Research Article

Effectiveness of cognitive behavioral therapy for social anxiety in adults with hearing loss


Background and Aim: For various reasons hearing-impaired people have stress and fear of being in social situations. Cognitive behavioral therapy (CBT) is known as one of the most valid therapies of social phobia. The aim of this research was to show the efficacy of cognitive behavioral therapy on the level of social anxiety in hearing-impaired adults.
Methods: The study population consisted of hearing-impaired people aged 20 to 30 years old. Of 30 individuals that selected through simple sampling method, 20 with high scores in anxiety disorder diagnosis interview, were assigned into experimental (n=10) and control (n=10) groups. Cognitive behavioral therapy was performed for the experimental group. Social phobia components (Fear, avoidance, and physiology) were determined by social phobia inventory and structured clinical for interview for DSM-IV.
Results: Mean social phobia scores is less in the experimental group compared to the control group. Also mean scores of social phobia components (fear, avoidance and physiology) was less in the experimental group than in the control group (p<0.05).
Conclusion: Cognitive behavioral therapy is efficient in decreasing social phobia in hearing-impaired adults and in reducing most com­ponents such as fear, physiologic discomfort and avoidance in social situations.

1. Ghoreyshi Rad F. Assessment of mental health pro¬blems in deaf and hearing adolescents. Journal of Exceptional Education. 2015;14(6):5-12.
2. Karimi Dermani HR. Rehabilitation of specific groups with an emphasis on social work services. 1st ed. Tehran: Gostareh Publications; 2003. Persian.
3. Sadock BJ, Kaplan HI. Kaplan and Sadock's synopsis of psychiatry: behavioral sciences, clinical psychiatry (H Rafiei, F Rezaei, Trans.). Tabriz: Zoghi Publications; 1997. Persian.
4. Bieling PJ, McCabe RE, Antony MM. Cognitive-behavioral therapy in groups. 1st ed. New York: The Guilford Press; 2006.
5. Kendall PC, Safford S, Flannery-Schroeder E, Webb A. Child anxiety treatment: outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. J Consult Clin Psychol. 2004;72(2):276-87.
6. Hofmann SG. Cognitive factors that maintain social anxiety disorder: a comprehensive model and its treatment implications. Cogn Behav Ther. 2007;36(4):193-209.
7. Rapee RM, Heimberg RG. A cognitive-behavioral model of anxiety in social phobia. Behav Res Ther. 1997;35(8):741-56.
8. Hofmann SG, Scepkowski LA. Social self-reappraisal therapy for social phobia: preliminary findings. J Cogn Psychother. 2006;20(1):45-57.
9. Safa'i Rad I, Ahmadi M, Rabi'i M, Najafi M. A comparison of the impact of cognitive-behavioral therapy and metacognitive therapy on social phobia disorder symptoms. Clinical Psychology Studies. 2013;3:63-80. Persian.
10. Atrifard M, Shoaeri M. Examination of efficacy of cognitive behavioral therapy based on Hofmann’s model for decreasing symptoms of social anxiety disorder. Counseling Culture and Psychotherapy. 2012;3:23-51. Persian.
11. Rahmanian Z, Mirzaian B, Hassanzadeh R. Effectiveness of cognitive-behavioral group therapy on social anxiety of female students. Daneshvar Journal of Shahed University. 2012;19(96):47-56. Persian.
12. Fairbrother N. The treatment of social phobia -- 100 years ago. Behav Res Ther. 2002;40(11):1291-304.
13. Hassanvand Amouzadeh M, Roshan Chesly R, Hassanvand Amouzadeh M. The relationship of the meta-cognitive beliefs with social anxiety symptoms (avoidance, fear and physiological arousal) in non-clinical population. Research in Cognitive and Behavioral Sciences. 2014;3(2):55-70. Persian.
14. Turk CL, Heimberg RG, Hope DA. Social anxiety disorders. In: Barlow DH, editor. Clinical handbook of psychological disorders. 3rd ed. New York: The Guilford Press; 2001. p. 114-54.
15. Izadi R, Abedi MR. Alleviation of obsessive symptoms in treatment-resistant obsessive-compulsive disorder using acceptance and commitment-based therapy. Feyz. 2013;17(3):275-86. Persian.
16. Furmark T. Social phobia. From epidemiology to brain function. [Dissertation]. Uppsala: Uppsala University; 2000.
IssueVol 26 No 1 (2017) QRcode
SectionResearch Article(s)
Impaired hearing adults cognitive behavioral therapy social phobia

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Pirani Z, Afshar R, Hatami A. Effectiveness of cognitive behavioral therapy for social anxiety in adults with hearing loss. Aud Vestib Res. 2017;26(1):50-55.