Journal of Positive Psychology & Wellbeing http://journalppw.com
2023, Vol. 7, No. 2, 1026 – 1035 ISSN 2587-0130
© 2021 JPPW. All rights reserved
To Evaluate the Effect of Cognitive Drill Therapy on Social Anxiety - A
Preliminary Study
Priya Ahalawat
1
, Dr. Anita Moral
2
1
Department of Psychology, Meerut College, Meerut, Chaudhary Charan Singh University, Meerut (250004), Uttar
Pradesh, India
E-mail: AhalawatPriya@gmail.com
2
Department of Psychology, Meerut College Meerut, Chaudhary Charan Singh University, Meerut (250004), Uttar
Pradesh, India
E-maill: Dr.AnitaMoral@gmail.com
Abstract
Cognitive drill therapy is a new and effective approach for the treatment of social anxiety. Key component
of this therapy involves verbal exposure to dreaded negative outcomes. Verbal exposure is kept continued
until there is a noticeable decrease in the felt anxiety. The process starts with the generation of cognition of
the feared outcomes, followed by a change in time perspective to the present or past. To examine the
effectiveness of cognitive drill therapy in the treatment of social anxiety. Methods: In the Present
intervention study by using the random sampling method, a pre-post test of the experimental and control
group was used. The sample consisted of 52 subjects (26 in each group), based on pre-test scores on social
anxiety with a diagnosis of moderate social anxiety. The pre-post assessment measure was LIEBOWITZ
SOCIAL ANXIETY SCALE. For intervention, I0 sessions of structured CDT (weekly one session) were
used individually on the experimental group. Afterward, a post-test was administered to both groups to
identify the difference in social anxiety. An Independent sample t-test was applied to find the difference
between the two groups before and after the intervention. Findings revealed a significant change in pre-
post-test scores on the symptomology of social anxiety. Sample size and age group can be increased/varied
for wider generalizations.Cognitive drill therapy produces faster results and provides a unique framework
for exposure to the cognitive determinants of irrational fear.
Keywords: cognitive drill therapy (CDT), social anxiety, anxiety, psychoeducation, psychotherapy
Introduction
Social anxiety disorder, commonly known as
social phobia, is an anxiety disorder in which a
person feels uneasy when interacting with others
due to a concern about being embarrassed or
judged by others (NIH, 2014). This kind of
uneasiness will be experienced as fear and anxiety
and will be accompanied by anomic arousal,
including diaphoresis, apnea, tremors,
tachycardia, and nausea (ADAA, 2014). The
severity of symptoms can range from mild
uneasiness to a nearly crippling fear that pervades
all aspects of life (American Psychiatric
Association, 2013). The uneasiness that people
with Social Anxiety Disorder experience can be
generalized to day-to-day life activities such as
eating in front of others or using a public
bathroom. People with social phobia urge social
contact and wish to participate in social situations,
but their anxiety can become intolerable (NIMH,
2014). Social anxiety can lead to isolation and
either the absence of development or a slowdown
of social skills, which can escalate existing social
anxiety. Comorbidity also occurs with other
anxiety disorders, depression, as well as substance
abuse disorders according to the DSM-5
(American Psychiatric Association, 2013). Other