal dynamics of anxiety elicited by feared social situations. The aims of the current study were: (1) to compare anxiety trajectories during a speech task in individuals with SAD (n=135) versus healthy controls (HCs; n=47), and (2) to compare the effects of CBT on anxiety trajectories with a waitlist control condition. SAD was associated with higher levels of anxiety and greater increases in anticipatory anxiety compared to HCs, but not differential change in anxiety from pre- to post-speech. CBT was associated with decreases in anxiety from pre- to post-speech but not with changes in absolute levels of anticipatory anxiety or rates of change in anxiety during anticipation. The findings suggest that anticipatory experiences should be further incorporated into exposures.
AB - The subjective experience of anxiety plays a central role in cognitive behavioral models of social anxiety disorder (SAD). However, much remains to be learned about the temporal dynamics of anxiety elicited by feared social situations. The aims of the current study were: (1) to compare anxiety trajectories during a speech task in individuals with SAD (n=135) versus healthy controls (HCs; n=47), and (2) to compare the effects of CBT on anxiety trajectories with a waitlist control condition. SAD was associated with higher levels of anxiety and greater increases in anticipatory anxiety compared to HCs, but not differential change in anxiety from pre- to post-speech. CBT was associated with decreases in anxiety from pre- to post-speech but not with changes in absolute levels of anticipatory anxiety or rates of change in anxiety during anticipation. The findings suggest that anticipatory experiences should be further incorporated into exposures.
KW - Behavioral assessment test
KW - Cognitive behavioral therapy
KW - Latent growth curve modeling
KW - Social anxiety disorder
UR - http://www.scopus.com/inward/record.url?scp=84952670341&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84952670341&partnerID=8YFLogxK
U2 - 10.1016/j.janxdis.2015.12.006
DO - 10.1016/j.janxdis.2015.12.006
M3 - Article
C2 - 26760456
AN - SCOPUS:84952670341
VL - 38
SP - 21
EP - 30
JO - Journal of Anxiety Disorders
JF - Journal of Anxiety Disorders
SN - 0887-6185
ER -