{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T19:38:55Z","timestamp":1785008335476,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"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":["Can J Psychiatry"],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine whether and how different patterns of psychotherapy history (no prior therapy, successful therapy experience, and unsuccessful therapy experience) affect the outcome of future treatment among patients undergoing cognitive-behavioural group therapy for social anxiety disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Fifty-seven patients with varying histories of psychotherapy participating in cognitive-behavioural group treatment for social anxiety disorder were included in the study. Symptom severity (including anxiety, depression, self-efficacy, and global symptom severity) was assessed at pre-and posttreatment. A therapist-rated measure of patient therapy engagement was included as a process variable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>First-time therapy patients showed more favourable pretreatment variables and achieved greater benefit from group therapy. Among patients with unsuccessful therapy experience, substantial gains were attained by those who were able to actively engage in the therapy process. Patients rating previous therapies as successful could benefit the least and tended to stagnate. Possible explanations for group differences and clinical implications are discussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Prior psychotherapy experience affects the course of cognitive-behavioural group therapy in patients with social phobias. While patients with negative therapy experience may need extensive support in being and remaining actively engaged, those rating previous therapies as successful should be assessed very carefully and may benefit from a major focus on relational aspects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectif:<\/jats:title>\n                    <jats:p>Examiner si les diff\u00e9rents mod\u00e8les d'ant\u00e9c\u00e9dents de psychoth\u00e9rapie (pas de th\u00e9rapie ant\u00e9rieure, exp\u00e9rience r\u00e9ussie de th\u00e9rapie, et exp\u00e9rience de th\u00e9rapie sans succ\u00e8s) affectent le r\u00e9sultat d'un futur traitement chez les patients d'une th\u00e9rapie de groupe cognitivo-comportementale pour le trouble d'anxi\u00e9t\u00e9 sociale, et le cas \u00e9ch\u00e9ant, de quelle mani\u00e8re.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thode:<\/jats:title>\n                    <jats:p>Cinquante-sept patients ayant divers ant\u00e9c\u00e9dents de psychoth\u00e9rapie et participant \u00e0 un traitement de groupe cognitivo-comportemental pour le trouble d'anxi\u00e9t\u00e9 sociale ont \u00e9t\u00e9 inclus dans l'\u00e9tude. La gravit\u00e9 des sympt\u00f4mes (dont l'anxi\u00e9t\u00e9, la d\u00e9pression, l'auto-efficacit\u00e9 et la gravit\u00e9 g\u00e9n\u00e9rale des sympt\u00f4mes) a \u00e9t\u00e9 \u00e9valu\u00e9e avant et apr\u00e8s le traitement. Une mesure par le th\u00e9rapeute de l'engagement du patient \u00e0 la th\u00e9rapie \u00e9tait incluse \u00e0 titre de variable du processus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>R\u00e9sultats:<\/jats:title>\n                    <jats:p>Les patients en th\u00e9rapie pour la premi\u00e8re fois pr\u00e9sentaient des variables pr\u00e9traitement plus favorables et tiraient meilleur profit de la th\u00e9rapie de groupe. Chez les patients ayant eu une exp\u00e9rience de th\u00e9rapie sans succ\u00e8s, des gains substantiels ont \u00e9t\u00e9 obtenus par ceux qui \u00e9taient capables de s'engager activement au processus th\u00e9rapeutique. Les patients ayant estim\u00e9 les th\u00e9rapies ant\u00e9rieures r\u00e9ussies \u00e9taient ceux qui en b\u00e9n\u00e9ficiaient le moins et tendaient \u00e0 stagner. Des explications possibles des diff\u00e9rences entre les groupes et des implications cliniques sont pr\u00e9sent\u00e9es.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>L'exp\u00e9rience ant\u00e9rieure de psychoth\u00e9rapie affecte le cours de la th\u00e9rapie de groupe cognitivo-comportementale chez les patients souffrant de phobie sociale. Alors que les patients ayant eu une exp\u00e9rience de th\u00e9rapie n\u00e9gative peuvent avoir grand besoin d'aide pour s'engager activement et le demeurer, ceux qui estiment que leurs th\u00e9rapies ant\u00e9rieures ont \u00e9t\u00e9 r\u00e9ussies doivent \u00eatre \u00e9valu\u00e9s tr\u00e8s attentivement et peuvent b\u00e9n\u00e9ficier d'un fort accent<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674370805300805","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T15:03:37Z","timestamp":1484319817000},"page":"509-516","source":"Crossref","is-referenced-by-count":9,"title":["Does Prior Psychotherapy Experience Affect the Course of Cognitive-Behavioural Group Therapy for Social Anxiety Disorder?"],"prefix":"10.1177","volume":"53","author":[{"given":"Aba","family":"Delsignore","sequence":"first","affiliation":[{"name":"Clinical Psychologist, Zurich University Hospital, Psychiatric Department, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,8,1]]},"reference":[{"key":"bibr1-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1159\/000071899"},{"key":"bibr2-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1177\/070674379704200705"},{"key":"bibr3-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.2.295"},{"issue":"5324","key":"bibr4-070674370805300805","volume":"57","author":"Ezra KR","year":"1997","journal-title":"Dissertation Abstracts International, Section B: The Sciences and Engineering"},{"key":"bibr5-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80062-0"},{"key":"bibr6-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2006.04.010"},{"key":"bibr7-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1080\/00207284.1993.11491238"},{"key":"bibr8-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1080\/00207284.1986.11490902"},{"key":"bibr9-070674370805300805","first-page":"513","volume":"11","author":"Brown GS","year":"2005","journal-title":"AM J Manag Care"},{"issue":"1708","key":"bibr10-070674370805300805","volume":"66","author":"Brooks AC","year":"2005","journal-title":"Dissertation Abstracts International, Section B: The Sciences and Engineering"},{"key":"bibr11-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(01)00060-2"},{"key":"bibr12-070674370805300805","first-page":"99","volume-title":"Clinical Handbook of Psychological Disorders","author":"Hope DA","year":"1993"},{"key":"bibr13-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7916(00)00018-5"},{"key":"bibr14-070674370805300805","first-page":"9","volume":"2","author":"Mihaescu G","year":"1997","journal-title":"RFCCC"},{"key":"bibr15-070674370805300805","first-page":"24","volume":"3","author":"Carraro G","year":"2006","journal-title":"Schweiz Z Psychiatr Neurol"},{"key":"bibr16-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.6.893"},{"key":"bibr17-070674370805300805","first-page":"105","volume":"40","author":"Schwarzer R.","year":"1994","journal-title":"Diagnostica"},{"key":"bibr18-070674370805300805","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"bibr19-070674370805300805","first-page":"115","volume":"49","author":"Klaghofer R","year":"2001","journal-title":"Z Klin Psychol"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674370805300805","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674370805300805","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:11:29Z","timestamp":1777392689000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/070674370805300805"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,8]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2008,8]]}},"alternative-id":["10.1177\/070674370805300805"],"URL":"https:\/\/doi.org\/10.1177\/070674370805300805","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,8]]}}}