Anxiety trajectories in response to a speech task in social anxiety disorder: Evidence from a randomized controlled trial of CBT

Amanda S. Morrison, Faith A. Brozovich, Ihno A. Lee, Hooria Jazaieri, Philip R Goldin, Richard G. Heimberg, James J. Gross

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)21-30
Number of pages10
JournalJournal of Anxiety Disorders
Volume38
DOIs
StatePublished - Mar 1 2016

Fingerprint

Anxiety
Randomized Controlled Trials
Social Phobia

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 journalArticle

Morrison, Amanda S. ; Brozovich, Faith A. ; Lee, Ihno A. ; Jazaieri, Hooria ; Goldin, Philip R ; Heimberg, Richard G. ; Gross, James J. / Anxiety trajectories in response to a speech task in social anxiety disorder : Evidence from a randomized controlled trial of CBT. In: Journal of Anxiety Disorders. 2016 ; Vol. 38. pp. 21-30.
@article{a628c9a03aa9430ca31c3d48a1e31812,
title = "Anxiety trajectories in response to a speech task in social anxiety disorder: Evidence from a randomized controlled trial of CBT",
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.",
keywords = "Behavioral assessment test, Cognitive behavioral therapy, Latent growth curve modeling, Social anxiety disorder",
author = "Morrison, {Amanda S.} and Brozovich, {Faith A.} and Lee, {Ihno A.} and Hooria Jazaieri and Goldin, {Philip R} and Heimberg, {Richard G.} and Gross, {James J.}",
year = "2016",
month = "3",
day = "1",
doi = "10.1016/j.janxdis.2015.12.006",
language = "English (US)",
volume = "38",
pages = "21--30",
journal = "Journal of Anxiety Disorders",
issn = "0887-6185",
publisher = "Elsevier Limited",

}

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 -