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Internet-delivered cognitive behavioural therapy with and without an initial face-to-face psychoeducation session for social anxiety disorder: A pilot randomized controlled trial
Department of Clinical Psychology, University of Bergen, Norway.
Department of Clinical Psychology, University of Bergen, Norway.
Division of Clinical Psychology, Department of Psychology, Stockholm University, Stockholm, 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
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2015 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 2, no 4, 429-436 p.Article in journal (Refereed) Published
Abstract [en]

Background

Guided Internet-delivered cognitive behavioural therapy (ICBT) is an effective treatment of social anxiety disorder (SAD). However, the treatment is not effective for all. The amount and type of therapist contact have been highlighted as a possible moderator of treatment outcome.

Objective

The aim of this study was to examine whether treatment effects of ICBT are enhanced with an initial 90 min face-to-face psychoeducation (PE) session for university students with SAD.

Method

University students with SAD (N = 37) were randomized into one out of two conditions: 1) an initial therapist-led face-to-face PE session followed by guided ICBT, 2) guided ICBT without an initial PE session. Data was analysed with an intent-to-treat approach.

Results

Eight participants (21.6%) dropped out of treatment. A statistically significant reduction in symptoms was found for all outcome measures for both groups. There were no significant additional effects of adding the initial face-to-face PE. Moderate to large within-group effect sizes on self-rated social anxiety symptoms were found at post-treatment (d = 0.70–0.95) and at a six month follow-up (d = 0.70–1.00). Nearly half of the participants were classified as recovered.

Conclusions

Notwithstanding limitations due to the small sample size, the findings indicate that guided ICBT is an effective treatment for students with SAD. Adding an initial face-to-face PE session to the guided ICBT did not lead to enhanced outcomes in the present study.

Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 2, no 4, 429-436 p.
Keyword [en]
Internet-delivered cognitive behavioural therapy, Self-help, Social anxiety disorder, Psychoeducation
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-142234DOI: 10.1016/j.invent.2015.10.003Scopus ID: 2-s2.0-84946554614OAI: oai:DiVA.org:liu-142234DiVA: diva2:1151552
Available from: 2017-10-23 Created: 2017-10-23 Last updated: 2017-11-03Bibliographically approved

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Andersson, Gerhard

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  • apa
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