Skip to main content
Top
Published in: BMC Psychiatry 1/2012

Open Access 01-12-2012 | Correspondence

Correcting and interpreting the effect of cognitive therapy versus exposure in anxiety disorders

Authors: Shanil Ebrahim, Sheena Bance

Published in: BMC Psychiatry | Issue 1/2012

Login to get access

Abstract

Dr. Ougrin’s evaluation of cognitive therapy versus exposure in anxiety disorders reported a standardised mean difference [SMD] (95% confidence interval [CI]) of 0.52 (0.37, 0.74) for short-term outcomes and 0.46 (0.29, 0.73) for long-term outcomes in social phobia, and 0.88 (0.69, 1.11) for short-term outcomes and 1.05 (0.80, 1.37) for long-term outcomes in posttraumatic stress disorder (PTSD). These were incorrectly meta-analysed. Upon re-analysis, we found that the correct SMD (95% CI) was −0.66 (−1.19, -0.14) for short-term outcomes and mean difference (95% CI) of −29.66 (−46.13, -13.19) on the Social Phobia subscale from the Social Phobia Anxiety Inventory for long-term outcomes in Social Phobia. For PTSD, the SMD (95% CI) for short-term outcomes was −0.13 (−0.36, 0.11) and 0.05 (−0.22, 0.32) for long-term outcomes. However, correcting the errors did not change the interpretation of the findings considerably.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ougrin D: Efficacy of exposure versus cognitive therapy in anxiety disorders: systematic review and meta-analysis. BMC Psychiatry. 2011, 11 (1): 200-10.1186/1471-244X-11-200.CrossRefPubMedPubMedCentral Ougrin D: Efficacy of exposure versus cognitive therapy in anxiety disorders: systematic review and meta-analysis. BMC Psychiatry. 2011, 11 (1): 200-10.1186/1471-244X-11-200.CrossRefPubMedPubMedCentral
2.
go back to reference Hofmann S: Cognitive Mediation of Treatment Change in Social Phobia. J Consult Clin Psychol. 2004, 72 (3): 392-399.CrossRef Hofmann S: Cognitive Mediation of Treatment Change in Social Phobia. J Consult Clin Psychol. 2004, 72 (3): 392-399.CrossRef
3.
go back to reference Cohen J: Statistical Power Analysis for the Behavioral Sciences. 1988, Hillsdale, NJ: Lawrence Eribaum Associates, vol. 25, 2 Cohen J: Statistical Power Analysis for the Behavioral Sciences. 1988, Hillsdale, NJ: Lawrence Eribaum Associates, vol. 25, 2
4.
go back to reference Clark DM, Ehlers A, Hackmann A, McManus F, Fennell M, Grey N, Waddington L, Wild J: Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. J Consult Clin Psychol. 2006, 74 (3): 568-578.CrossRefPubMed Clark DM, Ehlers A, Hackmann A, McManus F, Fennell M, Grey N, Waddington L, Wild J: Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. J Consult Clin Psychol. 2006, 74 (3): 568-578.CrossRefPubMed
5.
go back to reference Turner SM, Beidel DC, Dancu CV, Stanley MA: An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychol Assess. 1989, 1: 35-40.CrossRef Turner SM, Beidel DC, Dancu CV, Stanley MA: An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychol Assess. 1989, 1: 35-40.CrossRef
6.
go back to reference Clark DM, Ehlers A, McManus F, Hackmann A, Fennell M, Campbell H, Flower T, Davenport C, Louis B: Cognitive therapy versus fluoxetine in generalized social phobia: a randomized placebo-controlled trial. J Consult Clin Psychol. 2003, 71 (6): 1058-1067.CrossRefPubMed Clark DM, Ehlers A, McManus F, Hackmann A, Fennell M, Campbell H, Flower T, Davenport C, Louis B: Cognitive therapy versus fluoxetine in generalized social phobia: a randomized placebo-controlled trial. J Consult Clin Psychol. 2003, 71 (6): 1058-1067.CrossRefPubMed
Metadata
Title
Correcting and interpreting the effect of cognitive therapy versus exposure in anxiety disorders
Authors
Shanil Ebrahim
Sheena Bance
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2012
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-12-202

Other articles of this Issue 1/2012

BMC Psychiatry 1/2012 Go to the issue