Evidence map›Paper›PMID 27915159›Full record

ArticleJournal of behavior therapy and experimental psychiatry2017

Public speaking avoidance as a treatment moderator for social anxiety disorder.

Bita Mesri, Andrea N Niles, Andre Pittig, Richard T LeBeau, Ethan Haik, Michelle G Craske

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of behavior therapy and experimental psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Measuring maladaptive avoidance: from animal models to clinical anxiety.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Review
  5. Article
  6. Review
  7. State-of-the-art and future directions for extinction as a translational model for fear and anxiety.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bita MesriUniversity of California, Los Angeles, Department of Psychology, 405 Hilgard Avenue, Los Angeles, 90095-1563, CA, United States. Electronic address: bmesri@ucla.edu.
Andrea N NilesUniversity of California, Los Angeles, Department of Psychology, 405 Hilgard Avenue, Los Angeles, 90095-1563, CA, United States. Electronic address: aniles@ucla.edu.
Andre PittigInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Str. 46, Dresden, D-01187, Germany. Electronic address: andre.pittig@tu-dresden.de.
Richard T LeBeauUniversity of California, Los Angeles, Department of Psychology, 405 Hilgard Avenue, Los Angeles, 90095-1563, CA, United States. Electronic address: rlebeau@ucla.edu.
Ethan HaikUniversity of California, Los Angeles, Department of Psychology, 405 Hilgard Avenue, Los Angeles, 90095-1563, CA, United States. Electronic address: ethanhaik@ucla.edu.
Michelle G CraskeUniversity of California, Los Angeles, Department of Psychology, 405 Hilgard Avenue, Los Angeles, 90095-1563, CA, United States. Electronic address: craske@psych.ucla.edu.

Funding

Neural mediators of behavior therapy for anxietyR21MH081299 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CRASKE, MICHELLE G · 2008 to 2009
$402k
NIMH NIH HHS R21 MH081299
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) have both garnered empirical support for the effective treatment of social anxiety disorder. However, not every patient benefits equally from either treatment. Identifying moderators of treatment outcome can help to better understand which treatment is best suited for a particular patient.

methodsForty-nine individuals who met criteria for social anxiety disorder were assessed as part of a randomized controlled trial comparing 12 weeks of CBT and ACT. Pre-treatment avoidance of social situations (measured via a public speaking task and clinician rating) was investigated as a moderator of post-treatment, 6-month follow-up, and 12-month follow-up social anxiety symptoms, stress reactivity, and quality of life.

resultsPublic speaking avoidance was found to be a robust moderator of outcome measures, with more avoidant individuals generally benefitting more from CBT than ACT by 12-month follow-up. In contrast, clinician-rated social avoidance was not found to be a significant moderator of any outcome measure. LIMITATIONS: Results were found only at 12-month follow-up. More comprehensive measures of avoidance would be useful for the field moving forward.

conclusionsFindings inform personalized medicine, suggesting that social avoidance measured behaviorally via a public speaking task may be a more robust factor in treatment prescription compared to clinician-rated social avoidance.

Indexed as

SpeechAcceptance and Commitment TherapyAdolescentAdultAvoidance LearningCognitive Behavioral TherapyFearFemaleFollow-Up StudiesHumansMalePhobia, SocialPsychiatric Status Rating ScalesQuality of LifeTreatment OutcomeYoung AdultAcceptance and commitment therapyCognitive behavioral therapyModeratorSocial anxietyTreatment outcome

Identifiers

PMID27915159
PMCPMC5315620

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.