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Relative efficacy of psychological and pharmacological treatments for social anxiety disorder
  1. Richard G Heimberg
  1. Department of Psychology, Temple University, Philadelphia, Pennsylvania, USA;

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ABSTRACT FROM: Mayo-Wilson E, Dias S, Mavranezouli I, et al. Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis. Lancet Psychiatry 2014;1:368–76.

What is already known on this topic

Social anxiety disorder (SAD) is a common and debilitating disorder which is unlikely to remit without treatment.1 Several psychological and pharmacological treatments have demonstrated efficacy. Some evidence suggests that pharmacological treatments may demonstrate therapeutic effect more quickly, but a substantial portion of patients may relapse after discontinuation.2 Cognitive–behavioural therapy (CBT), in contrast, is less likely to be associated with relapse and some studies have demonstrated maintenance of gains 5 years post-treatment.3 Nevertheless, some patients continue to experience residual symptoms after the end of treatment.

Methods of the study

This study employed a network meta-analysis to examine the relative efficacy of treatments for SAD that are used in routine clinical practice and which have been tested in randomised controlled trials (RCTs) in adults. A wide range of databases were searched. Experts …

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  • Competing interests RGH is a developer of one of the individual CBT protocols that was shown to be efficacious in this review.