Social phobia is a prevalent yet poorly understood anxiety disorder characterized by the experience of intense anxiety in, and often avoidance of social situations involving scrutiny by others. Social phobia not only leads to a high degree of subjective distress, but also can result in loneliness, reduced academic and vocational performance, restricted career and personal development, alcohol abuse and depression. As in other anxiety disorders, the anxiety experienced by social phobics is characterized by somatic (bodily sensations), cognitive (thoughts), and overt behavior (avoidance) features. Information on the treatment of social phobia lags far behind that of other phobic conditions. Two very different treatments, drug treatment with beta-adrenergic blocking agents and behavior therapy with desensitization both have shown considerable promise. However, there has been no published attempt to compare these two treatments, or to examine their combined effectiveness in treating social phobia. The proposed study is a treatment comparison of desensitization plus placebo, the beta-blocking drug atenolol, combined desensitization and atenolol, and placebo. One hundred and eighty subjects will participate in a 3 month treatment phase and a 6 month follow-up phase. The results will allow an assessment of the effectiveness of atenolol, desensitization, and the potentially synergistic combination of atenolol plus desensitization. Furthermore, the durability of these treatments will be determined. This study will provide important information on the clinical management of social phobia and the impact of these treatments on social and global functioning.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH041852-02
Application #
3380735
Study Section
Treatment Development and Assessment Research Review Committee (TDA)
Project Start
1987-08-01
Project End
1990-07-31
Budget Start
1988-08-01
Budget End
1989-07-31
Support Year
2
Fiscal Year
1988
Total Cost
Indirect Cost
Name
University of Pittsburgh
Department
Type
Schools of Medicine
DUNS #
053785812
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213
Roberson-Nay, Roxann; Strong, David R; Nay, William T et al. (2007) Development of an abbreviated Social Phobia and Anxiety Inventory (SPAI) using item response theory: the SPAI-23. Psychol Assess 19:133-45
Stemberger, R T; Turner, S M; Beidel, D C et al. (1995) Social phobia: an analysis of possible developmental factors. J Abnorm Psychol 104:526-31
Turner, S M; Beidel, D C; Jacob, R G (1994) Social phobia: a comparison of behavior therapy and atenolol. J Consult Clin Psychol 62:350-8
Turner, S M; Beidel, D C; Townsley, R M (1992) Social phobia: a comparison of specific and generalized subtypes and avoidant personality disorder. J Abnorm Psychol 101:326-31
Turner, S M; Beidel, D C; Borden, J W et al. (1991) Social phobia: Axis I and II correlates. J Abnorm Psychol 100:102-6
Turner, S M; Beidel, D C; Townsley, R M (1990) Social phobia: relationship to shyness. Behav Res Ther 28:497-505
Beidel, D C; Borden, J W; Turner, S M et al. (1989) The Social Phobia and Anxiety Inventory: concurrent validity with a clinic sample. Behav Res Ther 27:573-6