Trial reportClinical psychology & psychotherapy
Exploring Moderators and Mediators of the Outcome of Group Cognitive Behavioural Therapy Compared With Group Schema Therapy for Social Anxiety Disorder and Comorbid Avoidant Personality Disorder.
Trial report in Clinical psychology & psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Exploring Moderators and Mediators of the Outcome of Group Cognitive Behavioural Therapy Compared With Group Schema Therapy for Social Anxiety Disorder and Comorbid Avoidant Personality Disorder.Clinical psychology & psychotherapyTrial
- Mechanisms of Change in the Treatment of Depression: On the Role of Attachment, Reappraisal and Suppression.Clinical psychology & psychotherapyTrial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundIdentifying moderators and mediators in a randomised controlled trial is important to improve treatment effectiveness and elucidate mechanisms of change. Putative moderating and mediating variables of treatment outcome of 30 weekly sessions of group cognitive behavioural therapy (GCBT) and group schema therapy (GST) were investigated in a sample of 154 patients with both social anxiety disorder (SAD) and avoidant personality disorder (AVPD). Significant improvements were realised in both modalities at 3 and 12 months after treatment. No significant differences between conditions were found.
objectivesThe current study explored several demographic and clinical patient characteristics as putative moderators of reducing SAD symptoms, AVPD manifestations, and treatment attrition. Emotion regulation, self-esteem, experiential avoidance and schema modes were considered as putative mediators of SAD symptoms.
methodsBaseline variables moderating treatment effects on SAD symptoms and AVPD manifestations were investigated by comparing multilevel models. Differential effects of moderators on attrition hazard were examined by Cox regression. To assess possible mediators (measured pre-, mid- and post-treatment) of the effect of GCBT versus GST on SAD symptoms, separate three-wave random-intercept cross-lagged panel models were performed.
resultsNo moderators and mediators were identified. Self-esteem, the average mode score and avoidant protector mode at mid-treatment predicted social anxiety at the end of treatment irrespective of treatment condition, while an inverse relationship was ruled out.
conclusionsThe moderator analyses indicated that the examined patient characteristics cannot inform treatment decisions for either GCBT or GST. Furthermore, the mediation analysis did not point to different underlying treatment processes between both modalities.
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