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Title: Changing core beliefs with trial-based cognitive therapy may improve quality of life in social phobia: a randomized study
Authors: Powell, Vania Bitencourt
Oliveira, Olivia Haun de [UNIFESP]
Seixas, Camila
Almeida, Claudia
Grangeon, Maria Conceicao
Caldas, Milke
Bonfim, Thais Delavechia
Castro, Martha
Galvao-de Almeida
Moraes, Roberta de Oliveira
Sudak, Donna
de-Oliveira, Irismar Reis
Universidade Federal da Bahia (UFBA)
Universidade Federal de São Paulo (UNIFESP)
Drexel Univ
Keywords: Cognitive therapy
randomized trial
social anxiety disorder
social phobia
quality of life
trial-based cognitive therapy
trial-based thought record
Issue Date: 1-Jul-2013
Publisher: Assoc Brasileira Psiquiatria
Citation: Revista Brasileira de Psiquiatria. São Paulo: Assoc Brasileira Psiquiatria, v. 35, n. 3, p. 243-247, 2013.
Abstract: Objective: To determine whether there are differences in quality of life (QoL) improvement after treatment with the trial-based thought record (TBTR) versus conventional cognitive therapy (CCT) in patients with social anxiety disorder (SAD).Method: A randomized trial comparing TBTR with a set of CCT techniques, which included the standard 7-column dysfunctional thought record (DTR) and the positive data log (PDL) in patients with SAD, generalized type.Results: Repeated measures analysis of variance (ANOVA) revealed a significant time effect in the general health, vitality, social functioning, and mental health domains of the Short Form 36. It also indicated significant treatment effects on the bodily pain, social functioning, role-emotional, and mental health domains, with higher scores in the TBTR group. One-way analysis of covariance (ANCOVA), using pretreatment values as covariates, showed that TBTR was associated with significantly better QoL post-treatment (bodily pain, social functioning and role-emotional) and at follow-up (role-emotional). A significant treatment effect on the role-emotional domain at 12-month follow-up denoted a sustained effect of TBTR relative to CCT.Conclusion: This study provided preliminary evidence that TBTR is at least as effective as CCT in improving several domains of QoL in SAD, specifically when the standard 7-column DTR and the PDL are used.
ISSN: 1516-4446
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