Does reducing safety behaviours improve treatment response in patients with social phobia?

Australian and New Zealand Journal of Psychiatry

Volumn 33, Issue 4, 1999, Pages 503-510

  Morgan, Hugh ^a   Raffle, Catriona ^b  

^a Sutherland Hosp Caringbah Comm H   (Australia)

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Cognitive behaviour therapy; Safety behaviour; Social phobia

Indexed keywords

ADULT; ANXIETY; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; COGNITIVE THERAPY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HUMAN; MALE; SAFETY; SOCIAL PHOBIA;

ADULT; COGNITIVE THERAPY; COMBINED MODALITY THERAPY; COMORBIDITY; DESENSITIZATION, PSYCHOLOGIC; FEMALE; HUMANS; MALE; MIDDLE AGED; PERSONALITY INVENTORY; PHOBIC DISORDERS; PSYCHOTHERAPY, GROUP; SAFETY; TREATMENT OUTCOME;

EID: 0032790710     PISSN: 00048674     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1440-1614.1999.00599.x     Document Type: Article

References (27)

1. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association, 1994.
2. Andrews G, Crino R, Hunt C, Lampe L, Page A. The treatment of anxiety disorders. New York: Cambridge University Press, 1994.
3. Butler G. Exposure as a treatment for social phobia: some instructive difficulties. Behaviour Research and Therapy 1985; 23:651-657.
4. Wells A, Clark DM, Salkovskis P, Ludgate J, Hackmann A, Gelder M. Social phobia: the role of in-situation safety behaviours in maintaining anxiety and negative beliefs. Behavior Therapy 1995; 26:153-161.
5. Butler G, Wells A. Cognitive-behavioral treatments: clinical applications. In: Heimberg RG, Liebowitz MR, Hope DA, Schneier FR, eds. Social phobia: diagnosis, assessment, and treatment. New York: Guilford, 1995.
6. Clark DM. Panic disorder and social phobia. In: Clark DM, Fairburn CG, eds. Science and practice of cognitive behaviour therapy. Oxford: Oxford University Press, 1997.
7. Clark DM, Wells A. A cognitive model of social phobia. In: Heimberg RG, Liebowitz MR, Hope DA, Schneier FR, eds. Social phobia: diagnosis, assessment and treatment. New York: Guilford, 1995.
8. Salkovskis PM. The importance of behaviour in the maintenance of anxiety and panic: a cognitive account. Behavioural Psychotherapy 1991; 19:6-19.
9. Salkovskis PM. Avoidance behaviour is motivated by threat beliefs: a possible resolution of the cognition-behaviour debate. In Salkovskis, ed. Trends in cognitive and behavioural therapies. Chichester: John Wiley, 1996.
10. Butler G, Cullington A, Munby M, Amies P, Gelder M. Exposure and anxiety management in the treatment of social phobia. Journal of Consulting and Clinical Psychology 1984; 52:642-650.
11. Emmelkamp PMG, Mersch PP, Vissia E, van der Helm M. Social phobia: a comparative evaluation of cognitive and behavioral interventions. Behaviour Research and Therapy 1985; 23:365-369.
12. Mattick RP, Peters L. Treatment of severe social phobia: effects of guided exposure with and without cognitive restructuring. Journal of Consulting and Clinical Psychology 1988; 56:251-260.
13. Mattick RP, Peters L, Clarke JC. Exposure and cognitive restructuring for social phobia: a controlled study. Behavior Therapy 1989; 20:3-23.
14. Composite international diagnostic interview: auto version 1.1. Administrators Guide and Reference. Geneva: World Health Organization, 1993.
15. Turner SM, Beidel DC, Dancu CV, Stanley MA. An empirically derived inventory to measure social fears and anxiety: the social phobia and anxiety inventory. Psychological Assessment 1989; 1:35-40.
16. Watson D, Friend R. Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology 1969; 33:448-457.
17. Derogatis LR. The SCL-90-R. Administration scoring and procedures manual II. Baltimore, MD: Baltimore Clinical Psychometric Research, 1983.
18. Bond A, Lader M. The use of analogue scales in rating subjective feelings. British Journal of Medical Psychology 1974; 47:211-218.
19. Clark DM, Wells A, Hachmann A, Butler G, Fennell MJV. Social behaviours questionnaire. Unpublished manuscript. Oxford: Department of Psychiatry, Oxford University, 1995.
20. Cohen J. Statistical power analysis for the behavioural sciences (revised ed.). New York: Academic Press, 1977.
21. Cohen J. A power primer. Psychological Bulletin 1992; 112:155-159.
22. Hickie I, Mason C, Parker G, Brodaty H. Prediction of ECT response: validation of a refined sign-based (CORE) system for defining melancholia. British Journal of Psychiatry 1996; 169:68-74.
23. The Quality Assurance Project. Treatment outlines for the management of anxiety states. Australian and New Zealand Journal of Psychiatry 1985; 19:138-151.
24. Streiner DL. Learning how to differ: agreement and reliability statistics in psychiatry. Canadian Journal of Psychiatry 1995; 40:60-66.
25. Turner SM, Beidel DC, Dancu CV. SPAI social phobia and anxiety inventory manual. Toronto: Multi-Health Systems, 1996.
26. Montgomery SA. Need for treatment and measurement of outcome: workshop report 2. International Journal of Psychopharmacology 1996; 11:103-108.
27. McNeil DW, Ries BJ, Turk CL. Behavioral assessment: self-report, physiology, and overt behaviour. In: Heimberg RG, Liebowitz, MR, Hope DA, Schneier FR, eds. Social phobia: diagnosis, assessment and treatment. New York: Guilford, 1995.