Evidence map›Paper›PMID 31430688›Full record

Trial reportBehaviour research and therapy2019

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

Rachel M Butler, Emily B O'Day, Simona C Kaplan, Michaela B Swee, Arielle Horenstein, Amanda S Morrison, Philippe R Goldin, James J Gross, Richard G Heimberg

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Reliability and Validity of the Chinese Version of the Cognitive Distortions Questionnaire (CD-Quest) in College Students.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
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

9 authors.

Rachel M ButlerDepartment of Psychology, Temple University, United States.
Emily B O'DayDepartment of Psychology, Temple University, United States.
Simona C KaplanDepartment of Psychology, Temple University, United States.
Michaela B SweeDepartment of Psychology, Temple University, United States.
Arielle HorensteinDepartment of Psychology, Temple University, United States.
Amanda S MorrisonDepartment of Psychology, California State University, East Bay, United States.
Philippe R GoldinBetty Irene Moore School of Nursing, University of California, Davis, United States.
James J GrossDepartment of Psychology, Stanford University, United States.
Richard G HeimbergDepartment of Psychology, Temple University, United States. Electronic address: heimberg@temple.edu.

Funding

fMRI of Emotion Regulation During RCT of CBT vs. MBSR for Social Anxiety DisorderR01MH092416 · NIMH · STANFORD UNIVERSITY · PI GROSS, JAMES J · 2011 to 2015
$3.0M
fMRI of Emotional Reactivity, Cognitive Regulation, and CBT for Social PhobiaR01MH076074 · NIMH · STANFORD UNIVERSITY · PI GROSS, JAMES J · 2006 to 2010
$2.0M
NIMH NIH HHS R01 MH076074NIMH NIH HHS R01 MH092416
6 · The paper itself

Abstract

objectiveSudden 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.

methodStudy 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.

resultsIn 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.

conclusionSGs 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.

Indexed as

Cognitive Behavioral TherapyMindfulnessAdultFemaleHumansMalePhobia, SocialPsychotherapy, GroupTreatment OutcomeYoung AdultCognitive behavioral therapyMindfulness-based stress reductionSocial anxietySudden gains

Identifiers

PMID31430688
PMCPMC6733666

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Registered trials

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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.