{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:32:05Z","timestamp":1785227525664,"version":"3.55.0"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,11]],"date-time":"2014-12-11T00:00:00Z","timestamp":1418256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"German Ministry of Education and Research (BMBF)","award":["01GV0607"],"award-info":[{"award-number":["01GV0607"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:label\/><jats:p>We examined the role of baseline patient characteristics as predictors of outcome (end\u2010state functioning, response and remission) and attrition for cognitive therapy (CT) in social anxiety disorder (SAD). Beyond socio\u2010demographic and clinical variables such as symptom severity and comorbidity status, previously neglected patient characteristics (e.g., personality, self\u2010esteem, shame, interpersonal problems and attachment style) were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data came from the CT arm of a multicentre RCT with <jats:italic>n<\/jats:italic>\u2009=\u2009244 patients having DSM\u2010IV SAD. CT was conducted according to the manual by Clark and Wells. Severity of SAD was assessed at baseline and end of treatment with the Liebowitz Social Anxiety Scale (LSAS). Multiple linear regression analyses and logistic regression analyses were applied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Up to 37% of the post\u2010treatment variance (LSAS) could be explained by all pre\u2010treatment variables combined. Symptom severity (baseline LSAS) was consistently negatively associated with end\u2010state functioning and remission, but not with response. Number of comorbid diagnoses was negatively associated with end\u2010state functioning and response, but not with remission. Self\u2010esteem was positively associated with higher end\u2010state functioning and more shame with better response. Attrition could not be significantly predicted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results indicate that the initial probability for treatment success mainly depends on severity of disorder and comorbid conditions while other psychological variables are of minor importance, at least on a nomothetic level. This stands in contrast with efforts to arrive at an empirical\u2010based foundation for differential indication and argues to search for more potent moderators of therapeutic change rather on the process level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Practitioner Message<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Personality, self\u2010esteem, shame, attachment style and interpersonal problems do not or only marginally moderate the effects of interventions in CT of social phobia.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Symptom severity and comorbid diagnoses might affect treatment outcome negatively.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Beyond these two factors, most patients share a similar likelihood of treatment success when treated according to the manual by Clark and Wells.<\/jats:p><\/jats:list-item>\n<\/jats:list> Copyright \u00a9 2014 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.1936","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T02:15:15Z","timestamp":1418350515000},"page":"35-46","source":"Crossref","is-referenced-by-count":63,"title":["Baseline Patient Characteristics Predicting Outcome and Attrition in Cognitive Therapy for Social Phobia: Results from a Large Multicentre Trial"],"prefix":"10.1002","volume":"23","author":[{"given":"Juergen","family":"Hoyer","sequence":"first","affiliation":[{"name":"Clinical Psychology and Psychotherapy Technische Universitaet Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joerg","family":"Wiltink","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Hiller","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8665-5248","authenticated-orcid":false,"given":"Robert","family":"Miller","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy Technische Universitaet Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Salzer","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, University Medicine Georg\u2010August University Goettingen  Goettingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Sarnowsky","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy Technische Universitaet Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Stangier","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Strauss","sequence":"additional","affiliation":[{"name":"Institute of Psychosocial Medicine and Psychotherapy Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Willutzki","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy Ruhr University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Leibing","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, University Medicine Georg\u2010August University Goettingen  Goettingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.113.1.136"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2004.07.006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-009-9151-3"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000127692.23278.a9"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v67n0914"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00314-0"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1819"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.11"},{"key":"e_1_2_6_10_1","volume-title":"Anxiety Disorders Interview Schedule Adult Version","author":"Brown T. 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