title: Anxiety trajectories in response to a speech task in social anxiety disorder: Evidence from a randomized controlled trial of CBT.
abstract: The subjective experience of anxiety plays a central role in cognitive behavioral models of social anxiety disorder (SAD). However, much remains to be learned about the temporal dynamics of anxiety elicited by feared social situations. The aims of the current study were: (1) to compare anxiety trajectories during a speech task in individuals with SAD (n=135) versus healthy controls (HCs; n=47), and (2) to compare the effects of CBT on anxiety trajectories with a waitlist control condition. SAD was associated with higher levels of anxiety and greater increases in anticipatory anxiety compared to HCs, but not differential change in anxiety from pre- to post-speech. CBT was associated with decreases in anxiety from pre- to post-speech but not with changes in absolute levels of anticipatory anxiety or rates of change in anxiety during anticipation. The findings suggest that anticipatory experiences should be further incorporated into exposures.
authors.affiliation: Department of Psychology, Stanford University, Jordan Hall, 450 Serra Mall, Stanford, CA 94305, USA. Electronic address: asmorrison@stanford.edu.
authors.forename: Amanda S
authors.initials: AS
authors.lastname: Morrison
authors.affiliation: Department of Psychology, Stanford University, Jordan Hall, 450 Serra Mall, Stanford, CA 94305, USA.
authors.forename: Faith A
authors.initials: FA
authors.lastname: Brozovich
authors.affiliation: Department of Psychology, Stanford University, Jordan Hall, 450 Serra Mall, Stanford, CA 94305, USA.
authors.forename: Ihno A
authors.initials: IA
authors.lastname: Lee
authors.affiliation: Department of Psychology, Institute of Personality and Social Research, University of California, Berkeley, 4152 Tolman Hall, Berkeley, CA 95720, USA.
authors.forename: Hooria
authors.initials: H
authors.lastname: Jazaieri
authors.affiliation: Betty Irene Moore School of Nursing, University of California, Davis Health System, Education Building, 4610 X Street, Sacramento, CA 95817, USA.
authors.forename: Philippe R
authors.initials: PR
authors.lastname: Goldin
authors.affiliation: Department of Psychology, Temple University, Weiss Hall 420, 1701 North 13th Street, Philadelphia, PA 19122, USA.
authors.forename: Richard G
authors.initials: RG
authors.lastname: Heimberg
authors.affiliation: Department of Psychology, Stanford University, Jordan Hall, 450 Serra Mall, Stanford, CA 94305, USA.
authors.forename: James J
authors.initials: JJ
authors.lastname: Gross
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology*; D016022:Case-Control Studies; D015928:Cognitive Behavioral Therapy; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D010698:Phobic Disorders / Q000523:psychology* / Q000628:therapy*; D013060:Speech; D016896:Treatment Outcome; D055815:Young Adult
keywords: Behavioral assessment test; Cognitive behavioral therapy; Latent growth curve modeling; Social anxiety disorder