Evidence map›Paper›PMID 34870201›Full record

ArticleClinical psychology in Europe2020

Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice.

Graham R Thew, Anke Ehlers, Nick Grey, Jennifer Wild, Emma Warnock-Parkes, Rachelle L Dawson, David M Clark

Open access · diamondAbstract read
In one paragraph

Article in Clinical psychology in Europe, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

7 authors at 5 institutions in 1 country.

Graham R ThewDepartment of Experimental Psychology, University of Oxford, UK.
Anke EhlersDepartment of Experimental Psychology, University of Oxford, UK.
Nick GreyInstitute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.
Jennifer WildDepartment of Experimental Psychology, University of Oxford, UK.
Emma Warnock-ParkesDepartment of Experimental Psychology, University of Oxford, UK.
Rachelle L DawsonDepartment of Experimental Psychology, University of Oxford, UK.
David M ClarkDepartment of Experimental Psychology, University of Oxford, UK.
South London and Maudsley NHS Foundation Trust · GBUniversity of Oxford · GBNational Institute for Health Research · GBOxford Health NHS Foundation Trust · GBOxford University Hospitals NHS Trust · GB

Funding

Wellcome Trust 069777Wellcome Trust 102176Wellcome Trust 200796Wellcome Trust 200796/Z/16/Z
6 · The paper itself

Abstract

backgroundMost studies examining processes of change in psychological therapy for social anxiety disorder (SAD) have analysed data from randomised controlled trials in research settings.

methodTo assess whether these findings are representative of routine clinical practice, we analysed audit data from two samples of patients who received Cognitive Therapy for SAD (total N = 271). Three process variables (self-focused attention, negative social cognitions, and depressed mood) were examined using multilevel structural equation models.

resultsSignificant indirect effects were observed for all three variables in both samples, with negative social cognitions showing the strongest percent mediation effect. 'Reversed' relationships, where social anxiety predicted subsequent process variable scores, were also supported.

conclusionThe findings suggest the processes of change in this treatment may be similar between research trials and routine care.

Indexed as

change processescognitive therapymediationsocial anxietystructural equation model

Identifiers

PMID34870201
PMCPMC7612064
OpenAlexW3036502457

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.