Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics

Cognitive Behavioural Group Therapy (CBGT) for social phobia has been shown to be efficacious withinresearch units and effective within a variety of real world clinical settings. However, most effectivenessstudies of CBGT for social phobia have (a) used protocols without demonstrated efficacy, (b) n...

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Main Authors: McEvoy, Peter, Nathan, P., Rapee, R., Campbell, B.
Format: Journal Article
Published: Elsevier 2012
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/21826
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author McEvoy, Peter
Nathan, P.
Rapee, R.
Campbell, B.
author_facet McEvoy, Peter
Nathan, P.
Rapee, R.
Campbell, B.
author_sort McEvoy, Peter
building Curtin Institutional Repository
collection Online Access
description Cognitive Behavioural Group Therapy (CBGT) for social phobia has been shown to be efficacious withinresearch units and effective within a variety of real world clinical settings. However, most effectivenessstudies of CBGT for social phobia have (a) used protocols without demonstrated efficacy, (b) not included direct comparison groups, and/or (c) contained features of efficacy trials. This study addressed these limitations by using a benchmarking strategy to compare outcomes from the same CBGT protocol used in both a research unit and a community clinic. Research (N ¼ 71) and community (N ¼ 94) patients completed the same 12-session protocol, which resulted in significant reductions in social anxiety and life interference at post-treatment. Compared to research unit patients, community patients had more severe symptoms and life interference at pre-treatment, and were more likely to be male, use medication, have comorbid disorders, and have lower educational attainment. Importantly, degree of improvement on social anxiety symptoms and life interference did not differ across the treatment settings for either completer or intention-to-treat analyses. There was some evidence that being younger, single, and having a depression diagnosis were associated with dropout. Pre-treatment symptoms and number of diagnoses predicted post-treatment symptoms. Consistent with previous uncontrolled trials, it is concluded that CBGT is effective within community mental health clinics.
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spelling curtin-20.500.11937-218262017-02-28T01:36:48Z Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics McEvoy, Peter Nathan, P. Rapee, R. Campbell, B. Cognitive behaviour therapy Social phobia Benchmarking Effectiveness Group Cognitive Behavioural Group Therapy (CBGT) for social phobia has been shown to be efficacious withinresearch units and effective within a variety of real world clinical settings. However, most effectivenessstudies of CBGT for social phobia have (a) used protocols without demonstrated efficacy, (b) not included direct comparison groups, and/or (c) contained features of efficacy trials. This study addressed these limitations by using a benchmarking strategy to compare outcomes from the same CBGT protocol used in both a research unit and a community clinic. Research (N ¼ 71) and community (N ¼ 94) patients completed the same 12-session protocol, which resulted in significant reductions in social anxiety and life interference at post-treatment. Compared to research unit patients, community patients had more severe symptoms and life interference at pre-treatment, and were more likely to be male, use medication, have comorbid disorders, and have lower educational attainment. Importantly, degree of improvement on social anxiety symptoms and life interference did not differ across the treatment settings for either completer or intention-to-treat analyses. There was some evidence that being younger, single, and having a depression diagnosis were associated with dropout. Pre-treatment symptoms and number of diagnoses predicted post-treatment symptoms. Consistent with previous uncontrolled trials, it is concluded that CBGT is effective within community mental health clinics. 2012 Journal Article http://hdl.handle.net/20.500.11937/21826 Elsevier restricted
spellingShingle Cognitive behaviour therapy
Social phobia
Benchmarking
Effectiveness
Group
McEvoy, Peter
Nathan, P.
Rapee, R.
Campbell, B.
Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics
title Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics
title_full Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics
title_fullStr Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics
title_full_unstemmed Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics
title_short Cognitive behavioural group therapy for social phobia: Evidence of transportability to community clinics
title_sort cognitive behavioural group therapy for social phobia: evidence of transportability to community clinics
topic Cognitive behaviour therapy
Social phobia
Benchmarking
Effectiveness
Group
url http://hdl.handle.net/20.500.11937/21826