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Related Experiment Videos

Cognitive biases in generalized social phobia

E B Foa1, M E Franklin, K J Perry

  • 1Department of Psychiatry, Medical College of Pennsylvania, USA.

Journal of Abnormal Psychology
|August 1, 1996
PubMed
Summary

People with generalized social phobia (GSP) overestimate negative social events. Cognitive behavioral therapy reduced these biases, with cost estimate reductions mediating treatment improvement.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Anxiety Disorders

Background:

  • Judgmental biases toward threat-relevant stimuli are implicated in anxiety disorders.
  • Generalized social phobia (GSP) may involve biased probability and cost estimates for social events.

Purpose of the Study:

  • To investigate judgmental biases in generalized social phobia (GSP) compared to nonanxious controls (NACs).
  • To examine the impact of cognitive behavioral therapy (CBT) on these biases.
  • To explore the mediating role of bias reduction in treatment outcomes.

Main Methods:

  • Participants with GSP and NACs were assessed before and after a 14-week period.
  • The GSP group received cognitive behavioral therapy (CBT) during this period.
  • Probability and cost estimates for social and nonsocial events were measured.

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Main Results:

  • Individuals with GSP exhibited heightened probability and cost estimates for negative social events pre-treatment.
  • These socially relevant biases were significantly reduced after CBT.
  • Reduced cost estimates for social events, but not probability estimates, mediated improvements in social phobia symptoms.

Conclusions:

  • Cognitive behavioral therapy effectively reduces judgmental biases in generalized social phobia (GSP).
  • The reduction in perceived cost of social events is a key mechanism of change in GSP treatment.
  • Findings support emotional processing theory in understanding anxiety disorder mechanisms and treatment.