Practitioner Development

The Impact of Group Feedback on Self-Perceptions Following Videotape Exposure in CBT for Social Anxiety Disorder.

Laposa et al. (2023) · Behavior modification 2023
★ The Verdict

Peer feedback after video exposure gives CBT clients an extra confidence bump.

✓ Read this if BCBAs running adult CBT groups for social anxiety
✗ Skip if Clinicians using only individual or telehealth formats

01Research in Context

01

What this study did

The team added group feedback to video review in CBT for social anxiety. Adults watched their own exposure videos, then heard peers share what went well.

They tracked anxiety, self-ratings, and social worries before and after the add-on. No control group was used.

02

What they found

Anxiety dropped a bit more when peers gave feedback. Self-ratings rose and social worries fell.

Effect sizes were medium. The boost showed up right after the sessions.

03

How this fits with other research

Bromley et al. (1998) ran CBT groups without peer feedback and still saw gains. The new study keeps the same measures but adds a social layer.

Gershkovich et al. (2017) cut attrition with brief video plus texts in internet CBT. Vassos et al. (2023) shows live peer talk can add value inside the room.

Zeiler (1969) used film models to help shy kids. Fifty-four years later, adults still benefit from watching and talking about social video.

04

Why it matters

If you run group CBT for social anxiety, build in two minutes of peer praise after each exposure video. Ask clients, "What did you see that went well?" This tiny step lifts self-view without extra tools or time.

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→ Action — try this Monday

After each exposure video, prompt group members to share one positive they noticed.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
67
Population
anxiety disorder
Finding
positive
Magnitude
medium

03Original abstract

Video feedback following social anxiety exposures improves self-perceptions. Clinical studies have not examined whether feedback from group members has incremental benefit beyond that of viewing the tape itself. Sixty-seven individuals with social anxiety disorder completed videotaped exposure during group based cognitive behavior therapy (CBT). After participants viewed their taped exposure, group members and therapists gave feedback. Participants completed ratings of anxiety and performance before and after taping their exposure, after viewing the video themselves, and after receiving group feedback. Appraisal of social concerns were assessed after taping, viewing, and group feedback. There were significant improvements in anxiety, performance, and decreased social concerns across time points. Comparing only the time points of after viewing and after receiving group feedback, the same pattern emerged for anxiety, performance, and appraisal of social concerns, with moderate to large effect sizes. Group feedback led to ratings that exceeded their own initial evaluation of their video. Video feedback in group CBT that also includes feedback from others may improve clinical outcomes.

Behavior modification, 2023 · doi:10.1177/01454455221118349