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 Scopus citations


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
StatePublished - Mar 1 2016



  • Behavioral assessment test
  • Cognitive behavioral therapy
  • Latent growth curve modeling
  • Social anxiety disorder

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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