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Do sudden gains predict treatment outcome in social anxiety disorder? Findings from two randomized controlled trials.

Behaviour research and therapy
October 1, 2019
Rachel M Butler et al. (9 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the occurrence of sudden gains (SGs) in Mindfulness-Based Stress Reduction (MBSR) and group cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD) and assess their association with treatment outcomes.

Results Summary

SGs occurred in 27% of participants in Study 2, with comparable rates in MBSR and group CBT. SGs were not associated with greater improvements in social anxiety during treatment in either condition.

Population

Individuals with social anxiety disorder (SAD).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
individual cognitive-behavioral therapy (CBT)
increase
sudden gains (SGs)
participants
17.6%
experienced
#1
individual cognitive-behavioral therapy (CBT)
decrease
social anxiety
participants with SGs
-
started and ended treatment with lower
#2
individual cognitive-behavioral therapy (CBT)
no change
social anxiety
participants with SGs
-
were not associated with greater decreases
#3
Mindfulness-Based Stress Reduction (MBSR)
increase
sudden gains (SGs)
participants
27%
occurred in
#4
group CBT
increase
sudden gains (SGs)
participants
27%
occurred in
#5
Mindfulness-Based Stress Reduction (MBSR)
no change
social anxiety
participants with SGs
-
were not associated with changes
#6
group CBT
no change
social anxiety
participants with SGs
-
were not associated with changes
#7
treatment for SAD
increase
sudden gains (SGs)
participants
-
occurred during
#8
treatment for SAD
decrease
social anxiety
participants
-
improved regardless of experiencing
#9
treatment for SAD
no change
social anxiety
participants with SGs
-
are not predictive of greater improvement
#10
Abstract

OBJECTIVE: Sudden gains (SGs) have been found to occur during randomized controlled trials (RCTs) for social anxiety disorder (SAD). Evidence is mixed whether SGs relate to treatment outcome in SAD. We examined SGs in two RCTs for SAD. METHOD: Study 1 (N = 68) examined SGs in individual cognitive-behavioral therapy (CBT), and Study 2 (N = 100) compared SGs in group CBT and Mindfulness-Based Stress Reduction (MBSR). Weekly ratings of social anxiety were used to calculate SGs. The Liebowitz Social Anxiety Scale-Self-Report and the Social Interaction Anxiety Scale were completed at pretreatment, posttreatment, and follow-up to assess outcome. RESULTS: In Study 1, 17.6% of participants experienced a SG. Participants with SGs started and ended treatment with lower social anxiety. SGs were not associated with greater decreases in social anxiety from pre-to posttreatment or 12-month follow-up. In Study 2, SGs occurred in 27% of participants and at comparable rates in MBSR and group CBT. SGs were not associated with changes in social anxiety during treatment in either condition. CONCLUSION: SGs occurred during treatment for SAD. In both RCTs, participants improved regardless of experiencing a SG, suggesting that SGs are not predictive of greater improvement during treatment for SAD.

Medical Subject Headings (MeSH)
AdultCognitive Behavioral TherapyFemaleHumansMaleMindfulnessPhobia, SocialPsychotherapy, GroupTreatment OutcomeYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy50/10
Quality75/10
Citation Metrics
Total Citations5
Citations/Year0.8
Relative Citation Ratio0.45
NIH Percentile24.2%
Research Impact Scores
APT Score0.25
Weight Score1.98
Normalized Score0.55
Related Supplements
Do sudden gains predict treatment outcome in social anxiety ... | Panacea Index