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The present study examined sudden gains (SGs; large symptom improvements between adjacent treatment sessions) and its association with treatment outcome in a randomized-controlled trial comparing cognitive-behavioral group therapy (CBGT) versus group psychotherapy (GPT; designed to incorporate only non-specific factors) for social anxiety disorder (SAD). SAD symptoms were assessed after each treatment session in a sample of 45 college students. Independent assessors evaluated symptom severity at baseline, post-treatment and follow-up. A total of 10 (22.2%) participants experienced SGs during treatment. No differences were found in symptom improvement at post-treatment or follow-up between individuals with and without SGs. SGs appeared at similar rates across both treatments but were associated with greater improvements at post-treatment and follow-up in GPT compared to CBGT. Majority of SGs in CBGT occurred early in treatment before the provision of specific treatment techniques. These results suggest that non-specific treatment factors may be important in promoting SGs.  相似文献   
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This study describes the construction and validation of a German version of the Positive and Negative Expectancies Scale, PANEQ-G, which is based on the original English version of the PANEQ. The German version showed the same factor structure as the original, comprising the three subscales of Negative Affectivity/Pessimism, Positive Affectivity/Optimism, and Fighting Spirit. The reliability data for the new scale were acceptable, and the factor structure was confirmed by means of a confirmatory factor analysis in an independent sample. As expected, concurrent validation uncovered substantial correlations of the three established scales. Negative Affectivity/Pessimism was related to Neuroticism and Positive Affectivity/Optimism was related to Extraversion. Fighting Spirit, the third scale, was related to Self-Efficacy and Conscientiousness. The PANEQ-G provides a reliable and valid instrument that can be used in conjunction with the original PANEQ for cross-cultural studies on Optimism and Pessimism. It also offers a new third component, Fighting Spirit, which can enrich research in this area.  相似文献   
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