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Does Social Anxiety Disorder Respond to Psychotherapy? Brain Study Says Yes

ScienceDaily ÊÑ When psychotherapy is helping someone get better, what does that change look like in the brain? This was the question a team of Canadian psychological scientists set out to investigate in patients suffering from social anxiety disorder. Their findings are published in Psychological Science, a journal of the Association of Psychological Science.

Social anxiety is a common disorder, marked by overwhelming fears of interacting with others and expectations of being harshly judged. Medication and psychotherapy both help people with the disorder. But research on the neurological effects of psychotherapy has lagged far behind that on medication-induced changes in the brain.

ÒWe wanted to track the brain changes while people were going through psychotherapy,Ó says McMaster University Ph.D. candidate Vladimir Miskovic, the studyÕs lead author.

To do so, the team Ñ led by David Moscovitch of the University of Waterloo, collaborating with McMasterÕs Louis Schmidt, Diane Santesso, and Randi McCabe; and Martin Antony of Ryerson University Ñ used electroencephalograms, or EEGs, which measure brain electrical interactions in real time. They focused on the amount of Òdelta-beta coupling,Ó which elevates with rising anxiety.

The study recruited 25 adults with social anxiety disorder from a Hamilton, Ontario clinic. The patients participated in 12 weekly sessions of group cognitive behavior therapy, a structured method that helps people identify Ñ and challenge Ñ the thinking patterns that perpetuate their painful and self-destructive behaviors.

Two control groups Ñ students who tested extremely high or low for symptoms of social anxiety Ñ underwent no psychotherapy.

The patients were given four EEGs Ñ two before treatment, one halfway through, and one two weeks after the final session. The researchers collected EEG measures of the participants at rest, and then during a stressful exercise: a short preparation for an impromptu speech on a hot topic, such as capital punishment or same-sex marriage; participants were told the speech would be presented before two people and videotaped. In addition, comprehensive assessments were made of patientsÕ fear and anxiety.

When the patientsÕ pre- and post-therapy EEGs were compared with the control groupsÕ, the results were revealing: Before therapy, the clinical groupÕs delta-beta correlations were similar to those of the high-anxiety control group and far higher than the low-anxiety groupÕs. Midway through, improvements in the patientsÕ brains paralleled cliniciansÕ and patientsÕ own reports of easing symptoms. And at the end, the patientsÕ tests resembled those of the low-anxiety control group.

ÒWe canÕt quite claim that psychotherapy is changing the brain,Ó cautions Miskovic. For one thing, some of the patients were taking medication, and that could confound the results. But the study, funded by the Ontario Mental Health Foundation, is Òan important first stepÓ in that direction Ñ and toward understanding the biology of anxiety and developing better treatments.

The work might also alter perceptions of therapy. ÒLaypeople tend to think that talk therapy is not Ôreal,Õ while they associate medications with hard science, and physiologic change,Ó says Miskovic. ÒBut at the end of the day, the effectiveness of any program must be mediated by the brain and the nervous system. If the brain does not change, there wonÕt be a change in behavior or emotion.Ó

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