PMID- 26872958
OWN - NLM
STAT- MEDLINE
DCOM- 20171207
LR  - 20181203
IS  - 1552-4167 (Electronic)
IS  - 0145-4455 (Linking)
VI  - 40
IP  - 5
DP  - 2016 Sep
TI  - The Effects of a Brief Acceptance-Based Behavioral Treatment Versus Traditional 
      Cognitive-Behavioral Treatment for Public Speaking Anxiety: An Exploratory Trial 
      Examining Differential Effects on Performance and Neurophysiology.
PG  - 748-76
LID - 10.1177/0145445516629939 [doi]
AB  - Individuals with public speaking anxiety (PSA) experience fear and avoidance that 
      can cause extreme distress, impaired speaking performance, and associated 
      problems in psychosocial functioning. Most extant interventions for PSA emphasize 
      anxiety reduction rather than enhancing behavioral performance. We compared the 
      efficacy of two brief cognitive-behavioral interventions, a traditional 
      cognitive-behavior treatment (tCBT) and an acceptance-based behavior treatment 
      (ABBT), on public speaking performance and anxiety in a clinical sample of 
      persons with PSA. The effects of treatment on prefrontal brain activation were 
      also examined. Participants (n = 21) were randomized to 90 min of an ABBT or a 
      tCBT intervention. Assessments took place at pre- and post-treatment and included 
      self-rated anxiety and observer-rated performance measures, a behavioral 
      assessment, and prefrontal cortical activity measurements using functional 
      near-infrared spectroscopy (fNIRS). Exploratory results indicated that 
      participants in the ABBT condition experienced greater improvements in 
      observer-rated performance relative to those in the tCBT condition, while those 
      in the tCBT condition experienced greater reductions in subjective anxiety 
      levels. Individuals in the ABBT condition also exhibited a trend toward greater 
      treatment-related reductions in blood volume in the left dorsolateral prefrontal 
      cortex relative to those who received tCBT. Overall, these findings preliminarily 
      suggest that acceptance-based treatments may free more cognitive resources in 
      comparison with tCBT, possibly resulting in greater improvements in objectively 
      rated behavioral performances for ABBT interventions.
CI  - (c) The Author(s) 2016.
FAU - Glassman, Lisa H
AU  - Glassman LH
AD  - Drexel University, Philadelphia, PA, USA lhg28@drexel.edu.
FAU - Forman, Evan M
AU  - Forman EM
AD  - Drexel University, Philadelphia, PA, USA.
FAU - Herbert, James D
AU  - Herbert JD
AD  - Drexel University, Philadelphia, PA, USA.
FAU - Bradley, Lauren E
AU  - Bradley LE
AD  - Drexel University, Philadelphia, PA, USA.
FAU - Foster, Elizabeth E
AU  - Foster EE
AD  - Drexel University, Philadelphia, PA, USA.
FAU - Izzetoglu, Meltem
AU  - Izzetoglu M
AD  - Drexel University, Philadelphia, PA, USA.
FAU - Ruocco, Anthony C
AU  - Ruocco AC
AD  - University of Toronto, Ontario, Canada.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20160211
PL  - United States
TA  - Behav Modif
JT  - Behavior modification
JID - 7803043
SB  - IM
MH  - Acceptance and Commitment Therapy/*methods
MH  - Adolescent
MH  - Adult
MH  - Anxiety/diagnostic imaging/psychology/*therapy
MH  - Cognitive Behavioral Therapy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prefrontal Cortex/diagnostic imaging
MH  - Spectroscopy, Near-Infrared
MH  - Speech
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - ACT/acceptance and commitment therapy
OT  - CBT/cognitive-behavior therapy
OT  - SAD/social anxiety disorder/social phobia
OT  - anxiety/anxiety disorders
OT  - brain imaging/neuroimaging
EDAT- 2016/02/14 06:00
MHDA- 2017/12/08 06:00
CRDT- 2016/02/14 06:00
PHST- 2016/02/14 06:00 [entrez]
PHST- 2016/02/14 06:00 [pubmed]
PHST- 2017/12/08 06:00 [medline]
AID - 0145445516629939 [pii]
AID - 10.1177/0145445516629939 [doi]
PST - ppublish
SO  - Behav Modif. 2016 Sep;40(5):748-76. doi: 10.1177/0145445516629939. Epub 2016 Feb 
      11.