Transportability of imagery-enhanced CBT for social anxiety disorder
© 2018 Elsevier Ltd. Pilot and open trials suggest that imagery-enhanced group cognitive behaviour therapy (CBT) is highly effective for social anxiety disorder (SAD). However, before being considered reliable and generalisable, the effects of the intervention need to be replicated by clinicians in...
| Main Authors: | , , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Elsevier
2018
|
| Online Access: | http://hdl.handle.net/20.500.11937/68536 |
| _version_ | 1848761826468167680 |
|---|---|
| author | McEvoy, Peter Erceg-Hurn, David Barber, K. Dupasquier, J. Moscovitch, D. |
| author_facet | McEvoy, Peter Erceg-Hurn, David Barber, K. Dupasquier, J. Moscovitch, D. |
| author_sort | McEvoy, Peter |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2018 Elsevier Ltd. Pilot and open trials suggest that imagery-enhanced group cognitive behaviour therapy (CBT) is highly effective for social anxiety disorder (SAD). However, before being considered reliable and generalisable, the effects of the intervention need to be replicated by clinicians in a setting that is independent of the protocol developers. The current study compared outcomes from clients with a principal diagnosis of SAD at the Australian clinic where the protocol was developed (n = 123) to those from an independent Canadian clinic (n = 46) to investigate whether the large effects would generalise. Trainee clinicians from the independent clinic ran the groups using the treatment protocol without any input from its developers. The treatment involved 12 2-h group sessions plus a one-month follow-up. Treatment retention was comparable across both clinics (74% vs. 78%, =9/12 sessions) and the between-site effect size was very small and non-significant on the primary outcome (social interaction anxiety, d = 0.09, p =.752). Within-group effect sizes were very large in both settings (ds = 2.05 vs. 2.19), and a substantial minority (41%–44%) achieved clinically significant improvement at follow-up. Replication of treatment effects within an independent clinic and with trainee clinicians increases confidence that outcomes are generalisable. |
| first_indexed | 2025-11-14T10:37:50Z |
| format | Journal Article |
| id | curtin-20.500.11937-68536 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:37:50Z |
| publishDate | 2018 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-685362020-05-18T05:51:33Z Transportability of imagery-enhanced CBT for social anxiety disorder McEvoy, Peter Erceg-Hurn, David Barber, K. Dupasquier, J. Moscovitch, D. © 2018 Elsevier Ltd. Pilot and open trials suggest that imagery-enhanced group cognitive behaviour therapy (CBT) is highly effective for social anxiety disorder (SAD). However, before being considered reliable and generalisable, the effects of the intervention need to be replicated by clinicians in a setting that is independent of the protocol developers. The current study compared outcomes from clients with a principal diagnosis of SAD at the Australian clinic where the protocol was developed (n = 123) to those from an independent Canadian clinic (n = 46) to investigate whether the large effects would generalise. Trainee clinicians from the independent clinic ran the groups using the treatment protocol without any input from its developers. The treatment involved 12 2-h group sessions plus a one-month follow-up. Treatment retention was comparable across both clinics (74% vs. 78%, =9/12 sessions) and the between-site effect size was very small and non-significant on the primary outcome (social interaction anxiety, d = 0.09, p =.752). Within-group effect sizes were very large in both settings (ds = 2.05 vs. 2.19), and a substantial minority (41%–44%) achieved clinically significant improvement at follow-up. Replication of treatment effects within an independent clinic and with trainee clinicians increases confidence that outcomes are generalisable. 2018 Journal Article http://hdl.handle.net/20.500.11937/68536 10.1016/j.brat.2018.05.007 Elsevier fulltext |
| spellingShingle | McEvoy, Peter Erceg-Hurn, David Barber, K. Dupasquier, J. Moscovitch, D. Transportability of imagery-enhanced CBT for social anxiety disorder |
| title | Transportability of imagery-enhanced CBT for social anxiety disorder |
| title_full | Transportability of imagery-enhanced CBT for social anxiety disorder |
| title_fullStr | Transportability of imagery-enhanced CBT for social anxiety disorder |
| title_full_unstemmed | Transportability of imagery-enhanced CBT for social anxiety disorder |
| title_short | Transportability of imagery-enhanced CBT for social anxiety disorder |
| title_sort | transportability of imagery-enhanced cbt for social anxiety disorder |
| url | http://hdl.handle.net/20.500.11937/68536 |