Dismantling Cognitive-Behavioral Group Therapy for social phobia

Debra A Hope, Richard G. Heimberg, Monroe A. Bruch

Research output: Contribution to journalArticle

143 Citations (Scopus)

Abstract

The efficacy of Heimberg's (1991) Cognitive-Behavioral Group Therapy (CBGT) [Unpublished manuscript] for social phobia has been demonstrated in several studies in recent years. However, little is known about the mechanisms underlying the treatment's success. In order to determine whether the cognitive restructuring component of CBGT is essential, this study compared CBGT to an exposure-based treatment without formal cognitive restructuring. A wait-list control was also included. In general, Ss in the active treatment conditions improved and control Ss did not improve on a variety of self-report, clinician, and behavioral measures. Limited evidence indicated that Ss in the non-cognitive treatment may have made somewhat greater gains on some measures. Although CBGT Ss reported more improvement than exposure-alone Ss in subjective anxiety during an individualized behavioral test at posttreatment, this difference disappeared at 6-month follow-up. Surprisingly, CBGT was less effective than in previous controlled trials, and possible reasons for this are discussed. Implications of the results for cognitive theory and cognitive-behavioral therapy for social phobia are addressed.

Original languageEnglish (US)
Pages (from-to)637-650
Number of pages14
JournalBehaviour Research and Therapy
Volume33
Issue number6
DOIs
StatePublished - Jan 1 1995

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Cognitive Therapy
Group Psychotherapy
Manuscripts
Self Report
Social Phobia
Anxiety

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Dismantling Cognitive-Behavioral Group Therapy for social phobia. / Hope, Debra A; Heimberg, Richard G.; Bruch, Monroe A.

In: Behaviour Research and Therapy, Vol. 33, No. 6, 01.01.1995, p. 637-650.

Research output: Contribution to journalArticle

Hope, Debra A ; Heimberg, Richard G. ; Bruch, Monroe A. / Dismantling Cognitive-Behavioral Group Therapy for social phobia. In: Behaviour Research and Therapy. 1995 ; Vol. 33, No. 6. pp. 637-650.
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