Abstract
| Language | English |
|---|---|
| Pages | 261-272 |
| Number of pages | 12 |
| Journal | Cognitive Therapy and Research |
| Volume | 42 |
| Issue number | 3 |
| Early online date | 11 Jan 2018 |
| DOIs | |
| Publication status | Published - Jun 2018 |
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Maladaptive self-beliefs during cognitive behavioural therapy for social anxiety disorder : a test of temporal precedence. / Gregory, Bree; Wong, Quincy J. J.; Marker, Craig; Peters, Lorna.
In: Cognitive Therapy and Research, Vol. 42, No. 3, 06.2018, p. 261-272.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Maladaptive self-beliefs during cognitive behavioural therapy for social anxiety disorder
T2 - Cognitive Therapy and Research
AU - Gregory,Bree
AU - Wong,Quincy J. J.
AU - Marker,Craig
AU - Peters,Lorna
PY - 2018/6
Y1 - 2018/6
N2 - Given the putative importance of maladaptive self-beliefs in cognitive models of social anxiety, there is growing interest in the construct’s influence on social anxiety reduction in treatment. The present study sought to examine whether maladaptive self-beliefs reduce over a 12-week course of cognitive behavioural therapy (CBT) for social anxiety disorder (SAD), and whether change in self-beliefs is an indicator of later change in social anxiety symptom severity within treatment. Participants were 77 individuals with SAD who completed measures of maladaptive self-beliefs every 2 weeks of the treatment protocol and measures of social anxiety each week. Using a dynamic bivariate latent difference score framework, results indicated that maladaptive self-beliefs reduced during CBT for SAD, and that change in maladaptive self-beliefs was a significant predictor of later change in social anxiety symptom severity. Reductions in social anxiety was not a significant predictor of later change in self-beliefs. Findings underscore the importance of maladaptive self-beliefs in the maintenance of social anxiety and in treatment for SAD. Moreover, they permit inferences about the temporal sequence of change processes in therapy and are consistent with CBT therapeutic models suggesting that cognitive change precedes symptom change.
AB - Given the putative importance of maladaptive self-beliefs in cognitive models of social anxiety, there is growing interest in the construct’s influence on social anxiety reduction in treatment. The present study sought to examine whether maladaptive self-beliefs reduce over a 12-week course of cognitive behavioural therapy (CBT) for social anxiety disorder (SAD), and whether change in self-beliefs is an indicator of later change in social anxiety symptom severity within treatment. Participants were 77 individuals with SAD who completed measures of maladaptive self-beliefs every 2 weeks of the treatment protocol and measures of social anxiety each week. Using a dynamic bivariate latent difference score framework, results indicated that maladaptive self-beliefs reduced during CBT for SAD, and that change in maladaptive self-beliefs was a significant predictor of later change in social anxiety symptom severity. Reductions in social anxiety was not a significant predictor of later change in self-beliefs. Findings underscore the importance of maladaptive self-beliefs in the maintenance of social anxiety and in treatment for SAD. Moreover, they permit inferences about the temporal sequence of change processes in therapy and are consistent with CBT therapeutic models suggesting that cognitive change precedes symptom change.
KW - self-beliefs
KW - social anxiety disorder
KW - CBT
KW - mechanisms of change
KW - latent difference score
UR - http://purl.org/au-research/grants/nhmrc/102411
UR - http://www.scopus.com/inward/record.url?scp=85040372800&partnerID=8YFLogxK
U2 - 10.1007/s10608-017-9882-5
DO - 10.1007/s10608-017-9882-5
M3 - Article
VL - 42
SP - 261
EP - 272
JO - Cognitive Therapy and Research
JF - Cognitive Therapy and Research
SN - 0147-5916
IS - 3
ER -