CBT Model

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In terms of limitations; the results for the self-reported social anxiety measure were less sensitive and researchers are unclear why they presented a trend in favour of CT in the in the intent to treat analysis. There were also issues in terms of including clients with secondary comorbid conditions such as depression. There was also the possibility of therapists using interventions that should have only been specific to one treatment. In relation to IPT, further developments such as addressing empirically supported interpersonal problems and avoidance in SAD may help treatment efficacy.
In another randomised trial, a manual-guided form of psychodynamic therapy was developed based on Luborsky’s (1984) model of PT, and adapted to treat SAD
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The method of CBT was based on Clark and Wells’s model, which was identical to the previous study by Stangier, Schramm, Heidenreich, Berger, and Clark (2011). The study was conducted in an outpatient setting, consisting of 495 adults (aged 18-70) with SAD that were randomly assigned to CBT (209), PT (207), or a WLC (79). Assessments were done at baseline and at the end of the treatment. Diagnosis was made using the DSM-IV. Primary outcome measures were rates of remission and response that were based on the Liebowitz Social Anxiety Scale, and the anxiety disorders interview schedule severity rating scale. Secondary outcome measures included well-established self-report instruments, such as the Social Phobia and Anxiety Inventory, the Beck Depression Inventory, and the Inventory of Interpersonal Problems. Unlike IPT, the PT therapist verbally encouraged the client to confront a feared situation, but did not accompany them when confronting the situation with exercises or role-playing (Leichsenring, et al., 2013). In regards to the comparison of CBT and PT, both were effective in treating SAD, however there