Social Anxiety Disorder Advances in Psychotherapy

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1 Social Anxiety Disorder Advances in Psychotherapy Questions from chapter 1 1) According to the DSM-IV-TR, the term should be used to describe cases of SAD in which an individual reports fear in most social or performance situations. a) chronic b) pervasive c) ubiquitous d) generalized 2) SAD tends to begin in a) pre teens b) mid to late teens c) 20s d) 30s 3) In Japan and Korea, individuals may suffer from taijin kyofusho syndrome which involves a concern with a) embarrassing others b) mispronunciation of words c) stepping on cracks d) angering an employer 4) The risk of suicide attempts for individuals with SAD is a) 10% b) 20% c) 30% d) 40% 5) Research suggests that individuals with Avoidant Personality Disorder may be than those with SAD and may have. a) less interpersonally sensitive, poorer social skills b) less interpersonally sensitive, better social skills c) more interpersonally sensitive, poorer social skills d) more interpersonally sensitive, better social skills 6) Ervin et al. (2002) found that clients with SAD who also had an additional diagnosis of were found to have a longer duration of SAD symptoms and more severe impairment. a) personality disorder b) depression c) substance abuse d) APD

2 7) Which is a 17-item self-report measure assessing how much a series of symptoms of social anxiety bother the respondent? a) SPS b) SPIN c) SIAS d) SOS Questions from chapter 2 8) Clark and Well s (1995) model assumes that people with SAD are invested in a) avoiding recreating a past error b) staying safe at all costs c) making a positive impression on others d) controlling all the variables in their environment 9) Everyone should like me is an example of a/an in Social Anxiety Disorder. a) Rule b) Assumption c) Schema d) Belief 10) All the following are one of Rachman s (1977) pathways to the development of fears EXCEPT a) direct conditioning b) vicarious acquisition c) feedback loops d) informational pathways 11) The temperamental vulnerability most often linked with social anxiety is inhibition. a) cognitive b) emotional c) temporal d) behavioral Questions from chapter 3 12) Wearing extra make-up or a turtleneck to hide blushing is given as an example of a) safety behaviors b) avoidance strategies c) OCD d) Environmental factors

3 13) The most extensively studied measure for assessing anxiety sensitivity is the a) SDR b) SLL c) CYA d) ASI 14) Which involves confronting anxiety provoking situations directly until they no longer trigger fear and anxiety? a) Cognitive therapy b) Social skills training c) Exposure therapy d) Communication training 15) Which is an SNRI antidepressant? a) Effexor XR b) Paxil c) Klonapin d) Nardil 16) In most cases, people with SAD respond well to treatment even when formal social skills training is not included as a component of therapy. a) True b) False Questions from chapter 4 17) Which is a CBT treatment strategy used for SAD? a) self-monitoring b) psychoeducation c) social skills training d) all the above 18) Which is NOT one of the 3 components of anxiety? a) social b) physical c) cognitive d) behavioral 19) Which cognitive strategy involves asking Socratic questions? a) Behavioral experiment b) Cognitive restructuring c) Perspective shifting d) Coping statements

4 20) Core beliefs are also known as a) life scripts b) templates c) schemas d) heart lights 21) Which is a strategy that can be used to reveal negative core beliefs? a) Empty chair technique b) Downward arrow technique c) House, Tree, Mineshaft technique d) Free association technique 22) Which is NOT a recommended guideline for effective exposure? a) Use longer exposures b) Increase perceived control and predictability c) Encourage safety behaviors d) Focus on the task rather than the outcome 23) Exposure to feared symptoms is also called exposure. a) vicarious b) interoceptive c) graduated d) permeable 24) Emotional processing theories assume that fear is represented as a networked memory structure which contains all the following types of information EXCEPT a) Information about other s responses to the feared object b) information about a feared object c) Information about one s response to the feared stimulus d) Information about the meaning of the feared stimulus 25) Turner et al. (1994) found that of individuals met criteria for high or moderate end-state functioning following CBT treatment. a) 21% b) 42% c) 63% d) 84% 26) Which two variables were examined by Ledley & Heimber (2005) as possible predictors in SAD treatment outcome? a) Avoidant Personality Disorder and Substance Dependence b) Substance Dependence and Major Depression c) Major Depression and SAD subtype d) SAD subtype and presence of Avoidant Personality Disorder

5 27) Two variables Ledley and Heimberg (2005) suggest may contribute to relapse and recurrence of SAD symptoms are a failure to generalize the treatment strategies and a) continued avoidance of social situations b) experiencing significant perceived public humiliation c) experiencing an acute traumatic event d) receiving discouraging feedback from a respected source 28) Which do not appear to be effective for treating SAD? a) SSRIs b) MAOIs c) SNRIs d) Tricyclics 29) Despite its effectiveness, is rarely used to treat SAD because of potentially severe side effects. a) sertraline b) clonazepam c) phenelzine d) imipramine 30) Davidson et al. (2004) found which treatment was more effective than placebo in treating SAD? a) fluoxetine b) CCBT c) CCBT plus fluoxetine d) all were more effective 31) Gifford et al. (2005) found which were the most common concerns about starting treatment from those with SAD? a) fears treatment will fail and general concerns b) general concerns and fears regarding treatment success c) fears regarding treatment success and fears of new symptom creation d) fears of new symptom creation and fears treatment will fail 32) Perhaps the best known method for dealing with treatment ambivalence is a set of procedures collectively known as a) guided encouragement b) motivational interviewing c) talking to the resistance d) Unbalancing

6 33) Instead of an exposure hierarchy, the metaphor of an exposure is often used when treating younger clients. a) elevator b) stepladder c) escalator d) staircase 34) SAD has been found to have a lifetime prevalence of among adults over age 60 in the United States. a) 2.2% b) 4.4% c) 6.6% d) 8.8% 35) Ferrell et al. (2004) suggest that African-American and White preadolescent children with SAD have similar symptomatic presentations, and respond similarly to behavioral treatment. a) True b) False

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