{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T06:04:20Z","timestamp":1780121060936,"version":"3.54.0"},"reference-count":75,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2007,9,1]],"date-time":"2007-09-01T00:00:00Z","timestamp":1188604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav Modif"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:p>Despite the demonstrated efficacy of cognitive-behavior therapy (CBT) for social anxiety disorder (SAD), many individuals do not respond to treatment or demonstrate residual symptoms and impairment posttreatment. Preliminary evidence indicates that acceptance-based approaches (e.g., acceptance and commitment therapy; ACT) can be helpful for a variety of disorders and emphasize exposure-based strategies and processes. Nineteen individuals diagnosed with SAD participated in a 12-week program integrating exposure therapy and ACT. Results revealed no changes across a 4-week baseline control period. From pretreatment to follow-up, significant improvements occurred in social anxiety symptoms and quality of life, yielding large effect size gains. Significant changes also were found in ACT-consistent process measures, and earlier changes in experiential avoidance predicted later changes in symptom severity. Results suggest the acceptability and potential efficacy of ACT for SAD and highlight the need for future research examining both the efficacy and mechanisms of change of acceptance-based programs for SAD.<\/jats:p>","DOI":"10.1177\/0145445507302037","type":"journal-article","created":{"date-parts":[[2007,8,14]],"date-time":"2007-08-14T17:48:27Z","timestamp":1187113707000},"page":"543-568","source":"Crossref","is-referenced-by-count":213,"title":["Acceptance and Commitment Therapy for Generalized Social Anxiety Disorder"],"prefix":"10.1177","volume":"31","author":[{"given":"Kristy L.","family":"Dalrymple","sequence":"first","affiliation":[{"name":"Brown Medical School and Rhode Island Hospital,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Herbert","sequence":"additional","affiliation":[{"name":"Drexel University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,9,1]]},"reference":[{"key":"atypb1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association.","year":"2000","edition":"4"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00060-2"},{"key":"atypb3","volume-title":"Mastery of your anxiety and panic II","author":"Barlow, D.H.","year":"1994"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(89)90093-4"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(89)80060-7"},{"key":"atypb6","volume-title":"Acceptance or change of private experiences: A comparative analysis in college students with public speaking anxiety. Doctoral dissertation","author":"Block, J.A.","year":"2002"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1037\/h0099879"},{"key":"atypb8","volume-title":"Paper presented at the Association for the Advancement of Behavior Therapy","author":"Branstetter, A.D."},{"key":"atypb9","first-page":"5","volume":"49","author":"Chambless, D.L.","year":"1996","journal-title":"The Clinical Psychologist"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.71.6.1058"},{"key":"atypb11","unstructured":"Clark, D.M. & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz , D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69-93). New York: Guilford Press."},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1994.03950120047008"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2003.11.001"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1002\/da.1037"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2004.01.007"},{"key":"atypb16","volume-title":"Structured Clinical Interview for DSM-IV Axis I Disorders\u2014Patient edition (SCID-I\/P, Version 2.0)","author":"First, M.B.","year":"1996"},{"key":"atypb17","volume-title":"Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II, Version 2.0)","author":"First, M.B.","year":"1994"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1995.9.2.92"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701004056"},{"key":"atypb20","volume-title":"Quality of Life Inventory: Manual and treatment guide","author":"Frisch, M.B.","year":"1994"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.4.1.92"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2850.1997.tb00123.x"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.78.1.119"},{"key":"atypb24","volume-title":"Paper presented at the annual meeting of the Association for Behavior Analysis","author":"Groom J.M."},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.06.006"},{"key":"atypb26","volume-title":"Acceptance and commitment therapy: An experiential approach to behavior change","author":"Hayes, S.C.","year":"1999"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1007\/BF03395492"},{"key":"atypb28","volume-title":"Cognitive-behavioral group therapy for social phobia: A treatment manual. Unpublished manuscript, The","author":"Heimberg, R.G.","year":"1991"},{"key":"atypb29","volume-title":"Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies","author":"Heimberg, R.G.","year":"2002"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.55.12.1133"},{"key":"atypb31","volume-title":"Avoidant personality disorder","author":"Herbert, J.D."},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.1016\/S1077-7229(02)80009-8"},{"key":"atypb33","doi-asserted-by":"publisher","DOI":"10.1007\/BF00960447"},{"key":"atypb34","doi-asserted-by":"publisher","DOI":"10.1007\/0-306-48581-8_103"},{"key":"atypb35","volume-title":"Acceptance and commitment therapy for social anxiety disorder","author":"Herbert, J.D.","year":"2006"},{"key":"atypb36","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.101.2.332"},{"key":"atypb37","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80061-9"},{"key":"atypb38","unstructured":"Herbert, J.D., Rheingold, A.A. & Brandsma, L.L. (2001). Assessment of social anxiety and social phobia. In S. G. Hofmann & P. M. DiBartolo (Eds.), From social anxiety to social phobia: Multiple perspectives (pp. 20-45). New York: Allyn & Bacon."},{"key":"atypb39","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465804001171"},{"key":"atypb40","volume-title":"SPSS missing value analysis 7.5","author":"Hill, M.","year":"1997"},{"key":"atypb41","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.72.3.392"},{"key":"atypb42","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(95)00013-N"},{"key":"atypb43","doi-asserted-by":"publisher","DOI":"10.1007\/BF02230408"},{"key":"atypb44","volume-title":"Full catastrophe living: Using the wisdom of your mind and body to face stress, pain, and illness","author":"Kabat-Zinn, J.","year":"1990"},{"key":"atypb45","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.10.003"},{"key":"atypb46","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2006.01674.x"},{"key":"atypb47","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.593"},{"key":"atypb48","doi-asserted-by":"publisher","DOI":"10.1177\/0146167283093007"},{"key":"atypb49","doi-asserted-by":"publisher","DOI":"10.2190\/T8EM-C8YH-373N-1UWD"},{"key":"atypb50","doi-asserted-by":"publisher","DOI":"10.1007\/BF00788510"},{"key":"atypb51","doi-asserted-by":"publisher","DOI":"10.1159\/000414022"},{"key":"atypb52","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6394(1999)10:3<105::AID-DA3>3.0.CO;2-X"},{"key":"atypb53","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(93)90029-T"},{"key":"atypb54","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(89)80115-7"},{"key":"atypb55","first-page":"839","volume":"21","author":"National Institutes of Mental Health","year":"1985","journal-title":"Psychopharmacology Bulletin"},{"key":"atypb56","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80160-1"},{"key":"atypb57","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(90)90138-U"},{"key":"atypb58","doi-asserted-by":"publisher","DOI":"10.1016\/S1077-7229(03)80034-2"},{"key":"atypb59","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(96)80018-9"},{"key":"atypb60","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(97)00022-3"},{"key":"atypb61","volume-title":"Paper presented at the meeting of the Association for Advancement of Behavior Therapy","author":"Rennenberg, B."},{"key":"atypb62","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820040034004"},{"key":"atypb63","first-page":"13","volume":"1","author":"Skodol, A.E.","year":"1991","journal-title":"International Journal of Methods in Psychiatric Research"},{"key":"atypb64","doi-asserted-by":"publisher","DOI":"10.1016\/0272-7358(92)90123-P"},{"key":"atypb65","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.4.615"},{"key":"atypb66","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.1.1.35"},{"key":"atypb67","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(04)80021-2"},{"key":"atypb68","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.17.2.179"},{"key":"atypb69","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820080038006"},{"key":"atypb70","volume-title":"The Valued Living Questionnaire","author":"Wilson, K.G.","year":"2002"},{"key":"atypb71","volume-title":"Behavior therapy techniques","author":"Wolpe, J.","year":"1966"},{"key":"atypb72","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291703007414"},{"key":"atypb73","doi-asserted-by":"publisher","DOI":"10.1007\/BF03395440"},{"key":"atypb74","doi-asserted-by":"publisher","DOI":"10.1007\/BF03392813"},{"key":"atypb75","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(198905)45:3<436::AID-JCLP2270450314>3.0.CO;2-L"}],"container-title":["Behavior Modification"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445507302037","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445507302037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:27:12Z","timestamp":1777382832000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145445507302037"}},"subtitle":["A Pilot Study"],"short-title":[],"issued":{"date-parts":[[2007,9]]},"references-count":75,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2007,9]]}},"alternative-id":["10.1177\/0145445507302037"],"URL":"https:\/\/doi.org\/10.1177\/0145445507302037","relation":{},"ISSN":["0145-4455","1552-4167"],"issn-type":[{"value":"0145-4455","type":"print"},{"value":"1552-4167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,9]]}}}