Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis

Background: Social anxiety is highly prevalent among people with psychosis and linked with significant social disability and poorer prognosis. Although cognitive-behavioural therapy (CBT) has shown to be effective for the treatment of social anxiety in non-psychotic populations, there is a lack of e...

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Main Authors: Michail, Maria, Birchwood, Max, Tait, Lynda
Format: Article
Published: MDPI 2017
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Online Access:https://eprints.nottingham.ac.uk/43596/
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author Michail, Maria
Birchwood, Max
Tait, Lynda
author_facet Michail, Maria
Birchwood, Max
Tait, Lynda
author_sort Michail, Maria
building Nottingham Research Data Repository
collection Online Access
description Background: Social anxiety is highly prevalent among people with psychosis and linked with significant social disability and poorer prognosis. Although cognitive-behavioural therapy (CBT) has shown to be effective for the treatment of social anxiety in non-psychotic populations, there is a lack of evidence on the clinical effectiveness of CBT for the treatment of social anxiety when this is co-morbid in psychosis. Methods: A systematic review to summarise and critically appraise the literature on the effectiveness of CBT interventions for the treatment of social anxiety in psychosis. Results: Two studies were included in the review assessing the effectiveness of group CBT for social anxiety in schizophrenia, both of poor methodological quality. Preliminary findings suggest that group-based CBT is effective in treating symptoms of social anxiety, depression and associated distress in people with schizophrenia. Conclusion: The evidence-base is not robust enough to provide clear implications for practice about the effectiveness of CBT for the treatment of social anxiety in psychosis. Future research should focus on methodologically rigorous randomised controlled trials with embedded process evaluation to assess the effectiveness of CBT interventions in targeting symptoms of social anxiety in psychosis and identify mechanisms of change.
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spelling nottingham-435962020-05-04T18:43:10Z https://eprints.nottingham.ac.uk/43596/ Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis Michail, Maria Birchwood, Max Tait, Lynda Background: Social anxiety is highly prevalent among people with psychosis and linked with significant social disability and poorer prognosis. Although cognitive-behavioural therapy (CBT) has shown to be effective for the treatment of social anxiety in non-psychotic populations, there is a lack of evidence on the clinical effectiveness of CBT for the treatment of social anxiety when this is co-morbid in psychosis. Methods: A systematic review to summarise and critically appraise the literature on the effectiveness of CBT interventions for the treatment of social anxiety in psychosis. Results: Two studies were included in the review assessing the effectiveness of group CBT for social anxiety in schizophrenia, both of poor methodological quality. Preliminary findings suggest that group-based CBT is effective in treating symptoms of social anxiety, depression and associated distress in people with schizophrenia. Conclusion: The evidence-base is not robust enough to provide clear implications for practice about the effectiveness of CBT for the treatment of social anxiety in psychosis. Future research should focus on methodologically rigorous randomised controlled trials with embedded process evaluation to assess the effectiveness of CBT interventions in targeting symptoms of social anxiety in psychosis and identify mechanisms of change. MDPI 2017-04-25 Article PeerReviewed Michail, Maria, Birchwood, Max and Tait, Lynda (2017) Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis. Brain Sciences, 7 (5). p. 45. ISSN 2076-3425 Social anxiety; Psychosis; Cognitive-behavioural therapy http://www.mdpi.com/2076-3425/7/5/45 doi:10.3390/brainsci7050045 doi:10.3390/brainsci7050045
spellingShingle Social anxiety; Psychosis; Cognitive-behavioural therapy
Michail, Maria
Birchwood, Max
Tait, Lynda
Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis
title Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis
title_full Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis
title_fullStr Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis
title_full_unstemmed Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis
title_short Systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis
title_sort systematic review of cognitive-behavioural therapy for social anxiety disorder in psychosis
topic Social anxiety; Psychosis; Cognitive-behavioural therapy
url https://eprints.nottingham.ac.uk/43596/
https://eprints.nottingham.ac.uk/43596/
https://eprints.nottingham.ac.uk/43596/