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Randomized Controlled Trial
. 2023 Mar;52(2):146-162.
doi: 10.1080/16506073.2022.2137578. Epub 2022 Nov 21.

Perceived interpersonal competence as a predictor of clinical outcomes in a randomized controlled trial for social anxiety and employment

Allison V Metts  1 , Richard T LeBeau  1 , Michelle G Craske  1   2 , Joseph A Himle  3   4
Affiliations
Randomized Controlled Trial

Perceived interpersonal competence as a predictor of clinical outcomes in a randomized controlled trial for social anxiety and employment

Allison V Metts et al. Cogn Behav Ther. 2023 Mar.

Abstract

This study explored relationships among perceived interpersonal competence and demographic and work history variables in a randomized control trial for social anxiety disorder (SAD) that compared work-related group cognitive behavioral therapy plus vocational services (WCBT+VSAU) to vocational services only (VSAU-alone). Intervention effects of perceived interpersonal competence on treatment outcomes over 12 weeks were also examined. Data from 250 job seekers with SAD (59.2% Female; 40.8% Black/African American; 82.4% Non-Hispanic/non-Latino/a) were analyzed. We predicted negative relationships between perceived interpersonal competence and symptoms/impairment and that individuals with lower perceived interpersonal competence would benefit more quickly in WCBT+VSAU relative to VSAU-alone. Results indicated that perceived interpersonal competence did not vary by gender, race, ethnicity, homeless status, or employment history. There were no intervention effects of perceived interpersonal competence regarding social anxiety or overall functional impairment, but results supported negative relationships between perceived interpersonal competence and lower social anxiety and overall functional impairment in both conditions. Separately, perceived interpersonal competence moderated effects in the depression model such that there were faster declines in depression at lower perceived interpersonal competence levels in WCBT+VSAU, but not in VSAU-alone. Results indicate the value of attending to perceived interpersonal competence in interventions, which may result in mood benefits.

Trial registration: ClinicalTrials.gov NCT02633267.

Keywords: Perceived interpersonal competence; depression; functional impairment; social anxiety; unemployment.

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Conflict of interest statement

Disclosure Statement: The authors report no conflict of interest.

Declaration of Interest Statement

The authors report there are no competing interests to declare.

Figures

Figure 1
Figure 1. CONSORT Diagram
CONSORT Diagram for the present study.
Figure 2
Figure 2. Three-way Interaction Predicting Depression Symptoms
The time slope by different levels of perceived interpersonal competence. The Time slope becomes more positive (i.e., steeper increases) as perceived interpersonal competence increases (i.e., high perceived interpersonal competence) and more negative (i.e., steeper decreases) as perceived interpersonal competence decreases (i.e., low perceived interpersonal competence). The time x perceived interpersonal competence effect was non-significant in VSAU-alone. PHQ-9 scores are on the y-axis.
See this image and copyright information in PMC

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