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Behav Cogn Psychother. 2015 Jan;43(1):63-73. doi: 10.1017/S1352465813000738. Epub 2013 Aug 28.

Shifting the focus of one's attention mediates improvement in cognitive therapy for social anxiety disorder.

Author information

1
Stockholm University, andKarolinska Institute,Sweden.
2
Research Institute Modum Bad, andUniversity of Oslo,Norway.
3
NIHR Biomedical Research Centre for Mental Health,South London and Maudsley NHS Foundation Trust and Institute of Psychiatry,Kings College London,UK.
4
University of Oxford,UK.

Abstract

BACKGROUND:

Cognitive therapy is an effective treatment for social anxiety disorder but little is known about the mechanisms by which the treatment achieves its effects.

AIMS:

This study investigated the potential role of self-focused attention and social phobia related negative automatic thoughts as mediators of clinical improvement.

METHOD:

Twenty-nine patients with social phobia received individual cognitive therapy (ICT) in a randomized controlled trial. Weekly process and outcome measures were analysed using multilevel mediation models.

RESULTS:

Change from self-focused to externally focused attention mediated improvements in social anxiety one week later. In contrast, change in frequency of, or belief in, negative social phobia related negative automatic thoughts did not predict social anxiety one week later.

CONCLUSIONS:

Change in self-focused attention mediate therapeutic improvement in ICT. Therapists should therefore target self-focused attention.

KEYWORDS:

Social phobia; attention; beliefs; cognitive therapy; individual CBT

PMID:
23981858
PMCID:
PMC5091738
DOI:
10.1017/S1352465813000738
[Indexed for MEDLINE]
Free PMC Article

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