Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial
The Self-Regulatory Executive Function model [S-REF; Wells, A., & Matthews, G. (1996). Modellingcognition in emotional disorder: the S-REF model. Behaviour Research and Therapy, 34, 881–888] proposes that metacognitive beliefs, inflexible self-focused attention, and perseverative thinking (rumin...
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| Format: | Journal Article |
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Pergamon
2009
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| Online Access: | http://hdl.handle.net/20.500.11937/43185 |
| _version_ | 1848756620789547008 |
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| author | McEvoy, Peter Perini, S. |
| author_facet | McEvoy, Peter Perini, S. |
| author_sort | McEvoy, Peter |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | The Self-Regulatory Executive Function model [S-REF; Wells, A., & Matthews, G. (1996). Modellingcognition in emotional disorder: the S-REF model. Behaviour Research and Therapy, 34, 881–888] proposes that metacognitive beliefs, inflexible self-focused attention, and perseverative thinking (rumination and worry) play an important role in maintaining emotional dysfunction. Attention training [ATT; Wells, A. (1990). Panic disorder in association with relaxation induced anxiety: an attentional training approach to treatment. Behavior Therapy, 21, 273–280] is a technique designed to increase attentional control and flexibility, and thereby lessen the impact of these maintaining factors. The main aim of this study was to determine whether or not supplementing cognitive behavioral group therapy (CBGT) with ATT could potentiate greater changes in social anxiety, depression, attentional control, metacognitive beliefs, and anticipatory and post-event processing in a clinical sample with social phobia. Patients (N = 81) were allocated to CBGT with ATT or relaxation training (RT). ATT did not potentiate greater change on any outcome variable, with both groups achieving significant improvements on all measures. Exploratory correlational analyses (pre-treatment and changes scores) showed that somemetacognitive beliefs were associated with attentional control, anticipatory processing, and symptoms of social anxiety and depression. However, attentional control was more consistently associated with anticipatory processing, post-event processing, and symptoms of social anxiety and depression, than with metacognitive beliefs. Results are discussed with reference to cognitive behavioral models of social phobia. It is tentatively concluded that while supplementing CBGT with ATT does not improve outcomes, increasing attentional control during CBGT is associated with symptom relief. |
| first_indexed | 2025-11-14T09:15:06Z |
| format | Journal Article |
| id | curtin-20.500.11937-43185 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:15:06Z |
| publishDate | 2009 |
| publisher | Pergamon |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-431852017-02-28T01:46:27Z Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial McEvoy, Peter Perini, S. Cognitive behavior therapy Rumination Anxiety disorders Social phobia Attention training Metacognition The Self-Regulatory Executive Function model [S-REF; Wells, A., & Matthews, G. (1996). Modellingcognition in emotional disorder: the S-REF model. Behaviour Research and Therapy, 34, 881–888] proposes that metacognitive beliefs, inflexible self-focused attention, and perseverative thinking (rumination and worry) play an important role in maintaining emotional dysfunction. Attention training [ATT; Wells, A. (1990). Panic disorder in association with relaxation induced anxiety: an attentional training approach to treatment. Behavior Therapy, 21, 273–280] is a technique designed to increase attentional control and flexibility, and thereby lessen the impact of these maintaining factors. The main aim of this study was to determine whether or not supplementing cognitive behavioral group therapy (CBGT) with ATT could potentiate greater changes in social anxiety, depression, attentional control, metacognitive beliefs, and anticipatory and post-event processing in a clinical sample with social phobia. Patients (N = 81) were allocated to CBGT with ATT or relaxation training (RT). ATT did not potentiate greater change on any outcome variable, with both groups achieving significant improvements on all measures. Exploratory correlational analyses (pre-treatment and changes scores) showed that somemetacognitive beliefs were associated with attentional control, anticipatory processing, and symptoms of social anxiety and depression. However, attentional control was more consistently associated with anticipatory processing, post-event processing, and symptoms of social anxiety and depression, than with metacognitive beliefs. Results are discussed with reference to cognitive behavioral models of social phobia. It is tentatively concluded that while supplementing CBGT with ATT does not improve outcomes, increasing attentional control during CBGT is associated with symptom relief. 2009 Journal Article http://hdl.handle.net/20.500.11937/43185 Pergamon restricted |
| spellingShingle | Cognitive behavior therapy Rumination Anxiety disorders Social phobia Attention training Metacognition McEvoy, Peter Perini, S. Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial |
| title | Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial |
| title_full | Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial |
| title_fullStr | Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial |
| title_full_unstemmed | Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial |
| title_short | Cognitive behavioural group therapy for social phobia with or without attention training: A controlled trial |
| title_sort | cognitive behavioural group therapy for social phobia with or without attention training: a controlled trial |
| topic | Cognitive behavior therapy Rumination Anxiety disorders Social phobia Attention training Metacognition |
| url | http://hdl.handle.net/20.500.11937/43185 |