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Side effects in Internet-based interventions for Social Anxiety Disorder
Department of Psychology, Stockholm University, Sweden Department of Clinical Psychology, Freie Universitaet Berlin, Germany.
Department of Psychology, Stockholm University, Sweden.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0003-4753-674
Division of Clinical Psychology, Department of Psychology, Stockholm University, Stockholm, Sweden.
2014 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 1, no 1, 3-11 p.Article in journal (Refereed) Published
Abstract [en]

Internet-based interventions are effective in the treatment of various mental disorders and have already been integrated in routine health care in some countries. Empirical data on potential negative effects of these interventions is lacking. This study investigated side effects in an Internet-based treatment for Social Anxiety Disorder (SAD).

A total of 133 individuals diagnosed with SAD took part in an 11-week guided treatment. Side effects were assessed as open formatted questions after week 2 and at post-treatment after week 11. Answers were independently rated by two coders. In addition, rates of deterioration and non-response were calculated for primary social anxiety and secondary outcome measures (depression and quality of life).

In total, 19 participants (14%) described unwanted negative events that they related to treatment. The emergence of new symptoms was the most commonly experienced side effect, followed by the deterioration of social anxiety symptoms and negative well-being. The large majority of the described side effects had a temporary but no enduring negative effect on participants' well-being. At post-treatment, none of the participants reported deterioration on social anxiety measures and 0–7% deteriorated on secondary outcome measures. Non-response was frequent with 32–50% for social anxiety measures and 57–90% for secondary outcomes at post-assessment.

Results suggest that a small proportion of participants in Internet-based interventions experiences negative effects during treatment. Information about potential side effects should be integrated in patient education in the practice of Internet-based treatments.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 1, no 1, 3-11 p.
Keyword [en]
Adverse events, Negative effects, Online guided self-help, Attention training, Cognitive-behaviour
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-142231DOI: 10.1016/j.invent.2014.02.002Scopus ID: 2-s2.0-84904259545OAI: oai:DiVA.org:liu-142231DiVA: diva2:1151545
Available from: 2017-10-23 Created: 2017-10-23 Last updated: 2017-11-02Bibliographically approved

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Andersson, Gerhard

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  • apa
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