Do sudden gains predict treatment outcome in social anxiety disorder? Findings from two randomized controlled trials.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.