Manualized cognitive therapy versus cognitive-behavioral treatment-as-usual for social anxiety disorder in routine practice: A cluster-randomized controlled trial
Hoyer J, Colic J, Pittig A, Crawcour S, Moeser M, Ginzburg D, Lin J, Wiltink J, Leibing E, Stangier U (2017)
Publication Type: Journal article
Publication year: 2017
Journal
Book Volume: 95
Pages Range: 87-98
DOI: 10.1016/j.brat.2017.05.012
Abstract
Objective This study examined the effectiveness of manualized cognitive therapy (mCT) following the Clark-Wells approach versus non-manualized cognitive-behavioral treatment-as-usual (CBTAU) for social anxiety disorder (SAD) in routine practice. Methods Forty-eight private practitioners were recruited within a multi-center trial and either received training in manualized CT for SAD or no such training. Practitioners treated 162 patients with SAD in routine practice (N = 107 completers, n = 57 for mCT, n = 50 for CBTAU). Social anxiety symptoms (Liebowitz Social Anxiety Scale; LSAS) and secondary measures were assessed before treatment, at treatment-hour 8, 15, and 25, at end of treatment, as well as 6 and 12 months after treatment. Results Patients in both groups showed significant reductions of SAD severity after treatment (d = 1.91 [mCT] and d = 1.80 [CBTAU], within-group effect sizes, intent-to-treat analyses, LSAS observer ratings), which remained stable at follow-up. There were no differences between groups in terms of symptom reduction and treatment duration. Conclusions The present trial confirms the high effectiveness of CBTAU and mCT for SAD when practitioners conduct the treatments in routine practice. Additional training in the CT manual did not result in significant between-group effects on therapy outcome. Explanations for this unexpected result are discussed.
Authors with CRIS profile
Involved external institutions
Goethe-Universität Frankfurt am Main
Germany (DE)
Technische Universität Dresden
Germany (DE)
Georg-August-Universität Göttingen
Germany (DE)
Johannes Gutenberg-Universität Mainz (JGU)
Germany (DE)
Germany (DE)
Technische Universität Dresden
Germany (DE)
Georg-August-Universität Göttingen
Germany (DE)
Johannes Gutenberg-Universität Mainz (JGU)
Germany (DE)
How to cite
APA:
Hoyer, J., Colic, J., Pittig, A., Crawcour, S., Moeser, M., Ginzburg, D.,... Stangier, U. (2017). Manualized cognitive therapy versus cognitive-behavioral treatment-as-usual for social anxiety disorder in routine practice: A cluster-randomized controlled trial. Behaviour Research and Therapy, 95, 87-98. https://dx.doi.org/10.1016/j.brat.2017.05.012
MLA:
Hoyer, Juergen, et al. "Manualized cognitive therapy versus cognitive-behavioral treatment-as-usual for social anxiety disorder in routine practice: A cluster-randomized controlled trial." Behaviour Research and Therapy 95 (2017): 87-98.
BibTeX: Download