Abstract
Social anxiety disorder is thought to be characterized by maladaptive self-views. This study investigated whether (a) patients with social anxiety disorder (n = 75) differ at baseline from healthy controls (n = 43) in negative and positive self-views, (b) cognitive-behavioral therapy (CBT) for social anxiety disorder versus wait-list control produces statistically and clinically significant changes in negative and positive self-views, (c) changes in self-views mediate the effect of CBT on social anxiety symptoms, and (d) changes in self-views during CBT related to social anxiety symptoms at 1-year post-CBT. As expected, patients endorsed more negative and fewer positive self-views than healthy controls at baseline. Compared to wait-list control, CBT yielded statistically and clinically significant changes, specifically, fewer negative and more positive self-views. Mediational analysis indicated that increased positive (but not reduced negative) self-views mediated the effect of CBT on social anxiety reduction. Correlational analyses determined that increased positive self-views were associated with social anxiety symptom reduction at 1-year post-CBT.
Original language | English (US) |
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Pages (from-to) | 301-310 |
Number of pages | 10 |
Journal | Clinical Psychological Science |
Volume | 1 |
Issue number | 3 |
DOIs | |
State | Published - 2013 |
Externally published | Yes |
Keywords
- Cognitive-behavioral therapy
- Meditation
- Self-referential
- Self-view
- Social anxiety
ASJC Scopus subject areas
- Clinical Psychology