A sorrow shared is a sorrow halved? A three-arm randomized controlled trial comparing internet-based clinician-guided individual versus group treatment for social anxiety disorder
| Autor: | Ava Schulz, Alessia Vincent, Gerhard Andersson, Timo Stolz, Tobias Krieger, Thomas Berger |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 050103 clinical psychology Adolescent medicine.medical_treatment Experimental and Cognitive Psychology law.invention Group psychotherapy 03 medical and health sciences Young Adult 0302 clinical medicine Randomized controlled trial law medicine Humans 0501 psychology and cognitive sciences Young adult Depression (differential diagnoses) Aged Response rate (survey) Cognitive Behavioral Therapy 05 social sciences Social anxiety Cognition Phobia Social Middle Aged 030227 psychiatry 3. Good health Psychiatry and Mental health Clinical Psychology Treatment Outcome Therapy Computer-Assisted Cognitive therapy Psychotherapy Group Female Psychology Clinical psychology |
| Zdroj: | Behaviour Research and Therapy |
| DOI: | 10.1016/j.brat.2016.07.001 |
| Popis: | A growing body of evidence suggests that internet-based cognitive behavioural treatments (ICBT) are effective to treat social anxiety disorder (SAD). Whereas the efficacy of clinician-guided ICBT has been established, ICBT in a group format has not yet been systematically investigated. This three-arm RCT compared the efficacy of clinician-guided group ICBT (GT) with clinician guided individual ICBT (IT) and a wait-list (WL). A total of 149 individuals meeting the diagnostic criteria for SAD were randomly assigned to one of three conditions. Primary endpoints were self-report measures of SAD and diagnostic status taken at baseline, after the twelve-week intervention and at six-month follow-up. Secondary endpoints were symptoms of depression, interpersonal problems and general symptomatology. At post-treatment, both active conditions showed superior outcome regarding SAD symptoms (GT vs. WL: d = 0.84-0.74; IT vs. WL: d = 0.94-1.22). The two active conditions did not differ significantly in symptom reduction (d = 0.12-0.26, all ps > 0.63), diagnostic response rate or attrition. Treatment gains were maintained at follow-up. The group format reduced weekly therapist time per participant by 71% (IT: 17 min, GT: 5 min). Findings indicate that a clinician-guided group format is a promising approach in treating SAD. |
| Databáze: | OpenAIRE |
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