None listed
Conditions
Brief summary
According to the cognitive models of Social Anxiety Disorder (SAD), negative rumination is a key maintaining factor in the vicious cycle of social anxiety. However, there is a lack of research investigating treatment effects on rumination in social anxiety, as well as other key cognitive variables. The current study aimed to determine the effectiveness of a brief intervention on a range of cognitive processes, most notably negative rumination. Furthermore, the predictors of negative rumination and state anxiety are investigated. Specifically, we hypothesise that: 1)Participants in the cognitive restructuring condition will report reduced negative affect, state anxiety, negative rumination, and threat appraisals, as well as stronger performance appraisal, objective performance, and positive self-beliefs relating to the speech task as comparted to SAD individuals who do not receive the intervention. 2) Despite recent evidence suggestion that more cognitive processes are at play during pre-event rumination than post-event rumination, making the process potentially more difficult to address in a single-session intervention, we further anticipate that the cognitive intervention will significantly reduce both pre-and post-event rumination, comparted to the socially anxious group whom do not receive the intervention 3) The predictors of levels of negative rumination, both pre- and post, will mirror those reported by Previous research
Interventions
Cognitive restructuring intervention administered by a post graduate student in clinical psychology. Intervention delivered face to face, delivered once and takes approximately 30 minutes to complete. Is delivered in a lab at the University of Sydney. Intervention is structured but tailored to reflect an individuals unique concerns about the upcoming speech task they will be asked to participate in. One week following the intervention participants complete a 3 minute speech task on a topic of t
Cognitive restructuring intervention administered by a post graduate student in clinical psychology. Intervention delivered face to face, delivered once and takes approximately 30 minutes to complete. Is delivered in a lab at the University of Sydney. Intervention is structured but tailored to reflect an individuals unique concerns about the upcoming speech task they will be asked to participate in. One week following the intervention participants complete a 3 minute speech task on a topic of their choosing. The speech task is filmed to allow two independent judges to appraise it for performance at a later time point. No feedback is provided to the participant regarding performance. Procedure is as follows: The cognitive intervention involved initially presenting the results of a study by Rapee and Lim (1992) in which it was found that people with and without social phobia have a tendency to appraise their performance in a speech task more negatively then an independent judge. Following this a brief introduction to cognitive restructuring was provided by showing a completed thought monitoring form in which the thought “The rater’s will think I look stupid” had been challenged by looking at evidence against the thought, and the true probability and consequence of the thought. The participants were then guided in challenging any negative thoughts they had regarding the upcoming speech task by filling out a blank thought monitoring form. The cognitive intervention took approximately 30 minutes to complete.
Sponsors
A/Prof Maree Abbott
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
17 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Only participants whom met criteria for a principal diagnosis of SAD, according to the Anxiety Disorder Interview Schedule for DSM-IV interview (ADIS-IV), were included. ADIS-IV intervention administered pre-intervention to determine eligibility.
Exclusion criteria
Participants whom did not meet criteria for a principal diagnosis of SAD, according to the Anxiety Disorder Interview Schedule for DSM-IV interview, were excluded.
Outcome results
None listed