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Psychother."],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Cognitive therapy is an effective treatment for social anxiety disorder but little is known about the mechanisms by which the treatment achieves its effects. <jats:bold>Aims:<\/jats:bold> This study investigated the potential role of self-focused attention and social phobia related negative automatic thoughts as mediators of clinical improvement. <jats:bold>Method:<\/jats:bold> Twenty-nine patients with social phobia received individual cognitive therapy (ICT) in a randomized controlled trial. Weekly process and outcome measures were analysed using multilevel mediation models. <jats:bold>Results:<\/jats:bold> Change from self-focused to externally focused attention mediated improvements in social anxiety one week later. In contrast, change in frequency of, or belief in, negative social phobia related negative automatic thoughts did not predict social anxiety one week later. <jats:bold>Conclusions:<\/jats:bold> Change in self-focused attention mediate therapeutic improvement in ICT. Therapists should therefore target self-focused attention.<\/jats:p>","DOI":"10.1017\/s1352465813000738","type":"journal-article","created":{"date-parts":[[2013,8,28]],"date-time":"2013-08-28T07:40:31Z","timestamp":1377675631000},"page":"63-73","source":"Crossref","is-referenced-by-count":33,"title":["Shifting the Focus of One's Attention Mediates Improvement in Cognitive Therapy for Social Anxiety Disorder"],"prefix":"10.1017","volume":"43","author":[{"given":"Ewa","family":"M\u00f6rtberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asle","family":"Hoffart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Boecking","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Clark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,8,28]]},"reference":[{"key":"S1352465813000738_ref007","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00096-1"},{"key":"S1352465813000738_ref019","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2007.12.003"},{"key":"S1352465813000738_ref028","doi-asserted-by":"publisher","DOI":"10.1037\/a0014800"},{"key":"S1352465813000738_ref030","volume-title":"Hierarchical Linear Models: applications and data analysis methods","author":"Raudenbush","year":"2002"},{"key":"S1352465813000738_ref011","first-page":"406","volume-title":"International Handbook of Social Anxiety","author":"Clark","year":"2001"},{"key":"S1352465813000738_ref037","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(98)80037-3"},{"key":"S1352465813000738_ref023","first-page":"438","article-title":"Multilevel mediation modeling in group-based intervention studies","volume":"68","author":"Krull","year":"1999","journal-title":"Journal of Consulting and Clinical Psychology"},{"key":"S1352465813000738_ref003","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00060-2"},{"key":"S1352465813000738_ref005","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.02.007"},{"key":"S1352465813000738_ref014","first-page":"69","volume-title":"Social Phobia: diagnosis, assessment and treatment","author":"Clark","year":"1995"},{"key":"S1352465813000738_ref008","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.6.1179"},{"key":"S1352465813000738_ref017","volume-title":"User's Guide for the Structured Clinical Interview for DSM-IV Axis I Disorders: SCID-I clinician version","author":"First","year":"1995"},{"key":"S1352465813000738_ref004","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.11.2.142"},{"key":"S1352465813000738_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/0146-6402(93)90004-L"},{"key":"S1352465813000738_ref027","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2006.00839.x"},{"key":"S1352465813000738_ref039","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(96)00084-8"},{"key":"S1352465813000738_ref001","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291708003590"},{"key":"S1352465813000738_ref018","first-page":"291","article-title":"Cognitive-behavioral and pharmacological treatment for social phobia: a meta-analysis","volume":"4","author":"Gould","year":"1997","journal-title":"Clinical Psychology: Science and Practice"},{"key":"S1352465813000738_ref035","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(95)00058-5"},{"key":"S1352465813000738_ref002","volume-title":"Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)","year":"1994"},{"key":"S1352465813000738_ref022","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.59.10.877"},{"key":"S1352465813000738_ref026","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2006.12.002"},{"key":"S1352465813000738_ref038","unstructured":"Wells A. , Stopa L. , and Clark D. 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