Anxiety Trajectories in Response to a Speech Task in Social Anxiety Disorder: Evidence from a Randomized Controlled Trial of CBT

Overview

Journal J Anxiety Disord

Publisher Elsevier

Specialty Psychiatry

Date 2016 Jan 14

PMID 26760456

Authors

Amanda S Morrison

Faith A Brozovich

Ihno A Lee

Hooria Jazaieri

Philippe R Goldin

Richard G Heimberg

James J Gross

Affiliations

Soon will be listed here.

Abstract

The subjective experience of anxiety plays a central role in cognitive behavioral models of social anxiety disorder (SAD). However, much remains to be learned about the temporal dynamics of anxiety elicited by feared social situations. The aims of the current study were: (1) to compare anxiety trajectories during a speech task in individuals with SAD (n=135) versus healthy controls (HCs; n=47), and (2) to compare the effects of CBT on anxiety trajectories with a waitlist control condition. SAD was associated with higher levels of anxiety and greater increases in anticipatory anxiety compared to HCs, but not differential change in anxiety from pre- to post-speech. CBT was associated with decreases in anxiety from pre- to post-speech but not with changes in absolute levels of anticipatory anxiety or rates of change in anxiety during anticipation. The findings suggest that anticipatory experiences should be further incorporated into exposures.

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