Volume 7, Issue 2 (June 2025)
IEEPJ 2025, 7(2): 1-10 |
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Shojaei Z, Zarei M, Ahmadi F. (2025). Comparing the Effectiveness of Trial-Based Cognitive Therapy and Cognitive Behavioral Therapy in Reducing Social Anxiety. IEEPJ. 7(2), 1-10. doi:10.22034/ieepj.2025.7.2.1029
URL: http://ieepj.hormozgan.ac.ir/article-1-1015-en.html
URL: http://ieepj.hormozgan.ac.ir/article-1-1015-en.html
1- Ph.D. Candidate in Clinical Psychology, Shahed University, Tehran, Iran
2- Ph.D. Graduate in Counseling, University of Hormozgan, Bandar Abbas, Iran ,zareimohamad1@gmail.com
3- Undergraduate Student in Psychology, Hazrat Masoumeh University, Qom, Iran
2- Ph.D. Graduate in Counseling, University of Hormozgan, Bandar Abbas, Iran ,
3- Undergraduate Student in Psychology, Hazrat Masoumeh University, Qom, Iran
Abstract: (1235 Views)
Objective: This study aimed to compare the effectiveness of Trial-Based Cognitive Therapy (TBCT) and Cognitive Behavioral Therapy (CBT) in reducing symptoms of social anxiety among university students.
Methods: A quasi-experimental pre-test–post-test design was employed. Twenty students with above-average levels of social anxiety (LSAS-SR score ≥ 55) were purposefully selected and randomly assigned to two groups. One group received eight individual sessions of CBT, while the other group received eight individual sessions of TBCT. Outcomes were assessed using the Liebowitz Social Anxiety Scale – Self-Report (LSAS-SR). Data were analyzed through analysis of covariance (ANCOVA) and multivariate analysis of covariance (MANCOVA).
Results: Both interventions significantly reduced overall social anxiety, performance anxiety, and social avoidance compared to baseline. However, TBCT showed greater effectiveness than CBT across all measured indices. This superiority was evident in reductions of social anxiety symptoms and improvements in functional outcomes.
Conclusions: The findings indicate that while both CBT and TBCT are effective in treating social anxiety, TBCT may provide enhanced therapeutic benefits. These results suggest that TBCT can be considered a promising alternative to standard CBT in clinical practice and may inform future therapeutic planning for individuals with social anxiety.
Methods: A quasi-experimental pre-test–post-test design was employed. Twenty students with above-average levels of social anxiety (LSAS-SR score ≥ 55) were purposefully selected and randomly assigned to two groups. One group received eight individual sessions of CBT, while the other group received eight individual sessions of TBCT. Outcomes were assessed using the Liebowitz Social Anxiety Scale – Self-Report (LSAS-SR). Data were analyzed through analysis of covariance (ANCOVA) and multivariate analysis of covariance (MANCOVA).
Results: Both interventions significantly reduced overall social anxiety, performance anxiety, and social avoidance compared to baseline. However, TBCT showed greater effectiveness than CBT across all measured indices. This superiority was evident in reductions of social anxiety symptoms and improvements in functional outcomes.
Conclusions: The findings indicate that while both CBT and TBCT are effective in treating social anxiety, TBCT may provide enhanced therapeutic benefits. These results suggest that TBCT can be considered a promising alternative to standard CBT in clinical practice and may inform future therapeutic planning for individuals with social anxiety.
Keywords: Social Anxiety, Social Avoidance, Performance Anxiety, Cognitive Behavioral Therapy, Trial-Based Cognitive Therapy
Type of Study: Original |
Subject:
Evolutionary Psychology
Received: 2025/02/16 | Accepted: 2025/04/15 | Published: 2025/06/1
Received: 2025/02/16 | Accepted: 2025/04/15 | Published: 2025/06/1
References
1. Aderka, I. M., Haker, A., Marom, S., Hermesh, H., & Gilboa-Schechtman, E. (2013). Information-seeking bias in social anxiety disorder. Journal of Abnormal Psychology, 122(1), 7-12. [DOI:10.1037/a0029555]
2. Alden, L. E., & Taylor, C. T. (2004). Interpersonal processes in social phobia. Clinical Psychology Review, 24(7), 857-882. [DOI:10.1016/j.cpr.2004.07.006]
3. Alden, L. E., & Taylor, C. T. (2010). Interpersonal processes in social anxiety disorder. In J. G. Beck (Ed.), Interpersonal processes in the anxiety disorders: Implications for understanding psychopathology and treatment (pp. 125-152). American Psychological Association. [DOI:10.1037/12084-005]
4. Atrifard, M., Tabatabaei, K., Shaeiri, M. R., Azadfallah, P., Janbozorgi, M., Asgharimoghaddam, M. A., & Mahdipoor Chahareh, S. (2012). Psychometric properties of the Liebowitz Social Anxiety Scale (LSAS-SR): A validation study. Journal of Psychological Sciences, 14(42), 27-40. [In Persian]
5. Barkowski, S., Schwartze, D., Strauss, B., Burlingame, G. M., Barth, J., & Rosendahl, J. (2016). Efficacy of group psychotherapy for social anxiety disorder: A meta-analysis of randomized-controlled trials. Journal of Anxiety Disorders, 39, 44-64. [DOI:10.1016/j.janxdis.2016.02.005]
6. Caetano, K. A., Depreeuw, B., Papenfuss, I., Curtiss, J., Langwerden, R. J., Hofmann, S. G., & Neufeld, C. B. (2018). Trial-based cognitive therapy: Efficacy of a new CBT approach for treating social anxiety disorder with comorbid depression. International Journal of Cognitive Therapy, 11, 325-342. [DOI:10.1007/s41811-018-0028-7]
7. Curtiss, J., Andrews, L., Davis, M., Smits, J., & Hofmann, S. G. (2017). A meta-analysis of pharmacotherapy for social anxiety disorder: An examination of efficacy, moderators, and mediators. Expert Opinion on Pharmacotherapy, 18(3), 243-251. [DOI:10.1080/14656566.2017.1285907]
8. De Oliveira, I. R. (2011). Kafka's trial dilemma: Proposal of a practical solution to Joseph K.'s unknown accusation. Medical Hypotheses, 77(1), 5-6. [DOI:10.1016/j.mehy.2011.03.010]
9. De Oliveira, I. R., Powell, V. B., Wenzel, A., Caldas, M., Seixas, C., Almeida, C., ... & Sudak, D. (2012). Efficacy of the trial‐based thought record, a new cognitive therapy strategy designed to change core beliefs, in social phobia. Journal of Clinical Pharmacy and Therapeutics, 37(3), 328-334. [DOI:10.1111/j.1365-2710.2011.01299.x]
10. De Oliveira, I. R., Seixas, C., Osório, F. L., Crippa, J. A. S., De Abreu, J. N., Menezes, I. G., ... & Wenzel, A. (2015). Evaluation of the psychometric properties of the cognitive distortions questionnaire (CD-Quest) in a sample of undergraduate students. Innovations in Clinical Neuroscience, 12(7-8), 20-27.
11. Deng, X., Chen, X., Zhang, L., Gao, Q., Li, X., & An, S. (2022). Adolescent social anxiety undermines adolescent-parent interbrain synchrony during emotional processing: A hyperscanning study. International Journal of Clinical and Health Psychology, 22(3), 100329. [DOI:10.1016/j.ijchp.2022.100329]
12. Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31(6), 1025-1035. [DOI:10.1017/S0033291701004056]
13. Gilbert, P., & Trower, P. (2001). Evolution and process in social anxiety.
14. Gillian, B., Anne, C., Mary, M., Peter, A., & Michael, G. (1984). Exposure and anxiety management in the treatment of social phobia. Journal of Consulting and Clinical Psychology, 52(4), 642. [DOI:10.1037/0022-006X.52.4.642]
15. Gould, R. A., Buckminster, S., Pollack, M. H., Otto, M. W., & Yap, L. (1997). Cognitive-behavioral and pharmacological treatment for social phobia: A meta-analysis. Clinical Psychology: Science and Practice, 4(4), 291-306. [DOI:10.1111/j.1468-2850.1997.tb00123.x]
16. Graham, B., Bowes, L., & Ehlers, A. (2022). External locus of control but not self-esteem predicts increasing social anxiety among bullied children. Clinical Psychology in Europe, 4(2), e3809. [DOI:10.32872/cpe.3809]
17. Heimberg, R. G., Liebowitz, M. R., Hope, D. A., Schneier, F. R., Holt, C. S., Welkowitz, L. A., ... & Klein, D. F. (1998). Cognitive behavioral group therapy vs phenelzine therapy for social phobia: 12-week outcome. Archives of General Psychiatry, 55(12), 1133-1141. [DOI:10.1001/archpsyc.55.12.1133]
18. Hofmann, S. G., & Smits, J. A. (2008). Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. Journal of Clinical Psychiatry, 69(4), 621-632. [DOI:10.4088/JCP.v69n0415]
19. Rodebaugh, T. L., Holaway, R. M., & Heimberg, R. G. (2004). The treatment of social anxiety disorder. Clinical Psychology Review, 24(7), 883-908. [DOI:10.1016/j.cpr.2004.07.007]
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