title: Long-term outcome of psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder.
abstract: OBJECTIVE
  Relatively few studies have examined the long-term outcome of psychotherapy in social anxiety disorder. The authors previously reported findings of a clinical trial comparing cognitive-behavioral therapy (CBT), psychodynamic therapy, and a wait-list control. The purpose of the present study was to follow the participants' status over the ensuing 24 months.
  
  
  METHODS
  Outpatients with social anxiety disorder who were treated with CBT (N=209) or psychodynamic therapy (N=207) in the previous trial were assessed 6, 12, and 24 months after the end of therapy. Primary outcome measures were rates of remission and response.
  
  
  RESULTS
  For both CBT and psychodynamic therapy, response rates were approximately 70% by the 2-year follow-up. Remission rates were nearly 40% for both treatment conditions. Rates of response and remission were stable or tended to increase for both treatments over the 24-month follow-up period, and no significant differences were found between the treatment conditions after 6 months.
  
  
  CONCLUSIONS
  CBT and psychodynamic therapy were efficacious in treating social anxiety disorder, in both the short- and long-term, when patients showed continuous improvement. Although in the short-term, intention-to-treat analyses yielded some statistically significant but small differences in favor of CBT in several outcome measures, no differences in outcome were found in the long-term.
authors.forename: Falk
authors.initials: F
authors.lastname: Leichsenring
authors.forename: Simone
authors.initials: S
authors.lastname: Salzer
authors.forename: Manfred E
authors.initials: ME
authors.lastname: Beutel
authors.forename: Stephan
authors.initials: S
authors.lastname: Herpertz
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hiller
authors.forename: Juergen
authors.initials: J
authors.lastname: Hoyer
authors.forename: Johannes
authors.initials: J
authors.lastname: Huesing
authors.forename: Peter
authors.initials: P
authors.lastname: Joraschky
authors.forename: Bjoern
authors.initials: B
authors.lastname: Nolting
authors.forename: Karin
authors.initials: K
authors.lastname: Poehlmann
authors.forename: Viktoria
authors.initials: V
authors.lastname: Ritter
authors.forename: Ulrich
authors.initials: U
authors.lastname: Stangier
authors.forename: Bernhard
authors.initials: B
authors.lastname: Strauss
authors.forename: Susan
authors.initials: S
authors.lastname: Tefikow
authors.forename: Tobias
authors.initials: T
authors.lastname: Teismann
authors.forename: Ulrike
authors.initials: U
authors.lastname: Willutzki
authors.forename: Joerg
authors.initials: J
authors.lastname: Wiltink
authors.forename: Eric
authors.initials: E
authors.lastname: Leibing
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D064889:Psychotherapy, Psychodynamic; D012074:Remission Induction; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult