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Investigating the effectiveness of Acceptance and Commitment skills training for people with moderate public speaking anxiety via a randomised controlled trial of group versus self-help format

Public speaking anxiety (PSA), widespread amongst students and also the general population, is associated with substantial distress and interferes with a person’s ability to give a presentation or speech. This can lead to difficulties in social, occupational and academic areas of functioning. Despite its pervasiveness, very few individuals will seek help, most will tend to avoid the anxiety-provoking situations. This can be a serious issue if left untreated, leading to negative impacts on quality of life, for example dropping out of education early and subsequently having limited job opportunities. The literature review explored the existing body of work regarding PSA and presented the rationale for the current research, beginning with a conceptual framework and the manner in which PSA is related to Social Anxiety Disorder (SAD). This was followed by a detailed investigation of existing influential models and treatment modalities for both PSA and SAD. It identified that CBT has been the most effective treatment and has been delivered via different formats; however some individuals with SAD/PSA did not respond to a mainstream CBT approach and continued presenting residual symptoms after therapy. Thus, Acceptance and Commitment Therapy (ACT) was introduced, with an examination of its model and potential to help PSA. Preliminary research employing acceptance-based strategies have provided promising results. The literature review indicated a need for investigation of (i) more readily disseminated, briefer formats of ACT and (ii) whether differences exist in efficacy and sustainability between non-guided self-help and group-led therapies format. Given the large number of individuals experience PSA/SAD and the limited availability of resources, there is a need to consider ways of improving access. Thus, development of ultra-brief interventions would potentially reduce delivery cost and enhance dissemination to a larger population. Keywords: public speaking anxiety, social anxiety, interventions, experiential avoidance, fear of negative evaluation, acceptance.

Identiferoai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:715025
Date January 2016
CreatorsDogan, Seyla
PublisherUniversity of Wolverhampton
Source SetsEthos UK
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Sourcehttp://hdl.handle.net/2436/620461

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