Journal article

What do we know today about the prospective long-term course of social anxiety disorder? A systematic literature review


Authors listSteinert, Christiane; Hofmann, Mareike; Leichsenring, Falk; Kruse, Johannes

Publication year2013

Pages692-702

JournalJournal of Anxiety Disorders

Volume number27

Issue number7

ISSN0887-6185

eISSN1873-7897

DOI Linkhttps://doi.org/10.1016/j.janxdis.2013.08.002

PublisherElsevier


Abstract
While we know that social anxiety disorder (SAD) is today's most common anxiety disorder knowledge on its prospective long-term course is sparse. We conducted a systematic literature search using databases Medline and PsycINFO for naturalistic and psychotherapy outcome studies with follow-up durations of at least 24 months. Four naturalistic cohorts and nine psychotherapy trials were included in the review. The naturalistic course in clinical was less favorable than in non-clinical samples (27% vs. 40% recovery rate after 5 years). Psychotherapy trials, all applying (cognitive) behavioral methods, yielded stable outcomes with overall large pre- to follow-up effect sizes on self-report scales. Observer rated remission rates varied considerably (36% to 100%) depending on study design and follow-up length. The results of psychotherapy trials and that of naturalistic studies can hardly be compared due to differences in methodology. More standardized remission and recovery criteria are needed to enhance the understanding of the longitudinal course. (C) 2013 Elsevier Ltd. All rights reserved.



Citation Styles

Harvard Citation styleSteinert, C., Hofmann, M., Leichsenring, F. and Kruse, J. (2013) What do we know today about the prospective long-term course of social anxiety disorder? A systematic literature review, Journal of Anxiety Disorders, 27(7), pp. 692-702. https://doi.org/10.1016/j.janxdis.2013.08.002

APA Citation styleSteinert, C., Hofmann, M., Leichsenring, F., & Kruse, J. (2013). What do we know today about the prospective long-term course of social anxiety disorder? A systematic literature review. Journal of Anxiety Disorders. 27(7), 692-702. https://doi.org/10.1016/j.janxdis.2013.08.002



Keywords


5-YEAR FOLLOW-UPCLINICAL-COURSECOGNITIVE-BEHAVIORAL THERAPYCOMORBIDITYPERSONALITY-DISORDERSPHOBIAPREDICTORSProspective courseSocial anxiety disorderSOCIAL PHOBIA

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